title: Cultural adaptation, content validity and inter-rater reliability of the "STAR Skin Tear Classification System".
abstract: OBJECTIVE
  to perform the cultural adaptation of the STAR Skin Tear Classification System into the Portuguese language and to test the content validity and inter-rater reliability of the adapted version.
  
  
  METHODS
  methodological study with a quantitative approach. The cultural adaptation was developed in three phases: translation, evaluation by a committee of judges and back-translation. The instrument was tested regarding content validity and inter-rater reliability.
  
  
  RESULTS
  the adapted version obtained a regular level of concordance when it was applied by nurses using photographs of friction injuries. Regarding its application in clinical practice, the adapted version obtained a moderate and statistically significant level of concordance.
  
  
  CONCLUSIONS
  the study tested the content validity and inter-rater reliability of the version adapted into the Portuguese language. Its inclusion in clinical practice will enable the correct identification of this type of injury, as well as the implementation of protocols for the prevention and treatment of friction injuries.
authors: Instituto do Câncer do Estado de São Paulo Octavio Frias de Oliveira, São Paulo, SP, Brazil.
authors: Kelly Cristina
authors: KC
authors: Strazzieri-Pulido
authors: Escola de Enfermagem, Universidade de São Paulo, São Paulo, SP, Brazil.
authors: Vera Lúcia Conceição de Gouveia
authors: VL
authors: Santos
authors: Silver Chain and Curtin University, Perth, WA, Australia.
authors: Keryln
authors: K
authors: Carville
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D003466:Cultural Characteristics; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D009733:Nursing Diagnosis; D015588:Observer Variation; D015203:Reproducibility of Results; D012867:Skin / Q000293:injuries*; D014177:Translations; D014947:Wounds and Injuries / Q000145:classification / Q000628:therapy