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Development and Validation of the International Skin Tear Advisory Panel Skin Tear Data Collection Tool
Samantha Holloway1, Anika Fourie2, Cinthia Viana Bandeira da Silva3
1Centre for Medical Education, School of Medicine, Cardiff University, Cardiff, UK.
Advances in Skin & Wound Care
|October 20, 2025
Summary
A new data collection tool was validated to standardize skin tear epidemiology research. This International Skin Tear Advisory Panel (ISTAP) DC-Tool ensures consistent data gathering for improved clinical practice and further research.
Area of Science:
- Dermatology
- Epidemiology
- Gerontology
Background:
- Epidemiological studies on skin tears lack standardized definitions and data collection methods.
- Existing approaches hinder consistent and reliable data gathering for skin tear research.
- A validated tool is crucial for advancing the understanding and management of skin tears.
Purpose of the Study:
- To validate a data collection tool for skin tears.
- To provide a freely accessible resource for consistent and reliable skin tear data collection.
- To support healthcare providers and researchers in epidemiological skin tear studies.
Main Methods:
- Tool development guided by the 2018 International Skin Tear Advisory Panel (ISTAP) Best Practice Recommendations.
- Multimethod validation process including content validity ratio and content validity index calculations.
- Qualitative feedback from 15 international experts for face validity assessment and tool refinement.
Main Results:
- The final 22-question tool addresses patient demographics, skin tear features, risk factors, and contextual data.
- Content validity index calculated at 0.72, indicating acceptable content validity.
- International expert consensus achieved through a 2-round qualitative review with subsequent tool adjustments.
Conclusions:
- The ISTAP DC-Tool, developed from evidence-based recommendations and expert validation, offers a standardized approach.
- Implementation of this tool will enhance the collection of epidemiological data on skin tears.
- Standardized data collection is expected to improve clinical practice, quality initiatives, and future research in skin tear prevention and management.

