Alopecia Areata–Specific Patient-Reported Outcome Measures

    March 2025 in “ JAMA Dermatology
    Emadodin Darchini‐Maragheh, Anthony Moussa, Nicole Kah Mun Yoong, Laita Bokhari, Leslie N. Jones, Rodney Sinclair
    TLDR High-quality validation studies are needed to improve alopecia areata patient-reported outcome measures.
    This systematic review evaluated the quality of alopecia areata-specific patient-reported outcome measures (PROMs) and identified a need for high-quality validation studies on their internal structure. The review analyzed 15 articles, including 8 developmental and 7 validation studies, covering 11 PROMs. Three PROMs focused on health-related quality of life, five were symptom-based, and three combined constructs. The Alopecia Areata Patient Priority Outcomes (AAPPO) was highlighted for its high-quality evidence of structural validity, internal consistency, and test-retest reliability. However, no study reported measurement error. The review emphasizes the importance of rigorous psychometric testing to improve the quality of AA-specific PROMs.
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