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Evaluation of an Acne Severity Grading Self-Assessment System Suitable for the Thai Population – A Pilot Study

BACKGROUND: Patient self-assessment is a potential tool in clinical practice to obtain subjective information of acne severity also in clinical trials to assess the general population in research and epidemiologic studies. The patient self-evaluation of acne severity has not yet been developed in Th...

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Autores principales: Pakornphadungsit, Kallapan, Harnchoowong, Sarawin, Wattanakrai, Penpun
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Dove 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10629409/
https://www.ncbi.nlm.nih.gov/pubmed/37941850
http://dx.doi.org/10.2147/CCID.S427648
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author Pakornphadungsit, Kallapan
Harnchoowong, Sarawin
Wattanakrai, Penpun
author_facet Pakornphadungsit, Kallapan
Harnchoowong, Sarawin
Wattanakrai, Penpun
author_sort Pakornphadungsit, Kallapan
collection PubMed
description BACKGROUND: Patient self-assessment is a potential tool in clinical practice to obtain subjective information of acne severity also in clinical trials to assess the general population in research and epidemiologic studies. The patient self-evaluation of acne severity has not yet been developed in Thailand. OBJECTIVE: We aimed to validate an acne severity grading self-assessment suitable for the Thai population. METHODS: A pilot study was conducted in 77 volunteers with acne lesions. We developed the Thai Global Evaluation Acne Scale (TGEA) and Thai Global Acne Grading System (TGAGS) by translating and adapting the original version. Patient self-assessment of acne severity was performed in two rounds. A training session about acne was provided to all participants lesions before starting the second round. Reliability between the self-assessment and clinician assessment of acne severity was statistically assessed. RESULTS: For TGEA, 48.05% participants rated their acne severity corresponded with the clinicians (Cohen’s kappa coefficient, kappa = 0.26). After receiving the training, 79.22% subjects responded their acne severity corresponded with the clinicians (kappa = 0.66). For TGAGS, 77.92% patients who answered their acne severity corresponded with the clinicians (kappa = 0.52). After receiving the training, 94.80% participants responded their acne severity corresponded with the clinicians (kappa = 0.89). For raw score of the TGAGS, the intraclass correlation coefficient (ICC) during the self-assessment of acne severity compared to the clinician assessments was 0.54 and it increased to 0.79 after the training. CONCLUSION: Due to the almost perfect reliability, we suggested that TGAGS is a reliable subjective self-assessment of acne severity suitable for the Thai population. The training is essential in enhancing the reliability of this instrument. Our study’s findings can facilitate clinical practice and research studies.
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spelling pubmed-106294092023-11-08 Evaluation of an Acne Severity Grading Self-Assessment System Suitable for the Thai Population – A Pilot Study Pakornphadungsit, Kallapan Harnchoowong, Sarawin Wattanakrai, Penpun Clin Cosmet Investig Dermatol Original Research BACKGROUND: Patient self-assessment is a potential tool in clinical practice to obtain subjective information of acne severity also in clinical trials to assess the general population in research and epidemiologic studies. The patient self-evaluation of acne severity has not yet been developed in Thailand. OBJECTIVE: We aimed to validate an acne severity grading self-assessment suitable for the Thai population. METHODS: A pilot study was conducted in 77 volunteers with acne lesions. We developed the Thai Global Evaluation Acne Scale (TGEA) and Thai Global Acne Grading System (TGAGS) by translating and adapting the original version. Patient self-assessment of acne severity was performed in two rounds. A training session about acne was provided to all participants lesions before starting the second round. Reliability between the self-assessment and clinician assessment of acne severity was statistically assessed. RESULTS: For TGEA, 48.05% participants rated their acne severity corresponded with the clinicians (Cohen’s kappa coefficient, kappa = 0.26). After receiving the training, 79.22% subjects responded their acne severity corresponded with the clinicians (kappa = 0.66). For TGAGS, 77.92% patients who answered their acne severity corresponded with the clinicians (kappa = 0.52). After receiving the training, 94.80% participants responded their acne severity corresponded with the clinicians (kappa = 0.89). For raw score of the TGAGS, the intraclass correlation coefficient (ICC) during the self-assessment of acne severity compared to the clinician assessments was 0.54 and it increased to 0.79 after the training. CONCLUSION: Due to the almost perfect reliability, we suggested that TGAGS is a reliable subjective self-assessment of acne severity suitable for the Thai population. The training is essential in enhancing the reliability of this instrument. Our study’s findings can facilitate clinical practice and research studies. Dove 2023-11-03 /pmc/articles/PMC10629409/ /pubmed/37941850 http://dx.doi.org/10.2147/CCID.S427648 Text en © 2023 Pakornphadungsit et al. https://creativecommons.org/licenses/by-nc/3.0/This work is published and licensed by Dove Medical Press Limited. The full terms of this license are available at https://www.dovepress.com/terms.php and incorporate the Creative Commons Attribution – Non Commercial (unported, v3.0) License (http://creativecommons.org/licenses/by-nc/3.0/ (https://creativecommons.org/licenses/by-nc/3.0/) ). By accessing the work you hereby accept the Terms. Non-commercial uses of the work are permitted without any further permission from Dove Medical Press Limited, provided the work is properly attributed. For permission for commercial use of this work, please see paragraphs 4.2 and 5 of our Terms (https://www.dovepress.com/terms.php).
spellingShingle Original Research
Pakornphadungsit, Kallapan
Harnchoowong, Sarawin
Wattanakrai, Penpun
Evaluation of an Acne Severity Grading Self-Assessment System Suitable for the Thai Population – A Pilot Study
title Evaluation of an Acne Severity Grading Self-Assessment System Suitable for the Thai Population – A Pilot Study
title_full Evaluation of an Acne Severity Grading Self-Assessment System Suitable for the Thai Population – A Pilot Study
title_fullStr Evaluation of an Acne Severity Grading Self-Assessment System Suitable for the Thai Population – A Pilot Study
title_full_unstemmed Evaluation of an Acne Severity Grading Self-Assessment System Suitable for the Thai Population – A Pilot Study
title_short Evaluation of an Acne Severity Grading Self-Assessment System Suitable for the Thai Population – A Pilot Study
title_sort evaluation of an acne severity grading self-assessment system suitable for the thai population – a pilot study
topic Original Research
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10629409/
https://www.ncbi.nlm.nih.gov/pubmed/37941850
http://dx.doi.org/10.2147/CCID.S427648
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