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ABSTRACT PURPOSE: The purpose of this study was to develop operational definitions of peristomal moisture-associated skin damage (PMASD) and peristomal medical adhesive-related skin injury (PMARSI). DESIGN: Methodological study. SUBJECTS AND SETTING: The sample comprised 7 clinicians and/or researchers with expertise in the field of ostomy care; however, 1 was replaced at the end of 30 days owing to lack of response to email communications. All experts resided in Brazil. METHODS: This study is part of a larger research trajectory that aims to assess the prevalence and associated factors to PMASD and PMARSI. Operational definitions for PMASD and PMARSI, along with characteristics of each condition, were developed based on the Assessment, Intervention and Monitoring (AIM) Guide from the Ostomy Skin Tool (OST). Specifically, we used the “assess the cause” item from each domain of the OST, along with a literature review that retrieved best practice documents such as the consensus of PMASD and PMARSI. Once constructed, the ODs were submitted to a committee of 7 content experts who evaluated each for its relevance and representativeness, using a Likert scale. A Content Validity Index (CVI) was used to establish content validity for the ODs used to describe and differentiate PMASD from PMARSI. RESULTS: Nineteen items were created, 5 were related to irritant contact dermatitis, 2 were related to allergic dermatitis, 4 were related to mechanical trauma, 5 were related to skin diseases, and 3 focused on cutaneous infection. The CVI-I of the items varied from 0.57 and 1.0, and the CVI-T was 0.89. Fifteen items showed excellent content validity (CVI ≥ 0.78), 3 had good content validity (0.60 ≤ CVI ≤ 0.77), and 1 had a poor CVI (≤0.59). Thus, 15 items remained unchanged after the analysis, 1 was edited, and 2 were excluded. Based on the good to excellent OD CVI, the main concepts changes were related to the exclusion of the “irritant contact dermatitis” and “maceration” as complications related to PMARSI. CONCLUSIONS: Adjustments in the theoretical concepts of PMASD and PMARSI after content validation of ODs for each condition may provide theoretical concepts closer to clinical practice by health professionals who take care of people with both types of skin damage. FIndings from this study can support a greater differential diagnostic accuracy between PMASD and PMARSI.
Thum et al. (Fri,) studied this question.