RT Journal Article
T1 Development and validation of a new questionnaire for the assessment of patients with diabetic foot disease: The Diabetic Foot Questionnaire (DiaFootQ)
A1 Ruiz-Muñoz, María
A1 Fernández-Torres, Raúl
A1 Formosa, Cynthia
A1 Gatt, Alfred
A1 Pérez Panero, Alberto José
A1 Pérez-Belloso, Ana J.
A1 Martínez-Barrios, Francisco-Javier
A1 González-Sánchez, Manuel
K1 Diabetes - Complicaciones y secuelas
K1 Pies - Lesiones y heridas
AB BackgroundThe epidemiology data and global burden of diabetic foot disease underscores the need for effective prevention strategies, which requires an early diagnosis. Patient-reported outcome measures are instruments based on a simple format, which favours their application. Currently, there is an absence of instruments with a broad enough scope to capture the diverse aspects involved in diabetic foot disease.ObjectivesTo develop a questionnaire for the assessment of patients with diabetic foot disease and carry out an analysis of its validity and reliability.MethodsThe study was developed in two stages. Stage 1: the Delphi Panel was composed of 22 experts. The questionnaire is made up of 25 questions selected, after three rounds, from an initial sample of 68 questions. Stage 2: A validation study was performed. With a sample of 273 subjects, an exploratory factor analysis and an analysis of internal consistency, items response, and validity were carried out using the Diabetes Quality of Life, SF-12v2, Foot Function Index and EuroQol EQ5D questionnaires. Measurements of error and sensitivity to change were also analyzed.ResultsA 25-item questionnaire (DiaFootQ) was developed. It comprised two dimensions: 1) lifestyle and function; and 2) footwear and foot self-care. Sample (n=273) mean age was 69.77 years (±11.08). The internal consistency of DiafootQ was α=0.916, and item response values were ICC=0.862–0.998. External validity correlation levels ranged from r=0.386 to r=0.888.ConclusionDiaFootQ was developed. Integrating the main aspects involved in diabetic foot disease could help to detect more accurately the risk or severity of these patients. DiaFootQ is a well-structured, valid, and reliable tool whose use should be promoted in clinical and research settings.
PB Elsevier
YR 2024
FD 2024
LK https://hdl.handle.net/10630/32876
UL https://hdl.handle.net/10630/32876
LA eng
NO María Ruiz-Muñoz, Raúl Fernández-Torres, Cynthia Formosa, Alfred Gatt, Alberto José Pérez-Panero, Ana Juana Pérez-Belloso, Francisco Javier Martínez-Barrios, Manuel González-Sánchez, Development and validation of a new questionnaire for the assessment of patients with diabetic foot disease: The Diabetic Foot Questionnaire (DiaFootQ), Primary Care Diabetes, Volume 18, Issue 5, 2024, Pages 525-532, ISSN 1751-9918, https://doi.org/10.1016/j.pcd.2024.07.002
NO Funding for open access charge: Universidad de Málaga / CBUA
DS RIUMA. Repositorio Institucional de la Universidad de Málaga
RD 20 ene 2026