Authors: Maria Sharlene O. Pelino, MD, DPDS and Rowena Natividad S. Flores-Genuino, MD, FPDS
Abstract
Introduction: Atopic dermatitis is a chronic, relapsing and pruritic skin disease, for which there is no specific diagnostic test. The United Kingdom (UK) diagnostic criteria has been extensively validated but no Filipino translation is available.
Objectives: To determine the validity and reliability of the UK diagnostic criteria for atopic dermatitis in Filipino children aged 2 to 16 years.
Methodology:
Part 1: The UK diagnostic criteria for atopic dermatitis questionnaire (for age 3 months to 16 years) was translated and culturally adapted into Filipino and pretested in a focus group for face, content and construct validity. The Filipino translation was submitted to the original developers for approval.
Part 2: The Filipino translation was administered to children aged 2 to 16 years with any skin disease who consulted at the dermatology and pediatric out-patient clinics of an urban tertiary hospital in the Philippines. Diagnostic accuracy parameters were determined by comparison with clinical diagnosis by experienced dermatologists as the reference standard.
Results:
Part 1: The Filipino translation was comprehensible, clear and appropriate, and was approved by the original developers.
Part 2: One hundred ninety-five children ages 2 to 16 years were included. The Filipino translation had good internal consistency reliability (KR-20, 0.73), sensitivity (68.6%,95% CI 57.7, 78.2), and specificity (93.6%, 95% CI 87.2, 97.4).
Conclusion: The Filipino translation of the UK diagnostic criteria for atopic dermatitis is a valid and reliable tool in Filipino children aged 2 to 16 years with skin diseases for use in the outpatient setting. Further validation in younger children, other settings (e.g. community, school) and with general physicians and trained field health workers as assessors must be done.
Citation
Pelino, MS. & Flores-Genuino, RN (2017). A validation study of the United Kingdom diagnostic criteria for atopic dermatitis in 2- to 16-year-old Filipino children. Journal of the Philippine Dermatological Society, 26(2), 47-57.
Keywords
eczema, atopic dermatitis, United Kingdom diagnostic criteria, validation, validity, reliability, diagnostic accuracy, Filipino translation
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