{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,27]],"date-time":"2026-09-27T02:13:53Z","timestamp":1790475233380,"version":"4.1.0"},"reference-count":28,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2016,1,11]],"date-time":"2016-01-11T00:00:00Z","timestamp":1452470400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100005407","name":"Food and Health Bureau","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100005407","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Journal of Advanced Nursing"],"published-print":{"date-parts":[[2016,5]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Aim<\/jats:title><jats:p>To examine the internal and external responsiveness of the Pressure Ulcer Scale for Healing (<jats:styled-content style=\"fixed-case\">PUSH<\/jats:styled-content>) tool for assessing the healing progress in acute and chronic wounds.<\/jats:p><\/jats:sec><jats:sec><jats:title>Background<\/jats:title><jats:p>It is important to establish the responsiveness of instruments used in conducting wound care assessments to ensure that they are able to capture changes in wound healing accurately over time.<\/jats:p><\/jats:sec><jats:sec><jats:title>Design<\/jats:title><jats:p>Prospective longitudinal observational study.<\/jats:p><\/jats:sec><jats:sec><jats:title>Method<\/jats:title><jats:p>The key study instrument was the <jats:styled-content style=\"fixed-case\">PUSH<\/jats:styled-content> tool. Internal responsiveness was assessed using paired t\u2010testing and effect size statistics. External responsiveness was assessed using multiple linear regression. All new patients with at least one eligible acute or chronic wound, enrolled in the Nurse and Allied Health Clinic\u2010Wound Care programme between 1 December 2012 \u2013 31 March 2013 were included for analysis (<jats:italic>N\u00a0<\/jats:italic>=<jats:italic>\u00a0<\/jats:italic>541).<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Overall, the <jats:styled-content style=\"fixed-case\">PUSH<\/jats:styled-content> tool was able to detect statistically significant changes in wound healing between baseline and discharge. The effect size statistics were large. The internal responsiveness of the <jats:styled-content style=\"fixed-case\">PUSH<\/jats:styled-content> tool was confirmed in patients with a variety of different wound types including venous ulcers, pressure ulcers, neuropathic ulcers, burns and scalds, skin tears, surgical wounds and traumatic wounds. After controlling for age, gender and wound type, subjects in the \u2018wound improved but not healed\u2019 group had a smaller change in <jats:styled-content style=\"fixed-case\">PUSH<\/jats:styled-content> scores than those in the \u2018wound healed\u2019 group. Subjects in the \u2018wound static or worsened\u2019 group had the smallest change in <jats:styled-content style=\"fixed-case\">PUSH<\/jats:styled-content> scores. The external responsiveness was confirmed.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>The internal and external responsiveness of the <jats:styled-content style=\"fixed-case\">PUSH<\/jats:styled-content> tool confirmed that it can be used to track the healing progress of both acute and chronic wounds.<\/jats:p><\/jats:sec>","DOI":"10.1111\/jan.12898","type":"journal-article","created":{"date-parts":[[2016,1,11]],"date-time":"2016-01-11T08:18:25Z","timestamp":1452500305000},"page":"1134-1143","source":"Crossref","is-referenced-by-count":57,"title":["Evaluation of the internal and external responsiveness of the Pressure Ulcer Scale for Healing (<scp>PUSH<\/scp>) tool for assessing acute and chronic wounds"],"prefix":"10.1111","volume":"72","author":[{"given":"Edmond P.H.","family":"Choi","sequence":"first","affiliation":[{"name":"School of Nursing The University of Hong Kong Hong Kong"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Weng Yee","family":"Chin","sequence":"additional","affiliation":[{"name":"Department of Family Medicine and Primary Care The University of Hong Kong Hong Kong"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Eric Y.F.","family":"Wan","sequence":"additional","affiliation":[{"name":"School of Nursing The University of Hong Kong Hong Kong"},{"name":"Department of Family Medicine and Primary Care The University of Hong Kong Hong Kong"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Cindy L.K.","family":"Lam","sequence":"additional","affiliation":[{"name":"Department of Family Medicine and Primary Care The University of Hong Kong Hong 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