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Updated: Jun 5, 2026
Mouse Model of Pressure Ulcers After Spinal Cord Injury
Published on: March 9, 2019
Evaluating self-reported pressure ulcer prevention measures in persons with spinal cord injury using the revised Skin
A Gélis1, J P Daures, C Benaim
1Département de Médecine Physique et de Réadaptation, Centre Hospitalo-Universitaire Caremeau, Nîmes, France. a.gelis@propara.languedoc-mutualite.fr
Study Design:
Cross-cultural adaptation and reliability study.
Objective:
To translate, evaluate the reliability and cross-culturally adapt the Skin Management Needs Assessment Checklist (SMnac), a questionnaire evaluating the knowledge on pressure ulcer (PU) prevention measures in persons with spinal cord injury (SCI).
Subjects:
138 persons with SCI, mean age 45.9 years, mean time since injury 94 months.
Material And Method:
The study was carried out in two stages. First, the questionnaire went through a forward-backward translation process and was cross-culturally adapted, according to a validated methodology for self-reported measures. Then, the test-retest reliability was evaluated on a population of persons with SCI.
Results:
The standardized back-translation and cross-cultural adaptation led to the revised Smack grid, with the addition of seven items representing an update of PU prevention measures. The reliability was excellent (intraclass correlation coefficient: 0.899).
Conclusion:
The revised SMnac is an adaptation of the SMnac, including therapeutic education frameworks and the latest PU prevention practices. It appears to be a reliable tool for assessing the knowledge and benefits of PU prevention in persons with SCI. Further studies are needed to explore its validity and responsiveness to change.
