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Journal of the American Podiatric Medical Association
Volume 95 Number 3 264-272 2005
Copyright © 2005 American Podiatric Medical Association

The Bristol Foot Score

Developing a Patient-Based Foot-Health Measure

Sue Barnett, PhD, DPodM *, Rona Campbell, PhD {dagger} and Ian Harvey, PhD, MB {ddagger}

* Faculty of Health and Social Care, University of the West of England, Bristol.
{dagger} Department of Social Medicine, University of Bristol, Bristol, England.
{ddagger} School of Medicine, Health Policy and Practice, University of East Anglia, Norwich, England.

Corresponding author: Sue Barnett, PhD, DPodM, University of the West of England, Glenside Campus, Room 1K17, Blackberry Hill, Stapleton, Bristol BS16 1DD, England.

Abstract

We sought to develop a patient-centered foot-health assessment tool by conducting in-depth interviews, focus groups, and surveys of relevant patient groups. A total of 400 hospital- and community-based podiatric patients took part in the development of the Bristol Foot Score, which was refined from a 41-item self-administered questionnaire to one containing 15 items. Podiatric patients easily understood the final questionnaire, and rates of completion were excellent. Overall reliability was high (Cronbach {alpha} = .9036), and application of the Bland and Altman technique suggested that the foot score produced stable measurements over time. Statistically significant differences were detected in scores before and after toenail surgery, indicating that the Bristol Foot Score is sensitive to change. A poor level of concordance was found between the Bristol Foot Score and a Chiropody Assessment Criteria Score routinely used by podiatrists to assess the need for podiatric care. The Bristol Foot Score reflects patients’ perceptions of their own foot health, providing a useful additional tool for evaluating the efficacy of interventions and describing foot health within populations. (J Am Podiatr Med Assoc 95(3): 264–272, 2005)






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Copyright © 2005 by the American Podiatric Medical Association.