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Validity and Reliability of Barakat-Johnson Incontinence-Associated Dermatitis Knowledge Tool: A Methodological Study
Meryem Yildiz Ayvaz1, Tuğba Erdem, Ayişe Karadağ
1School of Nursing, Koç University, Istanbul, Turkey.
Advances in Skin & Wound Care
|June 26, 2026
Summary
The Turkish version of the Barakat-Johnson Incontinence-Associated Dermatitis Knowledge Tool (Know-IAD) requires further refinement for accurate assessment of incontinence-associated dermatitis knowledge among Turkish nurses.
Area of Science:
- Nursing Research
- Dermatology
- Health Sciences
Background:
- Incontinence-associated dermatitis (IAD) is a prevalent issue in healthcare settings.
- Accurate knowledge of IAD is crucial for effective prevention and management.
- The Barakat-Johnson Incontinence-Associated Dermatitis Knowledge Tool (Know-IAD) assesses this knowledge.
Purpose of the Study:
- To evaluate the validity and reliability of the Turkish translation of the Know-IAD.
- To determine the psychometric properties of the Turkish Know-IAD for use in the Turkish healthcare context.
Main Methods:
- A methodological study involving 128 nurses was conducted.
- Linguistic validity was assessed by an expert panel.
- Data analysis utilized Multidimensional Item Response Theory (mirt) and Generalized Graded Multidimensional Item Response Theory (ggmirt) in R software.
Main Results:
- The stratified alpha coefficient was 0.62, indicating moderate reliability.
- Test-retest stability was high, ranging from 0.92 to 0.94.
- Ten items had negative difficulty coefficients, and specific items were identified as particularly challenging.
Conclusions:
- The Turkish version of the Know-IAD requires further psychometric refinement.
- Adaptation is needed for effective utilization within the Turkish nursing community.
- Future research should focus on revising and validating the tool.
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