Development and Validation of a Scale to Clinically Assess Overall Hair and Scalp Condition – A Pilot Study

Authors

  • Yogeshwari Gupta Prof , PhD (Hom), Principal & HOD Materia Medica, Swasthya Kalyan Homoeopathic Medical College and Research Centre, Jaipur Rajasthan, India. Former Dean, Homeopathy, Rajasthan Ayurveda University, Jodhpur, Rajasthan, India.
  • Anshul Chahar Professor & H.O.D. - Department of Practice of Medicine, University of Homoeopathy, Kekri.
  • Samridhi Sharma MD Part-II - Department of Practice of Medicine, Swasthya Kalyan Homoeopathic Medical College & Research Centre, Sitapura, Jaipur, Rajasthan, India.

DOI:

https://doi.org/10.48165/ahr.2024.9.2.2

Keywords:

Alopecia Scoring Scale, Cronbach’s alpha coefficient, Pearson’s co-relation coefficient, Reliability, Validity

Abstract

Background: Existing scales for Alopecia measures  severity and stages, all of which are made for  individual types, none of the existed ones can be  applied to all types and no one focuses on the clinical  symptoms which patient addresses while case taking  or can be used to assess the clinical outcomes.  So, a scale was developed on the basis of existing  literatures which can assess the clinical outcomes and  can be apply for all types of alopecia. Objective: To develop alopecia scoring scale to  clinically assess overall hair and scalp condition  based on compilation of existing literature and to test  the reliability and validity of alopecia scoring scale. Material & Methodology: Alopecia scoring scale  was derived after thorough literature review. A pilot  study was conducted on 30 patients who are clinically  diagnosed with alopecia in July 2021 at Swasthya  Kalyan Homoeopathic Medical College & Research  Centre, Sitapura, Jaipur. Result: The internal consistency of scale were  estimated by Cronbach Alpha Coefficient which was  found to be generally satisfactory. The Cronbach  Alpha reliability coefficient 0.82 which suggests  it was found to be reliable. Pearson’s Co-relation  Coefficient obtained value is > 0.7 which is greater  than critical value of 0.361 at df 28 and is highly  significant, so it is a valid scale. Conclusion: The Alopecia Scoring Scale is the  valid and reliable tool to clinically access all types  of Alopecia patients. It might serve as a useful tool  to monitor disease status over time, and to guide  treatment decisions. 

References

Gupta M, Mysore V. Classifications of patterned hair loss: A review. J Cutan Aesthet Surg. 2016;9(1):3– 12.

King BA, Senna MM, Ohyama M, Tosti A, Sinclair RD, Ball S, et al. Defining severity in alopecia areata: Current perspectives and a multidimensional framework. Dermatol Ther (Heidelb). 2022;12(4):825–34.

Olsen EA, Roberts J, Sperling L, Tosti A, Shapiro J, McMichael A, et al. Objective outcome measures: Collecting meaningful data on alopecia areata. J Am Acad Dermatol. 2017;79(3):470.

Wyrwich KW, Kitchen H, Knight S, Aldhouse NVJ, Macey J, Nunes FP, et al. The Alopecia Areata Investigator Global Assessment scale: a measure for evaluating clinically meaningful success in clinical trials. Br J Dermatol. 2020;183(4):702–9

King BA, Mesinkovska NA, Craiglow B, Kindred C, Ko J, McMichael A, et al. Development of the alopecia areata scale for clinical use: Results of an

academic-industry collaborative effort. J Am Acad Dermatol. 2022;86(2):359–64.

Shapiro Jerry. Hair Loss: Principles of Diagnosis and Management of Alopecia. p. 1-13

Piérard-Franchimont C, Xhauflaire-Uhoda E, Piérard GE. Revisiting dandruff. Int J Cosmet Sci. 2006;28(5):311–8.

Reich A, Szepietowski JC. Pruritus intensity assessment: challenge for clinicians. Expert Rev Dermatol. 2013;8(3):291–9.

G. H. Guyatt,D. H. Feeny, andD. L. Patrick, “Measuring healthrelated quality of life,” Annals of Internal Medicine, vol. 118, no. 8, pp. 622–629, 1993.

L. J. Cronbach, “My current thoughts on coefficient alpha and successor procedures,” Educational and Psychological Measurement. A Bimonthly Journal Devoted to the Development and Application of Measures of Individual Differences, vol. 64, no. 3, pp. 391–418, 2004.

Gupta Y et al. Psychosomatic disease Alopecia with Acrophobia and Individualized Homoeopathy– A Retrospective Analysis. The Homoeopathic Heritage. 2023;49(7):90-95 https://www.researchgate.net/ publication/375486043_Psychosomatic_disease_ Alopecia_with_Acrophobia_and_Individualized_

Homoeopathy-_A_Retrospective_Analysis

Published

2024-08-30

How to Cite

Development and Validation of a Scale to Clinically Assess Overall Hair and Scalp Condition – A Pilot Study . (2024). Advancements in Homeopathic Research, 9(2), 9–14. https://doi.org/10.48165/ahr.2024.9.2.2