Evidence map›Paper›PMID 40181218›Full record

ArticleThe British journal of dermatology2025

Measurement properties of the Comprehensive Quality-of-Life Measure for Acne (CompAQ): a cohort study at three international sites.

Michael R Nock, Delaney Griffiths, Ali Shields, Karen Michael, Nuha Nasir, Jaefer Mohamad, James Choe, Delwyn Z J Lim, Alison M Layton, Jerry Tan and 2 more

Abstract readMulticenter StudyValidation Study
In one paragraph

Article in The British journal of dermatology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

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5 · Who and what money

Authors and funding

12 authors.

Michael R NockDepartment of Dermatology, Brigham and Women's Hospital, Harvard Medical School, Boston, MA, USA.ORCID 0009-0009-7462-1241
Delaney GriffithsDepartment of Dermatology, Brigham and Women's Hospital, Harvard Medical School, Boston, MA, USA.
Ali ShieldsDepartment of Dermatology, Brigham and Women's Hospital, Harvard Medical School, Boston, MA, USA.
Karen MichaelSchulich School of Medicine and Dentistry, Western University, Windsor, ON, Canada.ORCID 0009-0005-0329-167X
Nuha NasirDepartment of Health Sciences, Brock University, St Catharines, ON, Canada.ORCID 0009-0009-6687-242X
Jaefer MohamadSchulich School of Medicine and Dentistry, Western University, Windsor, ON, Canada.ORCID 0000-0002-3269-708X
James ChoeDepartment of Dermatology, Brigham and Women's Hospital, Harvard Medical School, Boston, MA, USA.ORCID 0000-0003-3539-3513
Delwyn Z J LimNational Skin Centre  Singapore, Singapore.ORCID 0000-0003-2894-4508
Alison M LaytonSkin Research Centre, University of York, York, UK.ORCID 0000-0003-0473-3319
Jerry TanWestern University and Windsor Clinical Research Inc., Windsor, ON, Canada.ORCID 0000-0002-9624-4530
Hazel H OonNational Skin Centre and Skin Research Institute of Singapore (SRIS), Singapore.ORCID 0000-0001-7607-3124
John S BarbieriDepartment of Dermatology, Brigham and Women's Hospital, Harvard Medical School, Boston, MA, USA.ORCID 0000-0002-5467-4102

Funding

Applying Item Response Theory to Improve Patient Reported Outcome Use in Dermatology Clinical PracticeK23AR078930 · NIAMS · BRIGHAM AND WOMEN'S HOSPITAL · PI John Barbieri · 2022 to 2026
$867k
Acne Core Outcomes Research Network (ACORN)International Dermatology Outcome Measures (IDEOM)National Institute of ArthritisNIAMS NIH HHS K23 AR078930NIH HHS 1K23AR078930
6 · The paper itself

Abstract

backgroundThe Comprehensive Quality-of-Life Measure for Acne (CompAQ) is a patient-reported outcome measure (PROM) assessing health-related quality of life (HRQoL) among patients with acne. The measure is one of two acne-specific PROMs that had the strongest evidence to support its use in a recent COSMIN systematic review.

objectivesTo build on prior validation studies of CompAQ by confirming several of its known measurement properties in a cohort of patients with acne at three international sites; and, to establish the responsiveness of the measure during acne treatment.

methodsAdults being seen for routine acne treatment at dermatology clinics in Canada, the USA and Singapore were recruited between July 2022 and September 2024 to participate in this cohort study. At each visit, participants completed the CompAQ, which consists of 20 items representing five domains (i.e. emotions, social judgement, social interaction, treatment and symptoms domains) and several other relevant measures. Structural validity was assessed by confirmatory factor analysis, internal consistency by calculating Cronbach's α values, and construct validity by known groups and convergent validity hypothesis testing. We further evaluated for differential item functioning (DIF) across study site, sex and age. In addition, we assessed responsiveness by change-score validity hypothesis testing and calculating standardized response means (SRMs).

resultsOur study included 315 participants [mean (SD) age 25.2 (6.1) years; 219 (69.7%) women] and data were collected from a total of 588 visits. The CompAQ was found to have sufficient structural validity, internal consistency and construct validity among patients at each study site and in the combined cohort. In addition, no statistically significant uniform or nonuniform DIF was flagged for most items when analysing DIF by site, sex and age. Based on SRM estimates, the emotions (SRM 0.927) and symptoms (0.914) domains had the largest responsiveness, while the social judgement (0.606), social interaction (0.522) and treatment (0.787) domains had more moderate responsiveness.

conclusionsCompAQ represents a useful and responsive PROM to evaluate HRQoL among those with acne in clinical trials and clinical practice. Future studies are needed to evaluate the interpretability of the measure (i.e. identifying severity strata and minimally important differences).

Indexed as

Acne VulgarisPatient Reported Outcome MeasuresQuality of LifeAdolescentAdultCanadaCohort StudiesFemaleHumansMaleMiddle AgedPsychometricsReproducibility of ResultsSingaporeUnited StatesYoung Adult

Identifiers

PMID40181218
PMCPMC12268034

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.