Feldman Steven R, Præstegaard Morten, Andreasen Arne H, Selmer Johan, Holm-Larsen Tove
Center for Dermatology Research, Wake Forest School of Medicine, Winston-Salem, NC, USA.
MC2 Biotek, Hørsholm, Denmark.
Dermatol Ther (Heidelb). 2021 Dec;11(6):2077-2088. doi: 10.1007/s13555-021-00626-5. Epub 2021 Oct 14.
Adherence to topical treatments for psoriasis is reported to be poor. One key contributing factor is the inconvenience associated with formulations that may be greasy, time consuming to apply, and slow to absorb. There is a paucity of patient-reported outcome measures that evaluate psoriasis patients' perceptions of treatment convenience. The Psoriasis Treatment Convenience Scale (PTCS) was therefore developed and validated.
Following a literature review of issues relating to convenience of topical treatments, important items were identified and a draft version of the PTCS was developed and underwent content validity testing (n = 20). The revised scale was included in a clinical trial of topical therapy (n = 794; NCT03308799), and psychometric testing was performed.
The final questionnaire included five core items and one overall satisfaction question. In psychometric testing, the scale demonstrated stability across trial population, and good validity, reliability, and sensitivity.
The PTCS is a new, reliable, sensitive, validated tool for the assessment of patient-reported treatment convenience. Use of the PTCS will facilitate evaluation of convenience as part of the clinical development of topical therapies, and thus may help to improve patient adherence and, therefore, treatment outcomes.
据报道,银屑病患者对局部治疗的依从性较差。一个关键的促成因素是制剂带来的不便,这些制剂可能油腻、涂抹耗时且吸收缓慢。目前缺乏评估银屑病患者对治疗便利性看法的患者报告结局指标。因此,开发并验证了银屑病治疗便利性量表(PTCS)。
在对局部治疗便利性相关问题进行文献综述后,确定了重要条目,并制定了PTCS的初稿并进行了内容效度测试(n = 20)。修订后的量表纳入了一项局部治疗的临床试验(n = 794;NCT03308799),并进行了心理测量学测试。
最终问卷包括五个核心条目和一个总体满意度问题。在心理测量学测试中,该量表在整个试验人群中表现出稳定性,以及良好的效度、信度和敏感性。
PTCS是一种用于评估患者报告的治疗便利性的新型、可靠、敏感且经过验证的工具。使用PTCS将有助于在局部治疗的临床开发过程中评估便利性,从而可能有助于提高患者的依从性,进而改善治疗效果。