Erythema of Rosacea: Validation of Patient's Self-Assessment Grading Scale

J Drugs Dermatol. 2015 Aug;14(8):841-4.

Abstract

Background: Facial erythema is a primary feature of rosacea. Currently, no validated scales exist that can accurately capture a patient's self-assessment of their own facial erythema. During phase 2 studies for brimonidine tartrate gel, a 5-point numeric rating scale was developed as a tool to allow subjects to provide an independent assessment of visible changes to the facial erythema associated with their rosacea.

Objective: The objective of this study was to validate the revised patient's self-assessment (PSA) scale and evaluate it for statistical reliability and validity in quantification of facial erythema of rosacea.

Methods: The validity of the PSA scale was evaluated by assessing the test-retest reliability, construct validity, and known-groups validity based on the data collected during a Phase 2b study on brimonidine gel for the treatment of persistent facial erythema of rosacea.

Results: Based on the results of this evaluation, this PSA scale demonstrated test-retest reliability, construct validity, and known-groups validity.

Limitations: Study results are most generalizable to those with moderate to severe erythema.

Conclusion: The PSA is an appropriate scale to assess facial erythema associated with rosacea.

Publication types

  • Clinical Trial, Phase II
  • Multicenter Study
  • Randomized Controlled Trial
  • Research Support, Non-U.S. Gov't
  • Validation Study

MeSH terms

  • Adolescent
  • Adrenergic alpha-2 Receptor Agonists / therapeutic use
  • Adult
  • Brimonidine Tartrate / therapeutic use
  • Diagnostic Self Evaluation*
  • Double-Blind Method
  • Erythema / diagnosis*
  • Erythema / etiology
  • Facial Dermatoses / diagnosis*
  • Facial Dermatoses / drug therapy
  • Facial Dermatoses / etiology
  • Female
  • Gels
  • Humans
  • Male
  • Reproducibility of Results
  • Rosacea / complications
  • Rosacea / drug therapy*
  • Severity of Illness Index*
  • Young Adult

Substances

  • Adrenergic alpha-2 Receptor Agonists
  • Gels
  • Brimonidine Tartrate