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Validity, reliability and responsiveness of digital visual analogue scales for chronic spontaneous urticaria monitoring: A CRUSE ® mobile health study - Archive ouverte HAL
Article Dans Une Revue Allergy Année : 2024

Validity, reliability and responsiveness of digital visual analogue scales for chronic spontaneous urticaria monitoring: A CRUSE ® mobile health study

Bernardo Sousa-Pinto
Aiste Ramanauskaite
Sophia Neisinger
Ellen Witte-Händel
Ana Gimenez-Arnau
Carole Guillet
Claudio Alberto S. Parisi
Constance Katelaris
Daria Fomina
Désirée Larenas-Linnemann
Elizabeth García
Emek Kocatürk
Frank Siebenhaar
Hermenio Lima
Igor Kaidashev
Iman Nasr
Isabel Ogueta Canales
Ivan Cherrez Ojeda
Jacques Hébert
  • Fonction : Auteur
Jean Bousquet
Jonathan Bernstein
Jonny Peter
Jorge Sanchez
Jose Ignacio Larco Sousa
Kanokvalai Kulthanan
Karsten Weller
Kiran Godse
Krzysztof Rutkowski
Lasma Lapina
Leo Lianyi Han
Luis Felipe Ensina
Margarida Gonçalo
Markus Magerl
Martijn van Doorn
Martin Metz
Maryam Khoshkhui
Michihiro Hide
Murat Türk
Nataļja Kurjāne
Niall Conlon
Pascale Salameh
Pavel Kolkhir
Riccardo Asero
Roman Stepanenko
Sabine Altrichter
Sara Gil-Mata
Simon Francis Thomsen
Torsten Zuberbier
Vladyslav Tsaryk
Young‐min Ye
Zenon Brzoza
Zuotao Zhao
Marcus Maurer

Résumé

Abstract Background CRUSE® is an app that allows patients with chronic spontaneous urticaria (CSU) to monitor their daily disease activity through the use of visual analogue scales (VASs). We aimed to determine the concurrent validity, reliability, responsiveness and minimal important difference (MID) of CRUSE® VASs. Method s We evaluated the properties of three daily VASs: VAS for how much patients were affected by their CSU (‘VAS urticaria’), VAS for the impact of urticaria on work/school productivity (‘VAS productivity’) and the VAS of EQ‐5D. Concurrent validity was assessed by measuring the association between each VAS and the Urticaria Activity Score (UAS). Intra‐rater reliability was determined based on the data of users providing multiple daily questionnaires within the same day. Test–retest reliability and responsiveness (ability to change), respectively, were tested in clinically stable and clinically unstable users. MIDs were determined using distribution‐based methods. Results We included 5938 patients (67,380 days). Concurrent validity was high, with VAS urticaria being more strongly associated with the UAS score than the remaining VASs. Intra‐rater reliability was also high, with intraclass correlation coefficients (ICC) being above 0.950 for all VASs. Moderate‐high test–retest reliability and responsiveness were observed, with reliability ICC being highest for VAS EQ‐5D and responsiveness being highest for VAS urticaria. The MID for VAS urticaria was 17 (out of 100) units, compared to 15 units for VAS productivity and 11 units for VAS EQ‐5D. Conclusion Daily VASs for CSU available in the CRUSE® app display high concurrent validity and intra‐rater reliability and moderate‐high test–retest reliability and responsiveness.

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Dates et versions

hal-05000710 , version 1 (21-03-2025)

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Bernardo Sousa-Pinto, Aiste Ramanauskaite, Sophia Neisinger, Ellen Witte-Händel, Ana Gimenez-Arnau, et al.. Validity, reliability and responsiveness of digital visual analogue scales for chronic spontaneous urticaria monitoring: A CRUSE ® mobile health study. Allergy, 2024, 80 (3), pp.750-761. ⟨10.1111/all.16371⟩. ⟨hal-05000710⟩
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