Quality of life in infants and children with atopic dermatitis: Addressing issues of differential item functioning across countries in multinational clinical trials
2007

Quality of life in infants and children with atopic dermatitis

Sample size: 208 publication Evidence: moderate

Author Information

Author(s): Stephen P. McKenna, Lynda C. Doward, David M. Meads, Alan Tennant, Gemma Lawton, Jens Grueger

Primary Institution: University of Central Lancashire

Hypothesis

Can a valid scale be developed to assess the impact of atopic dermatitis on children across different countries?

Conclusion

The study successfully developed a valid instrument for assessing the impact of atopic dermatitis on children, accounting for cultural differences.

Supporting Evidence

  • The CIAD demonstrated the benefits of treatment with Elidel over placebo in the European trial.
  • Three of the 12 potential items failed to fit the measurement model in Europe and five in the US.
  • Four items exhibited differential item functioning by country.

Takeaway

This study created a tool to help understand how skin problems affect kids and their families, even when people live in different countries.

Methodology

Rasch analyses were conducted on data from three clinical trials to develop a unidimensional scale assessing the impact of atopic dermatitis on children.

Potential Biases

Cultural differences may affect how items are valued, leading to differential item functioning.

Limitations

The study had a relatively high dropout rate and a limited number of items in the scale.

Participant Demographics

Participants included children aged 3 months to 18 years from the UK, US, Germany, France, and the Netherlands.

Statistical Information

P-Value

p<0.002

Statistical Significance

p<0.05

Digital Object Identifier (DOI)

10.1186/1477-7525-5-45

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