Lupus & antiphospholipid syndrome

International development and validation of a multilingual bank of items for the self-assessment of essential knowledge by systemic lupus erythematosus patients: the systemic lupus erythematosus (SLE) Knowledge Assessment score (SLAKE)

Rheumatology (Oxford)Published Instrument development and validation study

Authors' conclusion

SLAKE is a valid, multilingual, digital self-assessment tool that effectively measures essential SLE knowledge.

Study context

Population
SLE participants1,120 [94.8%] women
Participants
1,182 participants
Outcome
SLAKE score (total knowledge, maximum 44 points, and 11 specific domains)
Methodological detailsinternational, multilingual (19 languages), digital self-assessment, multi-step process with healthcare professionals (HCPs) and patient representatives
  • International
  • Multilingual (19 languages)
  • Digital self-assessment
  • Multi-step process with HCPs and patient representatives

Performance

As reported in the abstract

SLAKE score
Median total SLAKE score (IQR 34-40), of a maximum of 44 points
37
Significant positive association with SLE duration
p= 0.006
Significant positive association with previous participation in a patient education course or patient training for lupus
p< 0.0001
Significant positive association with education level
p< 0.0001
No association with age
p= 0.48
No association with gender
p= 0.39

Original publication

International development and validation of a multilingual bank of items for the self-assessment of essential knowledge by systemic lupus erythematosus patients: the SLE Knowledge Assessment score (SLAKE). Rheumatology (Oxford). Published 12 December 2025. doi:10.1093/rheumatology/keaf649

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