Standardizing Training for Psoriasis Measures: Effectiveness of an Online Training Video on Psoriasis Area and Severity Index Assessment by Physician and Patient Raters

作者: April W. Armstrong , Kory Parsi , Clayton W. Schupp , Philip J. Mease , Kristina C. Duffin

DOI: 10.1001/JAMADERMATOL.2013.1083

关键词:

摘要: Importance Because the Psoriasis Area and Severity Index (PASI) is most commonly used validated disease severity measure for clinical trials, it imperative to standardize training ensure reliability in PASI scoring accurate assessment of severity. Objective To evaluate whether an online video improves accuracy among patients with psoriasis physicians on first exposure PASI. Design This equivalency study compared performed by PASI-naive that PASI-experienced at baseline after standardized training. The was conducted from March 15, 2011, September 1, 2011. Setting Outpatient clinic University California, Davis. Participants Forty-two 14 participated study. scores 12 dermatologists experienced evaluation were as criterion standard against which other compared. Main Outcome Measures Aggregate component image sets corresponding mild, moderate, severe psoriasis. Results After viewing video, produced equivalent all components PASI; provided components, exception area moderate-to-severe images. training, exhibited improved assigning total mild (Mean physician  − Mean : 1.2; Mean patient −2.1), moderate :0; −5.7), −5.1; −10.4) psoriasis, respectively. Conclusions Relevance Use represents effective tool improving both health care professionals patients. video-based platform disseminating use instruments dermatology a novel form education.

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