Quality of Life Concepts

Secondary Health Conditions

Cardiff Wound Impact Schedule (CWIS)

Description: A measure designed to assess the impact of pressure ulcers on activities of daily living (ADL).  It also has an item evaluating global subjective well-being.

Format: Four domains: Quality of Life – 2 items; Well-Being – 7 items, graded on a 5 point scale; Physical Symptoms and Daily Living (Experienced) – 12 items, graded on a 5 point scale (1 = ‘not at all’ to 5 = ‘always’); Physical Symptoms and Daily Living (Stressfulness of Experience) – 12 items, graded on a 5 point scale (1 = ‘not at all’ to 5 = ‘always’).

Scoring: Items are summed and averaged for each domain.

Administration and Burden: Interviewer-administered; Self-administered. Approximately 10 minutes.

Psychometrics for SCI: Not available; The CWIS has undergone extensive piloting on persons with leg ulcers and diabetic foot ulcers to establish its psychometric properties by comparing it to the Short-Form Health Survey-36 (SF-36), a widely used measure of global health-related quality of life (HRQoL). Factor analysis from the development study (Price et al. 2004) found that internal consistency was good (α = 0.77-0.96) as was reproducibility. The CWIS was able to discriminate between those with healed ulcers and active ulcers. Construct validity was demonstrated by strong correlations between related items on CWIS and SF-36.

Language(s): English.

QoL Concept: The CWIS is a measure of Subjective Well-Being, which corresponds to Boxes C (achievements; activities of daily living) and E (subjective evaluations and reactions) of Dijker’s Model.

Permissions/Where to Obtain: Copyrighted; The CWIS can be acquired by obtaining permission from Dr. Patricia Price (see journal article below for key information):

Price P, Harding K. Cardiff Wound Impact Schedule: the development of a condition-specific questionnaire to assess health-related quality of life in patients with chronic wounds of the lower limb. Int Wound J 2004;1:10-7.

CLICK ON THE LISTED SECONDARY HEALTH CONDITIONS ON THE LEFT TO READ HOW THE CWIS HAS BEEN USED WITH A PARTICULAR CONDITION


Pressure Ulcer SCI Studies:  None.

Sensitivity to Impact: Although no published studies have emerged using this tool in persons with spinal cord injury (SCI), there are currently two Canadian intervention studies on pressure ulcers being conducted using the Cardiff Wound Impact Schedule (CWIS).

Suggestions for Use: The CWIS may be potentially useful in clinical intervention studies and studies measuring the impact of pressure ulcers in persons with SCI but should be used with validated measures (generic and/or condition-specific) tools to assess its psychometric properties and clinical utility for the SCI population (i.e., Short-Form Health Survey 36; [SF-36]).

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