biostudies-literatureGlasbey JMedical Research CouncilNational Institute for Health Research (NIHR)Social Care685-700https://www.ebi.ac.uk/biostudies/studies/S-EPMC10364512biostudies-literatureUnknown110(6)<h4>Background</h4>The Bluebelle Wound Healing Questionnaire (WHQ) is a universal-reporter outcome measure developed in the UK for remote detection of surgical-site infection after abdominal surgery. This study aimed to explore cross-cultural equivalence, acceptability, and content validity of the WHQ for use across low- and middle-income countries, and to make recommendations for its adaptation.<h4>Methods</h4>This was a mixed-methods study within a trial (SWAT) embedded in an international randomized trial, conducted according to best practice guidelines, and co-produced with community and patient partners (TALON-1). Structured interviews and focus groups were used to gather data regarding cross-cultural, cross-contextual equivalence of the individual items and scale, and conduct a transThe British journal of surgeryAdaptation of the Wound Healing Questionnaire universal-reporter outcome measure for use in global surgery trials (TALON-1 study): mixed-methods study and Rasch analysis.PMC10364512NIHR200268NIHR-INF-3230NF-SI-0514-10114NIHR300175MR/K025643/1Asante-Asamani ATuffuor SAmoah MWani RAAcevedo DLChowdri NAAmoah GHaque PDRuth MLillywhite RGomez IBParray FQKanyarukiko SOlori SOlory EEmmanuel OABarimah CGHernandez Krauss RIDusabe MKandokponou CMBEde CJKwarley NUdie GUOpandoh INMBehanzin HBunogerane GJOfosu-Akromah RAdinku MDzemta COrtiz Mejia HWuraola FMuideen BOduanafolabi TRwagahirima EOsagie OONavarro JPOsei-Poku DAfolabi RJimoh ASaba AHOsabutey AGyamfi FEMbadiwe OMMiguelena LHManu MAMarbello FROkoro POyegbola CMcLean KMathew AJMuroruhirwe PAsare CSethoana MEAlly ZLincona Menindez RDBadmus 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KJGbenga-Oke CSuleman BRomero MHMusah YOladimeji AToffah GKBucyibaruta GManiraguha HLBoateng EAAhmed HIDel Campo LUGOgbeche SCuevas Avendano AGyan KYMohammed SAAdebunmi AMathe MNFosu GOlayioye OAmao OMAbdullahi LBhatt ASansores LDSolaja OPriyadarshini KFaboya OAlpheus RIsmail LGalley FNana FTubasiime ROshodi OAInyang AWManu MPONkrumah JUdie GAdebayo FOAdjei FTajudeen MIgbodike ERaji HOTwerefour EYLadipoAjayi OOwusu JACervantes Ortiz RJYamoah FAUgwu ABallu CSerbeh GOmar OBelie OAlhassan BBAFaboya OMMarwa AHoutoukpe SOhazurike EOKunfah SBirtles CNnyonno OAdemuyiwa AJayne DKumar HMagill LMukakomite CBrown JTakure AOTorres ECTakai IUIKumar AKabanda EYefieye ACKurien EfalseAdaptation of the Wound Healing Questionnaire universal-reporter outcome measure for use in global surgery trials (TALON-1 study): mixed-methods study and Rasch analysis.<h4>Background</h4>The Bluebelle Wound Healing Questionnaire (WHQ) is a universal-reporter outcome measure developed in the UK for remote detection of surgical-site infection after abdominal surgery. This study aimed to explore cross-cultural equivalence, acceptability, and content validity of the WHQ for use across low- and middle-income countries, and to make recommendations for its adaptation.<h4>Methods</h4>This was a mixed-methods study within a trial (SWAT) embedded in an international randomized trial, conducted according to best practice guidelines, and co-produced with community and patient partners (TALON-1). Structured interviews and focus groups were used to gather data regarding cross-cultural, cross-contextual equivalence of the individual items and scale, and conduct a trans2023-01-01T00:00:00Z2023 May2026-06-02T00:36:42.614Z2026-05-24T03:07:19.138ZS-EPMC103645123700537310.1093/bjs/znad058