Systemic sclerosis & Raynaud's

Psychometric Evaluation of the Scleroderma Skin Questionnaire: A Novel Patient-Reported Outcome for Skin Disease in Patients With Systemic Sclerosis

J RheumatolPublished Psychometric validation study

Authors' conclusion

SSQ demonstrated high reliability and moderate correlation with mRSS and legacy PROs.

Study context

Population
Adults with systemic sclerosis (SSc) enrolled in the SSc Collaborative National Quality and Efficacy Registry (CONQUER) (mean age 52.7; 83% female)
Participants
799 adults
Outcome
Psychometric properties of the SSQ: internal consistency (Cronbach α, McDonald ωt) and criterion, convergent and divergent validity vs mRSS, PGA, Scleroderma HAQ, PROMIS-29 and patient global assessment
Methodological detailsregistry-based (CONQUER)
  • Registry-based (CONQUER)

Performance

As reported in the abstract

Internal consistency and validity of the SSQ
Cronbach α
0.90
McDonald ωt
0.92
Correlation with modified Rodnan skin score (mRSS) (r)
0.56
Correlation with mRSS, diffuse cutaneous subtype (r)
0.54
Correlation with mRSS, limited cutaneous subtype (r; all P < 0.05)
0.24
Correlation with Patient-Reported Outcomes Measurement Information System (PROMIS-29) physical function (r)
−0.50
Correlation with PROMIS-29 pain interference (r)
0.61
Correlation with HAQ score (r)
0.63
Correlation with HAQ severity subscale (r)
0.62
Correlation with physician global assessment (PGA) SSc activity score (r; all P < 0.05)
0.48

Further findings

Scleroderma Skin Questionnaire (SSQ) 6-Month vs 6-month change in mRSS (weak correlation)

Correlation (r; P < 0.05)
0.26

Original publication

Psychometric Evaluation of the Scleroderma Skin Questionnaire: A Novel Patient-Reported Outcome for Skin Disease in Patients With Systemic Sclerosis. J Rheumatol. Published 15 January 2025. doi:10.3899/jrheum.2024-0736

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