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The Atopic Dermatitis Quickscore (ADQ): validation of a new parent-administered atopic dermatitis scoring tool

Kirstin Carel1, Donna L Bratton, Naomi Miyazawa

  • 1Division of Pediatric Allergy and Immunology, National Jewish Medical and Research Center, Denver, Colorado 80206, USA. carelk@njc.org

Annals of Allergy, Asthma & Immunology : Official Publication of the American College of Allergy, Asthma, & Immunology
|December 6, 2008
PubMed

Insights

The Atopic Dermatitis Quickscore (ADQ) is a valid, parent-administered tool for assessing pediatric atopic dermatitis severity at home. It correlates well with the SCORAD and is responsive to treatment changes.

Area of Science:

  • Dermatology
  • Pediatrics
  • Clinical Assessment

Background:

  • Current atopic dermatitis (AD) severity scoring systems are complex for parent use.
  • A need exists for a simple, home-based tool for monitoring pediatric AD.
  • Parental assessment is crucial for ongoing treatment evaluation.

Purpose of the Study:

  • To validate the Atopic Dermatitis Quickscore (ADQ) against the established Scoring Atopic Dermatitis Severity Index (SCORAD).
  • To assess the responsiveness of the ADQ to changes in AD severity.
  • To establish the ADQ as a reliable tool for parent-administered AD assessment.

Main Methods:

  • The ADQ, assessing involvement and pruritus of 7 body parts, was developed for parent report.
  • Sixty-eight children with moderate to severe AD were assessed using both ADQ (parent) and SCORAD (physician assistant) at admission.
  • Pearson correlations were used to compare ADQ and SCORAD scores.

Main Results:

  • The ADQ total score showed a strong correlation with the SCORAD total score (r = 0.64, P < .001).
  • ADQ pruritus scores also correlated significantly with SCORAD pruritus scores (r = 0.62, P < .001).
  • Both scales demonstrated responsiveness to treatment, with significant decreases in scores observed.

Conclusions:

  • The parent-administered ADQ is a valid tool for assessing pediatric atopic dermatitis.
  • The ADQ is well-correlated with the SCORAD and responsive to clinical changes.
  • The ADQ offers a quick (5-minute completion time) and effective method for home-based AD monitoring.
Abstract

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