Development and psychometric evaluation of the FACE-Q Aging Appraisal Scale and Patient-Perceived Age Visual Analog Scale

Aesthet Surg J. 2013 Nov 1;33(8):1099-109. doi: 10.1177/1090820X13510170. Epub 2013 Nov 15.

Abstract

Background: The primary outcome measures for patients who undergo aesthetic facial procedures are quality of life and satisfaction with appearance. The FACE-Q, a new patient-reported outcome (PRO) instrument composed of independently functioning scales, is designed to measure a broad range of important outcomes in patients who undergo cosmetic surgical and/or nonsurgical facial procedures.

Objectives: The authors describe the development and psychometric evaluation of the FACE-Q Aging Appraisal Scale and the FACE-Q Patient-Perceived Age Visual Analog Scale (VAS).

Methods: International guidelines for creating PRO instruments were strictly observed throughout development of the FACE-Q scales. Qualitative methods were used to identify the concepts most important to patients who received aesthetic facial procedures. These were turned into "items"-and the resultant FACE-Q Aging Appraisal Scale was field tested, along with the Patient-Perceived Age VAS, in 288 patients who underwent cosmetic surgical and/or nonsurgical facial procedures.

Results: Rasch measurement theory and traditional psychometric methods confirmed the reliability and validity of the scales.

Conclusions: The FACE-Q Aging Appraisal Scale and Patient-Perceived Age VAS are psychometrically sound, condition-specific PRO instruments with excellent reliability and validity. They enable accurate outcome assessments in patients who undergo aesthetic facial procedures.

Keywords: FACE-Q; aesthetic facial surgery; patient satisfaction; patient-reported outcomes; quality of life.

Publication types

  • Evaluation Study
  • Multicenter Study
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adult
  • Age Factors
  • Aged
  • Aged, 80 and over
  • Aging / psychology*
  • Body Image
  • Canada
  • Cosmetic Techniques*
  • Face
  • Female
  • Humans
  • Male
  • Middle Aged
  • Patient Satisfaction*
  • Psychometrics*
  • Quality of Life*
  • Reconstructive Surgical Procedures*
  • Rejuvenation*
  • Reproducibility of Results
  • Self Concept
  • Skin Aging*
  • Surveys and Questionnaires*
  • Treatment Outcome
  • United States
  • Young Adult