Knowledge Tree

Pressure Ulcers: Development and psychometric evaluation of the Patient Knowledge of Pressure Ulcer Prevention Instrument (KPUP)

Authors: Emer Shanley , Zena Moore, Declan Patton

Abstract Aim: Patient’s right’s to have a central part in the healthcare process is an important aspect of health care provision1. Benefits include enhanced motivation and knowledge about health and illness, and increased capacity to monitor and look after themselves2. Patient involvement in pressure ulcer prevention tends to be limited, as this aspect of care has been largely viewed as being in the domain of the trained health care professional3. To evaluate the outcomes of a planned patient led pressure ulcer prevention clinical trial, a validated tool to measure patient knowledge was essential. However, the researcher was unable to find a validated tool and thus the development and psychometric evaluation of KPUP4 instrument was necessary.Method: Step 1 involved development of the questionnaire, to explore knowledge, attitudes and health behaviours, related to pressure ulcer prevention. Firstly content validity was undertaken. Items with a Content Validity Index of .78, or higher were included. Step 2 involved psychometric evaluation of the KPUP4 among a cohort of 200 older persons on a test/retest basis, following ethical approval and consent.Results / Discussion: Data were analysed, stored and presented using SPSS version 23.05. Cronbach’s alpha was relatively stable (a=. 58 for test, a=. 54 for retest) for the instrument. The correlation between the test/retest computed score was positive (r=. 60).Conclusion: The development of the KPUP4 as a reliable and valid instrument to assess patient’s knowledge of, and attitudes to behaviours towards pressure ulcer prevention is an important step in order to evaluate the impact of education programmes on patients. References:1- World Health Organisation. Right to Health. (World Health Organisation, Geneva, 2012).Available: ttp:// European Commission. Eurobarometer Qualitative study: Patient involvement. (ed. Directorate-General for Communication) (European Commission, Brussels, 2012).3- Coulter, A., Parsons, S. & Askham, J. Where are the patients in decision-making about their own care? (ed. World Health Organization 2008 and World Health Organization on behalf of the European Observatory on Health Systems and Policies) (WHO Regional Office for Europe, Copenhagen, Denmark, 2008).4- Royal College of Surgeons, School of Nursing & Midwifery, Shanley, Emer, Moore, Z, Patton, D. SPUPP Shanley Pressure Ulcer Prevention Programme. Dublin, RCSI Publications, 2016. Print and Electronic Format. [Supplemental Questionnaire –Knowledge of Pressure Ulcer Prevention [KPUP] v.1 2016 Print and Electronic Format 5- SPSS Inc. Chicago, IL, USA


pressure ulcer, patient education, knowledge tool

How to Cite:

Shanley E, Moore Z, Patton D. Pressure Ulcers: Development and psychometric evaluation of the Patient Knowledge of Pressure Ulcer Prevention Instrument (KPUP). International Journal of Integrated Care. 2017;17(5):A49.

DOI: on 17th October 2017