• The Skin Management Needs Assessment Checklist (SMNAC) is a self- report subscale extracted from the Needs Assessment Checklist (NAC).
  • The SMNAC is developed to be a post discharge measure to assess client knowledge and ability to perform skin checks, pressure relief and prevention of skin breakdown, and provides SCI specific information related to skin management needs.
  • The SMNAC requires people to demonstrate or, for someone with a high lesion, instruct their personal care attendant to perform the activities.

ICF Domain

Activity ▶ Self-care

Equipment

None

Length

12 items

Scoring

  • The items are summed to generate a total score ranging from 0-36.
  • The value reported is a proportion (client score/36) x 100%.
  • Higher scores reflect greater independence.

Languages

English

Training Required

No formal training required. However, experience in wound-care is beneficial.

Availability

Can be found by contacting the author (P. Kennedy, see article here).

# of studies reporting psychometric properties: 4

Interpretability

Higher scores reflect greater independence.

MCID: not established in SCI
SEM: 3.27
MDC: 9.05

(Berry & Kennedy 2003)

Reliability

  • High Test-retest Reliability:
    ICC = 0.90

(Gelis et al. 2011; n=138)

  • High Internal Consistency:
    α = 0.85

(Berry et al. 2004)

  • High Internal Consistency for French version of revised Skin Management Needs Assessment Checklist:
    α = 0.907

(Gelis et al. 2018)

Validity

  • Low correlation with age:
    r = -0.22 to -0.27

(Berry et al. 2004)

  • Low correlation of French version of revised Skin Management Needs Assessment Checklist with Rosenberg scale:
    r = 0.25
  • Low correlation of French version of revised Skin Management Needs Assessment Checklist with active coping:
    r = 0.29
  • Moderate correlation of French version of revised Skin Management Needs Assessment Checklist with Hospital Anxiety and Depression Scale (HADS):
    r = -0.43
  • Moderate correlation of French version of revised Skin Management Needs Assessment Checklist with time since injury:
    r = 0.49

(Gelis et al. 2018)

Responsiveness

No values were reported at this time for the responsiveness of the Skin Management Needs Assessment Checklist (SMNAC).

Floor/Ceiling Effect

No values were reported for the presence of floor/ceiling effects in the SMNAC for the SCI population.

Reviewer

Nicole Elfring, Marzena Zhou, Gurmaan Gill, Joanne Chi

Date Last Updated

9 July 2019

Berry C and Kennedy P. A psychometric analysis of the Needs Assessment Checklist (NAC). Spinal Cord 2002; 41: 490-501.
http://www.ncbi.nlm.nih.gov/pubmed/12934089

Berry C, Kennedy P, Hindson L. Internal consistency and responsiveness of the skin management needs assessment checklist post spinal cord injury. J Spinal Cord Med 2004;27:63-71. http://www.ncbi.nlm.nih.gov/pubmed/15156939

Gelis A, Daures JP, Benaim C, Kennedy P, Albert T, Colin D, Joseph P-A, Pelissier J, Fattal C. Evaluating self-reported pressure ulcer prevention measures in persons with spinal cord injury using the revised Skin Management Needs Assessment Checklist: reliability study. Spinal Cord, 2011; 49:653-658. http://www.ncbi.nlm.nih.gov/pubmed/21221117

Keith RA, Lipsey MW. The role of theory in rehabilitation assessment, treatment and outcomes. In: Glueckauf RL, Sechrest LB, Bond GR, McDonel EC. (ed). Improving Assessment in Rehabilitation and Health. Sage Publications, Newbury Park, CA, 1993, p 33-60.
http://scholar.google.ca.ezproxy.library.ubc.ca/scholar?q=The+role+of+theory+in+rehabilitation+assessment%2C+treatment+and+outcomes&btnG=&hl=en&as_sdt=0%2C5

Kennedy P, Hamilton LR. The needs assessment checklist: a clinical approach to measuring outcome.  Spinal Cord 1999;37:136-139.
http://www.ncbi.nlm.nih.gov/pubmed/10065753

Related Downloads