Pediatric rheumatology

Introducing a parent-centred composite disease activity score for remote monitoring in juvenile dermatomyositis

Rheumatology (Oxford)Published Validation study

Authors' conclusion

The ParJDMAI was found to be feasible and to possess good measurement properties. It also proved to potentially serve as a surrogate for physicians' evaluations.

Study context

Population
Patients with JDM, multicentre samplemulticentre sample
Participants
254 patients
Outcome
Measurement properties of the parent JDM Activity Index (ParJDMAI), a composite DAS for JDM based solely on parent-reported outcomes (4 items, each 0-10; total 0-40)
Methodological detailsmulticentre, OMERACT filter for outcome measures
  • Multicentre
  • OMERACT filter for outcome measures

Performance

As reported in the abstract

Measurement properties of the ParJDMAI
Time to complete and score
<10 minutes
Internal consistency (Cronbach's alpha)
0.86
Structure: one factor on exploratory factor analysis, eigenvalue
2.9
Discrimination between physician-estimated disease activity states
P < 0.001
Responsiveness: standardized response mean among patients judged improved by parents (fair)
0.8

Original publication

Introducing a parent-centred composite disease activity score for remote monitoring in juvenile dermatomyositis. Rheumatology (Oxford). Published 13 April 2026. doi:10.1093/rheumatology/keag192

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