<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>1134-928X</journal-id>
<journal-title><![CDATA[Gerokomos]]></journal-title>
<abbrev-journal-title><![CDATA[Gerokomos]]></abbrev-journal-title>
<issn>1134-928X</issn>
<publisher>
<publisher-name><![CDATA[Sociedad Española de Enfermería Geriátrica y Gerontológica]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S1134-928X2020000500241</article-id>
<article-id pub-id-type="doi">s1134-928x2020000500009</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Adaptación transcultural y validación psicométrica en lengua española de la escala Perineal Assessment Tool para la evaluación de la dermatitis por incontinencia]]></article-title>
<article-title xml:lang="en"><![CDATA[Cross-cultural adaptation and psychometric validation in Spanish language of the Perineal Assessment Tool for Incontinence associated dermatitis assessment]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Alexandre-Lozano]]></surname>
<given-names><![CDATA[Sandra]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Barallat-Gimeno]]></surname>
<given-names><![CDATA[Eva]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
<xref ref-type="aff" rid="Aaf"/>
<xref ref-type="aff" rid="A a"/>
<xref ref-type="aff" rid="A7"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Torra-Bou]]></surname>
<given-names><![CDATA[Joan-Enric]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
<xref ref-type="aff" rid="Aaf"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[García-Martínez]]></surname>
<given-names><![CDATA[Ester]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
<xref ref-type="aff" rid="Aaf"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Blanco-Blanco]]></surname>
<given-names><![CDATA[Joan]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
<xref ref-type="aff" rid="Aaf"/>
<xref ref-type="aff" rid="A a"/>
<xref ref-type="aff" rid="A7"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,ICS Unitat de ferides complexes ]]></institution>
<addr-line><![CDATA[Lleida ]]></addr-line>
<country>Spain</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Universitat de Lleida Departament d'Infermeria i Fisioteràpia ]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
<country>Spain</country>
</aff>
<aff id="Af3">
<institution><![CDATA[,Universitat de Lleida Departament d'Infermeria i Fisioteràpia ]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
<country>Spain</country>
</aff>
<aff id="Af4">
<institution><![CDATA[,Universitat de Lleida Departament d'Infermeria i Fisioteràpia ]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
<country>Spain</country>
</aff>
<aff id="Af5">
<institution><![CDATA[,Universitat de Lleida Departament d'Infermeria i Fisioteràpia ]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
<country>Spain</country>
</aff>
<aff id="Af6">
<institution><![CDATA[,Universitat de Lleida Grupo de Estudios Sociedad, Salud, Educación y Cultura GESEC ]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
<country>Spain</country>
</aff>
<aff id="Af7">
<institution><![CDATA[,Institut de Recerca Biomèdica IRB-Lleida Grup de Rercerca en Cures de la Salut GRECS ]]></institution>
<addr-line><![CDATA[Lleida ]]></addr-line>
<country>Spain</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>00</month>
<year>2020</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>00</month>
<year>2020</year>
</pub-date>
<volume>31</volume>
<numero>4</numero>
<fpage>241</fpage>
<lpage>247</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.isciii.es/scielo.php?script=sci_arttext&amp;pid=S1134-928X2020000500241&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.isciii.es/scielo.php?script=sci_abstract&amp;pid=S1134-928X2020000500241&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.isciii.es/scielo.php?script=sci_pdf&amp;pid=S1134-928X2020000500241&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[RESUMEN  Introducción: La dermatitis asociada a la incontinencia es un importante problema de salud que puede comprometer la salud de quienes la sufren y representa importantes costes para el Sistema de Salud. La Perineal Assessment Tool es el único instrumento diseñado específicamente para evaluar el riesgo de la dermatitis asociada a la incontinencia.  Objetivos: realizar la adaptación transcultural y el análisis de las propiedades psicométricas de la versión española de la Perineal Assessment Tool.  Método: Se utilizó un diseño de estudio observacional dividido en tres fases. En la primera fase se llevó a cabo un proceso de traducción y adaptación transcultural de la escala. En la segunda fase, se realizó una prueba piloto (n = 15) utilizando un diseño transversal para determinar la viabilidad, la fiabilidad intraobservador e interobservador, y la validez de contenido de la versión española de la escala. Finalmente, en la tercera fase se realizó un estudio transversal utilizando una muestra de 171 pacientes para determinar la prevalencia de dermatitis asociada a la incontinencia y analizar la consistencia interna, la validez de criterio y constructo, la sensibilidad, la especificidad, el valor predictivo positivo y negativo, así como los puntos de corte de la escala.  Resultados: En la primera fase, la versión española de la escala Perineal Assessment Tool demostró ser viable, administrable en menos de 3 minutos, fácil de comprender y completar. En la segunda fase, el índice de validez del contenido global de la versión española de la escala Perineal Assessment Tool fue de 0,83; la fiabilidad intraobservador, de 0,98, y la fiabilidad interobservador, de 0,99. En la tercera fase, la versión española de la escala Perineal Assessment Tool mostró una consistencia interna de 0,601 y una correlación significativa con los apartados de humedad de las escalas de valoración de riesgo de úlceras por presión Braden y EMINA. La curva de ROC fue de 0,959 y los mejores valores fueron los presentados en una puntuación de 7, mostrando un valor predictivo positivo del 96,7%, un valor predictivo negativo del 0,6%, una sensibilidad del 74,4%, una especificidad del 99,2% y, finalmente, una validez global del 93,6%.  Conclusiones: La versión española de la Perineal Assessment Tool ha demostrado ser un instrumento válido y fiable para la evaluación de la dermatitis asociada a la incontinencia en pacientes institucionalizados en el contexto español.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[ABSTRACT  Introduction: Incontinence associated dermatitis is a major health problem that can compromise the health of sufferers and represents significant costs to the Health System. The Perineal Assessment Tool is the only instrument specifically designed to assess the risk of incontinence dermatitis.  Purpose: It was the cross-cultural adaptation and analysis of the psychometric properties of the Spanish version of the Perineal Assessment Tool scale.  Methods: An observational study design divided into three phases was used. In the first phase, a process of translation and cross-cultural adaptation of the scale was carried out. In the second phase, a pilot test (n=15) was carried out using a cross-sectional design to determine viability, intraobserver and interobserver reliability, and content validity of the Spanish version of the scale. Finally, in the third phase, a crosssectional study was performed using a sample of 171 patients to determine the prevalence of incontinence-associated dermatitis and to analyze the internal consistency, criterion and construct validity, sensitivity, specificity, positive and negative predictive value, as well as the cut-off points of the scale.  Results: In the first phase, the Spanish version of the Perineal Assessment Tool proved to be feasible, manageable in less than 3 minutes, easy to understand and complete. In the second phase, the validity index of the overall content of the Spanish version of the Perineal Assessment Tool scale was 0.83, the intra-observer reliability was 0.98 and the inter-observer reliability was 0.99. In the third phase, the Spanish version of the Perineal Assessment Tool scale showed an internal consistency of 0.601 and a significant correlation with the humidity sections of the Braden and EMINA pressure ulcer risk assessment scales. The ROC curve was 0.959 and the best values were presented in a score of 7, showing a positive predictive value of 96.7%, a negative predictive value of %, a sensitivity of 74.4%, a specificity of 99.2% and, finally, an overall validity of 93.6%.  Conclusions: The Spanish version of the Perineal Assessment Tool has proved to be a valid and reliable instrument for the evaluation of incontinence associated dermatitis in institutionalised patients in the Spanish context.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[Incontinencia urinaria]]></kwd>
<kwd lng="es"><![CDATA[incontinencia fecal]]></kwd>
<kwd lng="es"><![CDATA[dermatitis asociada a la incontinencia]]></kwd>
<kwd lng="es"><![CDATA[estudios de validación]]></kwd>
<kwd lng="es"><![CDATA[escalas]]></kwd>
<kwd lng="es"><![CDATA[adaptación cultural]]></kwd>
<kwd lng="es"><![CDATA[Perineal Assessment Tool]]></kwd>
<kwd lng="en"><![CDATA[Urinary incontinence]]></kwd>
<kwd lng="en"><![CDATA[Fecal incontinence]]></kwd>
<kwd lng="en"><![CDATA[Incontinence associated dermatitis]]></kwd>
<kwd lng="en"><![CDATA[Validation studies]]></kwd>
<kwd lng="en"><![CDATA[Scales]]></kwd>
<kwd lng="en"><![CDATA[Cultural adaptation]]></kwd>
<kwd lng="en"><![CDATA[Perineal Assessment Tool]]></kwd>
</kwd-group>
</article-meta>
</front><back>
<ref-list>
<ref id="B1">
<label>1</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[González]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
<name>
<surname><![CDATA[Alarcón]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Grandes síndromes geriátricos. Concepto y prevención de los más importantes]]></article-title>
<source><![CDATA[Medicine]]></source>
<year>2003</year>
<volume>8</volume>
<numero>108</numero>
<issue>108</issue>
<page-range>5778-85</page-range></nlm-citation>
</ref>
<ref id="B2">
<label>2</label><nlm-citation citation-type="book">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Cruz]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
</person-group>
<source><![CDATA[Síndromes geriátricos específicos]]></source>
<year>1995</year>
<publisher-loc><![CDATA[Madrid ]]></publisher-loc>
<publisher-name><![CDATA[Editores Médicos]]></publisher-name>
</nlm-citation>
</ref>
<ref id="B3">
<label>3</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Aguilar-Navarro]]></surname>
<given-names><![CDATA[S]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Incontinencia urinaria en el adulto mayor]]></article-title>
<source><![CDATA[Rev Enferm Inst Mex Seguro Soc]]></source>
<year>2007</year>
<volume>15</volume>
<numero>1</numero>
<issue>1</issue>
<page-range>51-6</page-range></nlm-citation>
</ref>
<ref id="B4">
<label>4</label><nlm-citation citation-type="">
<collab>World Health Organization</collab>
<source><![CDATA[International Classification of Diseases]]></source>
<year>2010</year>
</nlm-citation>
</ref>
<ref id="B5">
<label>5</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Alvarado García]]></surname>
<given-names><![CDATA[S]]></given-names>
</name>
<name>
<surname><![CDATA[Salazar Maya]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Análisis del concepto de envejecimiento]]></article-title>
<source><![CDATA[Gerokomos]]></source>
<year>2014</year>
<volume>25</volume>
<numero>2</numero>
<issue>2</issue>
<page-range>57-62</page-range></nlm-citation>
</ref>
<ref id="B6">
<label>6</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[García González]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
<name>
<surname><![CDATA[Espinosa Aguilar]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
<name>
<surname><![CDATA[Vladislavovna Doubova]]></surname>
<given-names><![CDATA[S]]></given-names>
</name>
<name>
<surname><![CDATA[Peña Valdovinos]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
<name>
<surname><![CDATA[Reyes Morales]]></surname>
<given-names><![CDATA[H]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Guía para el diagnóstico y tratamiento de la incontinencia urinaria en adultos mayores]]></article-title>
<source><![CDATA[Rev Med Inst Mex Seguro Soc]]></source>
<year>2008</year>
<volume>46</volume>
<numero>4</numero>
<issue>4</issue>
<page-range>415-22</page-range></nlm-citation>
</ref>
<ref id="B7">
<label>7</label><nlm-citation citation-type="book">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Gil]]></surname>
<given-names><![CDATA[P]]></given-names>
</name>
<name>
<surname><![CDATA[Aceytuno]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
<name>
<surname><![CDATA[Esperanza]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
<name>
<surname><![CDATA[Miralles]]></surname>
<given-names><![CDATA[R]]></given-names>
</name>
<name>
<surname><![CDATA[Prado]]></surname>
<given-names><![CDATA[B]]></given-names>
</name>
<name>
<surname><![CDATA[Riera]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
</person-group>
<source><![CDATA[Guía de buena práctica clínica en geriatría. Incontinencia urinaria]]></source>
<year>2012</year>
<page-range>1-57</page-range><publisher-loc><![CDATA[Madrid ]]></publisher-loc>
<publisher-name><![CDATA[Sociedad Española de Geriatría y Gerontología]]></publisher-name>
</nlm-citation>
</ref>
<ref id="B8">
<label>8</label><nlm-citation citation-type="journal">
<collab>International Content Society</collab>
<article-title xml:lang=""><![CDATA[Standarization of terminology of lower urinary tract function]]></article-title>
<source><![CDATA[Urology]]></source>
<year>1997</year>
<volume>9</volume>
<page-range>237</page-range></nlm-citation>
</ref>
<ref id="B9">
<label>9</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Thüroff]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
<name>
<surname><![CDATA[Abrams]]></surname>
<given-names><![CDATA[P]]></given-names>
</name>
<name>
<surname><![CDATA[Andersson]]></surname>
<given-names><![CDATA[K]]></given-names>
</name>
<name>
<surname><![CDATA[Artibani]]></surname>
<given-names><![CDATA[W]]></given-names>
</name>
<name>
<surname><![CDATA[Chapple]]></surname>
<given-names><![CDATA[C]]></given-names>
</name>
<name>
<surname><![CDATA[Drake]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[EAU guidelines on urinary incontinence]]></article-title>
<source><![CDATA[Actas Urológicas Españolas]]></source>
<year>2011</year>
<volume>35</volume>
<numero>7</numero>
<issue>7</issue>
<page-range>373-88</page-range></nlm-citation>
</ref>
<ref id="B10">
<label>10</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Nix]]></surname>
<given-names><![CDATA[D]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Validity and reliability of the Perineal Assessment Tool]]></article-title>
<source><![CDATA[Ostomy Wound Manag]]></source>
<year>2002</year>
<volume>48</volume>
<numero>2</numero>
<issue>2</issue>
<page-range>43-6-8-9</page-range></nlm-citation>
</ref>
<ref id="B11">
<label>11</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Li]]></surname>
<given-names><![CDATA[Y]]></given-names>
</name>
<name>
<surname><![CDATA[Lee]]></surname>
<given-names><![CDATA[H]]></given-names>
</name>
<name>
<surname><![CDATA[Chao]]></surname>
<given-names><![CDATA[H]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Perineal Assessment Tool (PAT-C): Validation of a Chinese Language Version and Identification of a Clinically Validated Cut Point Using ROC Curve Analysis]]></article-title>
<source><![CDATA[J Wound Ostomy Cont Nurs]]></source>
<year>2019</year>
<volume>46</volume>
<numero>2</numero>
<issue>2</issue>
<page-range>150-3</page-range></nlm-citation>
</ref>
<ref id="B12">
<label>12</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Ramada-Rodilla]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
<name>
<surname><![CDATA[Serra-Pujadas]]></surname>
<given-names><![CDATA[C]]></given-names>
</name>
<name>
<surname><![CDATA[Delclós-Clanchet]]></surname>
<given-names><![CDATA[G]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Adaptación cultural y validación de cuestionarios de salud: revisión y recomendaciones metodológicas]]></article-title>
<source><![CDATA[Salud Pública Mex]]></source>
<year>2013</year>
<volume>55</volume>
<numero>1</numero>
<issue>1</issue>
<page-range>57-66</page-range></nlm-citation>
</ref>
<ref id="B13">
<label>13</label><nlm-citation citation-type="book">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Alliende González]]></surname>
<given-names><![CDATA[F]]></given-names>
</name>
</person-group>
<source><![CDATA[La legibilidad de los textos]]></source>
<year>1994</year>
<page-range>24</page-range><publisher-loc><![CDATA[Santiago de Chile ]]></publisher-loc>
<publisher-name><![CDATA[Andrés Bello]]></publisher-name>
</nlm-citation>
</ref>
<ref id="B14">
<label>14</label><nlm-citation citation-type="book">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Fleiss]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
</person-group>
<source><![CDATA[Design and analysis of clinical experiments]]></source>
<year>2011</year>
<publisher-loc><![CDATA[Toronto, Canada ]]></publisher-loc>
<publisher-name><![CDATA[John Wiley &amp; Sons]]></publisher-name>
</nlm-citation>
</ref>
<ref id="B15">
<label>15</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Lawshe]]></surname>
<given-names><![CDATA[C]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[A quantitative approach to content validity]]></article-title>
<source><![CDATA[Pers Psychol]]></source>
<year>1975</year>
<volume>28</volume>
<numero>4</numero>
<issue>4</issue>
<page-range>563-75</page-range></nlm-citation>
</ref>
<ref id="B16">
<label>16</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Davis]]></surname>
<given-names><![CDATA[L]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Instrument review: Getting the most from a panel of experts]]></article-title>
<source><![CDATA[Appl Nurs Res]]></source>
<year>1992</year>
<volume>5</volume>
<page-range>194-7</page-range></nlm-citation>
</ref>
<ref id="B17">
<label>17</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Vargas Porras]]></surname>
<given-names><![CDATA[C]]></given-names>
</name>
<name>
<surname><![CDATA[Hernandez Molina]]></surname>
<given-names><![CDATA[L]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Validez y confiabilidad del cuestionario "Prácticas de cuidado que realizan consigo mismas las mujeres en el posparto"]]></article-title>
<source><![CDATA[Av Enferm]]></source>
<year>2010</year>
<volume>28</volume>
<numero>1</numero>
<issue>1</issue>
<page-range>96-106</page-range></nlm-citation>
</ref>
<ref id="B18">
<label>18</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Andresen]]></surname>
<given-names><![CDATA[E]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Criteria for assessing the tools of disability outcomes research]]></article-title>
<source><![CDATA[Arch Phys Med Rehabil]]></source>
<year>2000</year>
<volume>81</volume>
<numero>12^s2</numero>
<issue>12^s2</issue>
<supplement>2</supplement>
<page-range>S15-20</page-range></nlm-citation>
</ref>
<ref id="B19">
<label>19</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Swets]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Measuring the accuracy of diagnostic systems]]></article-title>
<source><![CDATA[Science]]></source>
<year>1988</year>
<volume>240</volume>
<numero>4857</numero>
<issue>4857</issue>
<page-range>1285-93</page-range></nlm-citation>
</ref>
<ref id="B20">
<label>20</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Swets]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
<name>
<surname><![CDATA[Dawes]]></surname>
<given-names><![CDATA[R]]></given-names>
</name>
<name>
<surname><![CDATA[Monahan]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Psychological science can improve diagnostic decisions]]></article-title>
<source><![CDATA[Psychol Sci Public Interest]]></source>
<year>2000</year>
<volume>1</volume>
<numero>1</numero>
<issue>1</issue>
<page-range>1-26</page-range></nlm-citation>
</ref>
<ref id="B21">
<label>21</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Carvajal]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
<name>
<surname><![CDATA[Centeno]]></surname>
<given-names><![CDATA[C]]></given-names>
</name>
<name>
<surname><![CDATA[Watson]]></surname>
<given-names><![CDATA[R]]></given-names>
</name>
<name>
<surname><![CDATA[Martínez]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
<name>
<surname><![CDATA[Sanz Rubiales]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[¿Cómo validar un instrumento de medida de la salud?]]></article-title>
<source><![CDATA[An Sist Sanit Navar]]></source>
<year>2011</year>
<volume>34</volume>
<numero>1</numero>
<issue>1</issue>
<page-range>63-72</page-range></nlm-citation>
</ref>
<ref id="B22">
<label>22</label><nlm-citation citation-type="book">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Polit]]></surname>
<given-names><![CDATA[H]]></given-names>
</name>
</person-group>
<source><![CDATA[Nursing research: principles and methods]]></source>
<year>1999</year>
<publisher-loc><![CDATA[Philadelphia ]]></publisher-loc>
<publisher-name><![CDATA[JB Lippincott &amp; Co.]]></publisher-name>
</nlm-citation>
</ref>
<ref id="B23">
<label>23</label><nlm-citation citation-type="book">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Nunally]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
</person-group>
<source><![CDATA[Psychometric theory]]></source>
<year>1978</year>
<publisher-loc><![CDATA[New York ]]></publisher-loc>
<publisher-name><![CDATA[Mc Graw-Hill]]></publisher-name>
</nlm-citation>
</ref>
<ref id="B24">
<label>24</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Valderrama]]></surname>
<given-names><![CDATA[E]]></given-names>
</name>
<name>
<surname><![CDATA[Pérez del Molino]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Una visión crítica de las escalas de valoración funcional traducidas al castellano]]></article-title>
<source><![CDATA[Rev Esp Geriatr Gerontol]]></source>
<year>1997</year>
<volume>32</volume>
<numero>5</numero>
<issue>5</issue>
<page-range>297-306</page-range></nlm-citation>
</ref>
<ref id="B25">
<label>25</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Esposito]]></surname>
<given-names><![CDATA[T]]></given-names>
</name>
<name>
<surname><![CDATA[Muñoz-Castro]]></surname>
<given-names><![CDATA[FJ]]></given-names>
</name>
<name>
<surname><![CDATA[Herrera-Usagre]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
<name>
<surname><![CDATA[Periáñez-Vega]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Fiabilidad y validez para un cuestionario de satisfacción con la formación continuada en salud: el cuestionario de satisfacción del discente]]></article-title>
<source><![CDATA[FEM: Revista de la Fundación Educación Médica]]></source>
<year>2015</year>
<volume>18</volume>
<numero>3</numero>
<issue>3</issue>
<page-range>197-203</page-range></nlm-citation>
</ref>
<ref id="B26">
<label>26</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Gray]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
<name>
<surname><![CDATA[Bliss]]></surname>
<given-names><![CDATA[D]]></given-names>
</name>
<name>
<surname><![CDATA[Doughty]]></surname>
<given-names><![CDATA[D]]></given-names>
</name>
<name>
<surname><![CDATA[Ermer-Seltun]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
<name>
<surname><![CDATA[Kennedy-Evans]]></surname>
<given-names><![CDATA[K]]></given-names>
</name>
<name>
<surname><![CDATA[Palmer]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Incontinence-associated dermatitis: a consensus]]></article-title>
<source><![CDATA[J Wound Ostomy Continence Nurs]]></source>
<year>2007</year>
<volume>34</volume>
<numero>1</numero>
<issue>1</issue>
<page-range>45-54</page-range></nlm-citation>
</ref>
<ref id="B27">
<label>27</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Shigeta]]></surname>
<given-names><![CDATA[Y]]></given-names>
</name>
<name>
<surname><![CDATA[Nakagami]]></surname>
<given-names><![CDATA[G]]></given-names>
</name>
<name>
<surname><![CDATA[Sanada]]></surname>
<given-names><![CDATA[H]]></given-names>
</name>
<name>
<surname><![CDATA[Oba]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
<name>
<surname><![CDATA[Fujikawa]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
<name>
<surname><![CDATA[Konya]]></surname>
<given-names><![CDATA[C]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Exploring the relationship between skin property and absorbent pad environment]]></article-title>
<source><![CDATA[J Clin Nurs]]></source>
<year>2009</year>
<volume>18</volume>
<numero>11</numero>
<issue>11</issue>
<page-range>1607-16</page-range></nlm-citation>
</ref>
<ref id="B28">
<label>28</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Beecman]]></surname>
<given-names><![CDATA[D]]></given-names>
</name>
<name>
<surname><![CDATA[Verhaeghe]]></surname>
<given-names><![CDATA[S]]></given-names>
</name>
<name>
<surname><![CDATA[Deefloor]]></surname>
<given-names><![CDATA[T]]></given-names>
</name>
<name>
<surname><![CDATA[Scoonhoven]]></surname>
<given-names><![CDATA[I]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[A 3-in-1 Perineal Care Washcloth Impregnated With Dimethicone 3% Versus Water and pH Neutral Soap to Prevent and Treat Incontinence Associated Dermatitis: A Randomized, Controlled Clinical Trial]]></article-title>
<source><![CDATA[J Wound Ostomy Continence Nurs]]></source>
<year>2011</year>
<volume>38</volume>
<numero>6</numero>
<issue>6</issue>
<page-range>627</page-range></nlm-citation>
</ref>
<ref id="B29">
<label>29</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Junkin]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
<name>
<surname><![CDATA[Selekof]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Prevalence of incontinence and associated skin injury in the acute care inpatient]]></article-title>
<source><![CDATA[J Wound Ostomy Continence Nurs]]></source>
<year>2007</year>
<volume>34</volume>
<numero>3</numero>
<issue>3</issue>
<page-range>260-9</page-range></nlm-citation>
</ref>
<ref id="B30">
<label>30</label><nlm-citation citation-type="confpro">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Barrera]]></surname>
<given-names><![CDATA[R]]></given-names>
</name>
</person-group>
<source><![CDATA[Análisis comparado de las escalas de medición de la calidad de servicio]]></source>
<year></year>
<conf-name><![CDATA[ XIIIJornadas Hispano Lusas de Gestión Científica]]></conf-name>
<conf-date>2003</conf-date>
<conf-loc>Lugo </conf-loc>
</nlm-citation>
</ref>
<ref id="B31">
<label>31</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Canaval]]></surname>
<given-names><![CDATA[G]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Propiedades psicométricas de una escala para medir percepción del empoderamiento comunitario en mujeres]]></article-title>
<source><![CDATA[Rev Colomb Médica]]></source>
<year>1999</year>
<volume>30</volume>
<numero>2</numero>
<issue>2</issue>
<page-range>1-5</page-range></nlm-citation>
</ref>
<ref id="B32">
<label>32</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Godoy Izquierdo]]></surname>
<given-names><![CDATA[D]]></given-names>
</name>
<name>
<surname><![CDATA[Godoy García]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
<name>
<surname><![CDATA[López-Chicheri]]></surname>
<given-names><![CDATA[I]]></given-names>
</name>
<name>
<surname><![CDATA[Martínez Delgado]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
<name>
<surname><![CDATA[Gutiérrez Jiménez]]></surname>
<given-names><![CDATA[S]]></given-names>
</name>
<name>
<surname><![CDATA[Vázquez Vázquez]]></surname>
<given-names><![CDATA[L]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Propiedades psicométricas de la escala de autoeficacia para el afrontamiento del estrés (EAEAE)]]></article-title>
<source><![CDATA[Psicothema]]></source>
<year>2008</year>
<volume>20</volume>
<numero>1</numero>
<issue>1</issue>
<page-range>1-12</page-range></nlm-citation>
</ref>
<ref id="B33">
<label>33</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Sturmey]]></surname>
<given-names><![CDATA[P]]></given-names>
</name>
<name>
<surname><![CDATA[Newton]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
<name>
<surname><![CDATA[Cowley]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
<name>
<surname><![CDATA[Bouras]]></surname>
<given-names><![CDATA[N]]></given-names>
</name>
<name>
<surname><![CDATA[Holt]]></surname>
<given-names><![CDATA[G]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[The PAS-ADD checklist: Independent replication of its psychometric properties in a community sample]]></article-title>
<source><![CDATA[Br J Psychiatry]]></source>
<year>2005</year>
<volume>186</volume>
<numero>4</numero>
<issue>4</issue>
<page-range>319-23</page-range></nlm-citation>
</ref>
<ref id="B34">
<label>34</label><nlm-citation citation-type="book">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Klassen]]></surname>
<given-names><![CDATA[L]]></given-names>
</name>
</person-group>
<source><![CDATA[New TTI instrument reliability studies]]></source>
<year>2003</year>
<page-range>1-2</page-range><publisher-name><![CDATA[Target Training International Ltd]]></publisher-name>
</nlm-citation>
</ref>
<ref id="B35">
<label>35</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Soler Cárdenas]]></surname>
<given-names><![CDATA[S]]></given-names>
</name>
<name>
<surname><![CDATA[Rodríguez Fontes]]></surname>
<given-names><![CDATA[R]]></given-names>
</name>
<name>
<surname><![CDATA[Fernández Oliva]]></surname>
<given-names><![CDATA[B]]></given-names>
</name>
<name>
<surname><![CDATA[Moreno Lazo]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Análisis de confiabilidad del test de habilidades múltiples para el ingreso a las carreras de ciencias médicas]]></article-title>
<source><![CDATA[ESc Nac Salud Pública Rev Cuba Educ Médica Super]]></source>
<year>2002</year>
<volume>16</volume>
<numero>4</numero>
<issue>4</issue>
<page-range>2-4</page-range></nlm-citation>
</ref>
<ref id="B36">
<label>36</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Llanera]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Metodología para la evaluación de la calidad de estrategias didácticas de cursos a distancia (MACCAD)]]></article-title>
<source><![CDATA[Form Univ]]></source>
<year>2008</year>
<volume>1</volume>
<numero>2</numero>
<issue>2</issue>
<page-range>37-46</page-range></nlm-citation>
</ref>
<ref id="B37">
<label>37</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Bergstrom]]></surname>
<given-names><![CDATA[N]]></given-names>
</name>
<name>
<surname><![CDATA[Braden]]></surname>
<given-names><![CDATA[B]]></given-names>
</name>
<name>
<surname><![CDATA[Laguzza]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[The Braden scale for predicting pressure sore risk]]></article-title>
<source><![CDATA[Nurs Res]]></source>
<year>1987</year>
<volume>36</volume>
<numero>4</numero>
<issue>4</issue>
<page-range>205-10</page-range></nlm-citation>
</ref>
<ref id="B38">
<label>38</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Fuentelsaz Gallego]]></surname>
<given-names><![CDATA[C]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Validación de la escala EMINA: Un Instrumento de valoración del riesgo de desarrollar úlceras por presión en pacientes hospitalizados]]></article-title>
<source><![CDATA[Enfermería Clínica]]></source>
<year>2001</year>
<volume>11</volume>
<numero>3</numero>
<issue>3</issue>
<page-range>97-103</page-range></nlm-citation>
</ref>
</ref-list>
</back>
</article>
