Atopic Dermatitis Control Tool (ADCT): A useful tool for self‐evaluation in patients with atopic dermatitis

Author(s):  
Makiko Kido‐Nakahara ◽  
Ginju Yokote ◽  
Maiko Yoshida ◽  
Masutaka Furue ◽  
Takeshi Nakahara
2019 ◽  
Author(s):  
Eric Simpson ◽  
Laurent Eckert ◽  
Abhijit Gadkari ◽  
Usha G. Mallya ◽  
Min Yang ◽  
...  

Abstract Background: The Atopic Dermatitis Control Tool (ADCT©) is a brief patient self-administered instrument designed and validated to assess atopic dermatitis (AD) control; six AD symptoms and impacts are evaluated over the past week, including overall severity of symptoms, days with intense episodes of itching, intensity of bother, problem with sleep, impact on daily activities, and impact on mood or emotions. This study assessed the reliability, validity, and responsiveness of the ADCT in a longitudinal context, and provided thresholds to identify meaningful within-person change. Methods: Data were from a prospective, longitudinal patient survey study of real-world effectiveness of dupilumab in patients with AD. Eligible patients completed a baseline survey before starting dupilumab and were followed at Months 1, 2, 3, and 6 post-initiation as they became eligible. Results: Psychometric analyses confirmed internal consistency; Cronbach’s α coefficients were consistently above the threshold of 0.70 across each follow-up, while item-to-total correlations were above the threshold of r ≥ 0.50. High correlations between the ADCT and the Dermatology Life Quality Index (DLQI) and skin pain supported construct validity, while known-group validity was shown on Patient Global Assessment of Disease (PGAD) overall well-being subgroups with worse AD-related overall well-being having higher mean ADCT total scores at all time points. The ability of the ADCT to detect change was confirmed; the threshold for meaningful within-person change was estimated to be 5 points. Finally, test–retest reliability was confirmed in subgroups of patients with stable PGAD responses. Conclusions: Our findings confirm that the ADCT is a valid and reliable tool for assessing AD control.


2019 ◽  
Author(s):  
Eric Simpson ◽  
Laurent Eckert ◽  
Abhijit Gadkari ◽  
Usha G. Mallya ◽  
Min Yang ◽  
...  

Abstract Background: The Atopic Dermatitis Control Tool (ADCT©) is a brief patient self-administered instrument designed and validated to assess atopic dermatitis (AD) control; six AD symptoms and impacts are evaluated over the past week, including overall severity of symptoms, days with intense episodes of itching, intensity of bother, problem with sleep, impact on daily activities, and impact on mood or emotions. This study assessed the reliability, validity, and responsiveness of the ADCT in a longitudinal context, and provided thresholds to identify meaningful within-person change. Methods: Data were from a prospective, longitudinal patient survey study of real-world effectiveness of dupilumab in patients with AD. Eligible patients completed a baseline survey before starting dupilumab and were followed at Months 1, 2, 3, and 6 post-initiation as they became eligible. Results: Psychometric analyses confirmed internal consistency; Cronbach’s α coefficients were consistently above the threshold of 0.70 across each follow-up, while item-to-total correlations were above the threshold of r ≥ 0.50. High correlations between the ADCT and the Dermatology Life Quality Index (DLQI) and skin pain supported construct validity, while known-group validity was shown on Patient Global Assessment of Disease (PGAD) overall well-being subgroups with worse AD-related overall well-being having higher mean ADCT total scores at all time points. The ability of the ADCT to detect change was confirmed; the threshold for meaningful within-person change was estimated to be 5 points. Finally, test–retest reliability was confirmed in subgroups of patients with stable PGAD responses. Conclusions: Our findings confirm that the ADCT is a valid and reliable tool for assessing AD control.


2019 ◽  
Author(s):  
Laurent Eckert ◽  
Abhijit Gadkari ◽  
Usha G. Mallya ◽  
Min Yang ◽  
Lauren Nelson ◽  
...  

Abstract Background: The Atopic Dermatitis Control Tool (ADCT©) is a brief patient self-administered instrument designed and validated to assess atopic dermatitis (AD) control; six AD symptoms and impacts are evaluated over the past week, including overall severity of symptoms, days with intense episodes of itching, intensity of bother, problem with sleep, impact on daily activities, and impact on mood or emotions. This study assessed the reliability, validity, and responsiveness of the ADCT in a longitudinal context, and provided thresholds to identify meaningful within-person change. Methods: Data were from a prospective, longitudinal patient survey study of real-world effectiveness of dupilumab in patients with AD. Eligible patients completed a baseline survey before starting dupilumab and were followed at Months 1, 2, 3, 6, 9, and 12 post-initiation as they became eligible. Results: Psychometric analyses confirmed internal consistency; Cronbach’s α coefficients were consistently above the threshold of 0.70 across each follow-up, while item-to-total correlations were above the threshold of r ≥ 0.50. High correlations between the ADCT and the Dermatology Life Quality Index (DLQI) and skin pain supported construct validity, while known-group validity was shown on Patient Global Assessment of Disease (PGAD) overall well-being subgroups with worse AD-related overall well-being having higher mean ADCT total scores at all time points. The ability of the ADCT to detect change was confirmed; the threshold for meaningful within-person change was estimated to be 5 points. Finally, test–retest reliability was confirmed in subgroups of patients with stable PGAD responses. Conclusions: Our findings confirm that the ADCT is a valid and reliable tool for assessing AD control.


2019 ◽  
Vol 36 (3) ◽  
pp. 367-376 ◽  
Author(s):  
David M. Pariser ◽  
Eric L. Simpson ◽  
Abhijit Gadkari ◽  
Thomas Bieber ◽  
David J. Margolis ◽  
...  

2019 ◽  
Vol 19 (1) ◽  
Author(s):  
Eric Simpson ◽  
Laurent Eckert ◽  
Abhijit Gadkari ◽  
Usha G. Mallya ◽  
Min Yang ◽  
...  

Abstract Background The Atopic Dermatitis Control Tool (ADCT©) is a brief patient self-administered instrument designed and validated to assess atopic dermatitis (AD) control; six AD symptoms and impacts are evaluated over the past week, including overall severity of symptoms, days with intense episodes of itching, intensity of bother, problem with sleep, impact on daily activities, and impact on mood or emotions. This study assessed the reliability, validity, and responsiveness of the ADCT in a longitudinal context, and provided thresholds to identify meaningful within-person change. Methods Data were from a prospective, longitudinal patient survey study of real-world effectiveness of dupilumab in patients with AD. Eligible patients completed a baseline survey before starting dupilumab and were followed at Months 1, 2, 3, and 6 post-initiation as they became eligible. Results Psychometric analyses confirmed internal consistency; Cronbach’s α coefficients were consistently above the threshold of 0.70 across each follow-up; item-to-total correlations were above the threshold of r ≥ 0.50. High correlations between the ADCT and the Dermatology Life Quality Index (DLQI) and skin pain supported construct validity, while known-group validity was shown on Patient Global Assessment of Disease (PGAD) overall well-being subgroups with worse AD-related overall well-being having higher mean ADCT total scores at all time points. The ability of the ADCT to detect change was confirmed; the threshold for meaningful within-person change was estimated to be 5 points. Finally, test–retest reliability was confirmed in subgroups of patients with stable PGAD responses. Conclusions Our findings confirm that the ADCT is a valid and reliable tool for assessing AD control.


Author(s):  
Marin Kunimoto ◽  
Yasutomo Imai ◽  
Masako Matsutani ◽  
Minori Nakatani‐Kusakabe ◽  
Makoto Nagai ◽  
...  

Author(s):  
Delphine Staumont ◽  
Charles Taieb ◽  
Stephanie Merhand ◽  
Jason Shourick

The evaluation of global atopic dermatitis control is key to minimizing the disease burden. The Atopic Dermatitis Control Tool (ADCT) has been developed for this purpose. Participants [diagnosed by a physician] were recruited using a real-life methodology and asked to answer a questionnaire to provide sociodemographic and personal information. The ADCT algorithm described by Pariser was used to categorize patients as having controlled or uncontrolled atopic dermatitis. Data were collected on 1606 patients. The patients’ median age was 40 quartiles [31, 42.45] years, and 1,023 (63.7%) patients were women. A total of 1,146 (71.4%) patients did not have controlled atopic dermatitis according to the ADCT score. Patients with uncontrolled disease were at a significantly higher risk of a high stress level and had more opportunities to miss work than patients with controlled disease. In this study, we showed that a key factor for predicting the disease burden is patient self-assessed disease control in terms of multiple dimensions: stress, sleep, quality of life, work absenteeism and loss of productivity.


2019 ◽  
Author(s):  
Eric Simpson ◽  
Laurent Eckert ◽  
Abhijit Gadkari ◽  
Usha G. Mallya ◽  
Min Yang ◽  
...  

Abstract Background: The Atopic Dermatitis Control Tool (ADCT©) is a brief patient self-administered instrument designed and validated to assess atopic dermatitis (AD) control; six AD symptoms and impacts are evaluated over the past week, including overall severity of symptoms, days with intense episodes of itching, intensity of bother, problem with sleep, impact on daily activities, and impact on mood or emotions. This study assessed the reliability, validity, and responsiveness of the ADCT in a longitudinal context, and provided thresholds to identify meaningful within-person change. Methods: Data were from a prospective, longitudinal patient survey study of real-world effectiveness of dupilumab in patients with AD. Eligible patients completed a baseline survey before starting dupilumab and were followed at Months 1, 2, 3, and 6 post-initiation as they became eligible. Results: Psychometric analyses confirmed internal consistency; Cronbach’s α coefficients were consistently above the threshold of 0.70 across each follow-up, while item-to-total correlations were above the threshold of r ≥ 0.50. High correlations between the ADCT and the Dermatology Life Quality Index (DLQI) and skin pain supported construct validity, while known-group validity was shown on Patient Global Assessment of Disease (PGAD) overall well-being subgroups with worse AD-related overall well-being having higher mean ADCT total scores at all time points. The ability of the ADCT to detect change was confirmed; the threshold for meaningful within-person change was estimated to be 5 points. Finally, test–retest reliability was confirmed in subgroups of patients with stable PGAD responses. Conclusions: Our findings confirm that the ADCT is a valid and reliable tool for assessing AD control.


1982 ◽  
Vol 46 (4) ◽  
pp. 221-226 ◽  
Author(s):  
LS Forehand ◽  
WF Vann ◽  
DA Shugars

2015 ◽  
Vol 25 (2) ◽  
pp. 78-84 ◽  
Author(s):  
Holly C. Smith

Development of self-evaluation skills in student clinicians is a crucial element of clinical education. This article reviews pertinent information regarding supervisors' responsibilities related to teaching supervisees to self-evaluate. Previously identified methods of facilitating these skills are discussed. The use of video self-analyses paired with self-evaluation rubrics is explored.


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