Validation and Banding of the ItchyQuant

A Self-Report Itch Severity Scale

Caitlin G. Haydek, Elyse Love, Nicholas K. Mollanazar, Rodrigo Valdes Rodriguez, Helen Lee, Gil Yosipovitch, Michael D. Tharp, Jon Hanifin, Kuang Ho Chen, Suephy C. Chen

Research output: Contribution to journalArticle

4 Citations (Scopus)

Abstract

Because of the significant emotional and psychosocial impact of chronic pruritus, it is important to accurately assess and measure itch severity. This study aims to validate and apply clinically meaningful bands to the ItchyQuant, an illustrated self-report numeric rating scale (NRS) for itch severity. A total of 76 adults with chronic pruritus were recruited. Participants rated their itch on the ItchyQuant, on a traditional 11-point NRS, and with verbal categorizations (no, mild, moderate, or severe). There was a significant, high correlation between the ItchyQuant and NRS (>0.92, P < 0.0001), demonstrating concurrent validity. Significantly more patients (47.2%) preferred the ItchyQuant than the NRS (23.6%) or had no preference (29.2%), P = 0.0015. Significantly more patients found the ItchyQuant easier to use (45.8%) than the NRS (20.8%) or had no preference (33.3%), P = 0.008. The set of clinically meaningful bands with the highest weighted kappa coefficient of agreement (κ = 0.69) was as follows: 0 (no itch), 1–3 (mild itch), 4–7 (moderate itch), 8–10 (severe itch). The ItchyQuant is a clinically meaningful measure of itch severity, demonstrating face and concurrent validity, that many patients prefer and find easier to use when compared with a traditional NRS. We suggest that the ItchyQuant can be added to the existing armamentarium of itch severity scales. We plan to investigate the ItchyQuant further in cognitively challenged populations.

Original languageEnglish (US)
Pages (from-to)57-61
Number of pages5
JournalJournal of Investigative Dermatology
Volume137
Issue number1
DOIs
StatePublished - Jan 1 2017

Fingerprint

Self Report
Pruritus
Reproducibility of Results
Population

ASJC Scopus subject areas

  • Biochemistry
  • Molecular Biology
  • Dermatology
  • Cell Biology

Cite this

Haydek, C. G., Love, E., Mollanazar, N. K., Valdes Rodriguez, R., Lee, H., Yosipovitch, G., ... Chen, S. C. (2017). Validation and Banding of the ItchyQuant: A Self-Report Itch Severity Scale. Journal of Investigative Dermatology, 137(1), 57-61. https://doi.org/10.1016/j.jid.2016.06.633

Validation and Banding of the ItchyQuant : A Self-Report Itch Severity Scale. / Haydek, Caitlin G.; Love, Elyse; Mollanazar, Nicholas K.; Valdes Rodriguez, Rodrigo; Lee, Helen; Yosipovitch, Gil; Tharp, Michael D.; Hanifin, Jon; Chen, Kuang Ho; Chen, Suephy C.

In: Journal of Investigative Dermatology, Vol. 137, No. 1, 01.01.2017, p. 57-61.

Research output: Contribution to journalArticle

Haydek, CG, Love, E, Mollanazar, NK, Valdes Rodriguez, R, Lee, H, Yosipovitch, G, Tharp, MD, Hanifin, J, Chen, KH & Chen, SC 2017, 'Validation and Banding of the ItchyQuant: A Self-Report Itch Severity Scale', Journal of Investigative Dermatology, vol. 137, no. 1, pp. 57-61. https://doi.org/10.1016/j.jid.2016.06.633
Haydek CG, Love E, Mollanazar NK, Valdes Rodriguez R, Lee H, Yosipovitch G et al. Validation and Banding of the ItchyQuant: A Self-Report Itch Severity Scale. Journal of Investigative Dermatology. 2017 Jan 1;137(1):57-61. https://doi.org/10.1016/j.jid.2016.06.633
Haydek, Caitlin G. ; Love, Elyse ; Mollanazar, Nicholas K. ; Valdes Rodriguez, Rodrigo ; Lee, Helen ; Yosipovitch, Gil ; Tharp, Michael D. ; Hanifin, Jon ; Chen, Kuang Ho ; Chen, Suephy C. / Validation and Banding of the ItchyQuant : A Self-Report Itch Severity Scale. In: Journal of Investigative Dermatology. 2017 ; Vol. 137, No. 1. pp. 57-61.
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abstract = "Because of the significant emotional and psychosocial impact of chronic pruritus, it is important to accurately assess and measure itch severity. This study aims to validate and apply clinically meaningful bands to the ItchyQuant, an illustrated self-report numeric rating scale (NRS) for itch severity. A total of 76 adults with chronic pruritus were recruited. Participants rated their itch on the ItchyQuant, on a traditional 11-point NRS, and with verbal categorizations (no, mild, moderate, or severe). There was a significant, high correlation between the ItchyQuant and NRS (>0.92, P < 0.0001), demonstrating concurrent validity. Significantly more patients (47.2{\%}) preferred the ItchyQuant than the NRS (23.6{\%}) or had no preference (29.2{\%}), P = 0.0015. Significantly more patients found the ItchyQuant easier to use (45.8{\%}) than the NRS (20.8{\%}) or had no preference (33.3{\%}), P = 0.008. The set of clinically meaningful bands with the highest weighted kappa coefficient of agreement (κ = 0.69) was as follows: 0 (no itch), 1–3 (mild itch), 4–7 (moderate itch), 8–10 (severe itch). The ItchyQuant is a clinically meaningful measure of itch severity, demonstrating face and concurrent validity, that many patients prefer and find easier to use when compared with a traditional NRS. We suggest that the ItchyQuant can be added to the existing armamentarium of itch severity scales. We plan to investigate the ItchyQuant further in cognitively challenged populations.",
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