Introduction
Methods
Ethical Conduct of the Interviews
Recruitment
Inclusion/Exclusion Criteria
Conduct of Interviews
Data Handling
Cognitive Interviews
Statistical Analysis
Results
Patient Populations
Group 1: Concept Elicitation
Group 1 (n = 30) | |
---|---|
Scar severity | |
Mild | 36.7% (11) |
Moderate | 36.7% (11) |
Severe | 26.7% (8) |
Acne severity | |
Scars only | 16.7% (5) |
Mild acne + scars | 13.3% (4) |
Moderate acne + scars | 46.7% (14) |
Severe acne + scars | 23.3% (7) |
Group 2 (n = 20) | |
---|---|
Scar severity | |
Mild | 50.0% (10) |
Moderate | 30.0% (6) |
Severe | 20.0% (4) |
Acne severity | |
Scars only | 10.0% (2) |
Mild acne + scars | 30.0% (6) |
Moderate acne + scars | 35.0% (7) |
Severe acne + scars | 25.0% (5) |
Group 2: Cognitive Interviews
Concept Elicitation
Appearance, Severity, and Symptoms Associated with Acne Scars
Most Bothersome Appearance Factors
Impact on Patients’ Life
Most Bothersome Life Impacts
Operationalization of the Concepts and Instrument Development
Item Wording and Structure
Recall Period
Response Options
Cognitive Interview Results
Phase I
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The language for active acne lesions and atrophic acne scars was simplified;
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To help patients understand active acne and acne scars, “active acne” was revised to “zits, breakouts, pimples, whiteheads, or blackheads,” and “acne scars” was revised to “indents or holes” in the items.
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All references to post active acne lesions were removed;
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“Facial jewelry/piercings” was added at the beginning of the VAS instructions based on expert feedback;
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The item wording was revised from “uneven” to “rough” based on patient feedback during CEs and to help patients understand the intended interpretation.