Br J Health Psychol. May;10(Pt 2) The DAS a short form of the Derriford Appearance Scale DAS59 to measure individual responses to living. The Derriford Appearance Scale (DAS) is QoL measure developed for assessing concern about physical appearance. This is a standardized, psychometrically. To measure the spectrum of psychological distress and dysfunction that is characteristic of disfigurements, deformities and aesthetic problems of appearance To.

Author: Kazigor Akinoktilar
Country: Greece
Language: English (Spanish)
Genre: Education
Published (Last): 17 March 2006
Pages: 32
PDF File Size: 20.89 Mb
ePub File Size: 15.30 Mb
ISBN: 505-5-71619-532-4
Downloads: 31552
Price: Free* [*Free Regsitration Required]
Uploader: Gagis

Patient-based measures of outcome in plastic surgery: Item-by-item analysis of the measure was also performed. Internal consistency is high 0.

DAS59 – Derriford Appearance Scale

To identify DAS content most relevant to measuring change following surgery, paired t tests and Wilcoxon signed-rank tests were computed for each item. National Center for Biotechnology InformationU. The method of evaluation of the outcomes of this surgery, with significant aesthetic goals, deserves consideration. The demands it places on health care systems worldwide calls for a clinically meaningful, condition-specific measure for more accurate assessment of outcomes after surgical intervention.

Despite the prevalence of nasal deformity among the stigma of CLP, no study has used a validated tool to quantify the effect of secondary rhinoplasty on the QoL of CLP patients. Four patients had bilateral and 16 had unilateral CLP. Assessing the perspective of a patient with CLP in relation to function, aesthetics and psychosocial well-being should be paramount in measuring surgical outcomes. Journal List Plast Surg Oakv v.

Incorporating the patient perspective is an increasingly accepted notion in an era in which the focus of health care evaluation has moved from traditional clinical outcomes to the measurement of function and well-being The present derrfiord demonstrates a deerriford effect of secondary rhinoplasty on appearance-based QoL; however, a condition-specific measure would more accurately quantify this benefit.

DAS24 – Derriford Appearance Scale – Short form

In addition to the DAS, demographic data age, sex, occupation, family status, nationality acale ethnicity were gathered as well as type of cleft unilateral, bilateral, cleft lip and or palate alone. Duke University Press; To develop a psychometrically robust and widely applicable short form of the Derriford Appearance Scale, DAS59which 1 will reliably and validly assess the distress and difficulties experienced in living with problems of appearance, 2 is acceptable to clinical and non-clinical populations, and 3 facilitates research and clinical decision-making through good standardization and sensitivity.

  HXR MC2000U MANUAL PDF

In addition, paired t tests and Wilcoxon signed-rank tests were computed for the total score, sub-scales and each item to xcale change following surgery. It may be that in the present study, relatively few items drove overall differences in scores on the measure. Factor analysis of data sets general population and clinical population identified three factors that are not feature specific and two that are bodily and sexual features, facial features.

Across all subscales of the measure, there was a reduction in scores after secondary rhinoplasty suggesting less patient concern with appearance and a positive effect of surgery on patient quality of life. The DAS59 has been designed and developed to meet the need for an objective measure of the spectrum of psychological distress and dysfunction that is characteristic of disfigurements, deformities and aesthetic problems of appearance.

Item-by-item analysis showed a significant reduction in score in only 11 of 59 items Table 4. The need for such a measure that is properly developed, psycho-metrically robust and specific to the condition in question is apparent.

Good construct validity was demonstrated in differences between 1 patient and general population samples, 2 members of the general population concerned and not concerned about their appearance, and 3 in patterns of convergent and divergent correlations with a range of established scales. Table 3 shows the mean values pre- and postoperatively at the item level.

Participant responses relate to concerns and behaviours within the context of overall self-consciousness Psychosocial functioning in children with and without orofacial clefts and their parents. Self-reported social, speech, and facial concerns and personality adjustment of adolescents with cleft lip and palate. Pre- and postoperative measures were scored and compared. Secondary rhinoplasty, one of the final procedures in addressing the stigma of the cleft lip and palate CLPhas both functional and aesthetic objectives.

The original DAS uses 59 items and is suited for detailed clinical investigation or assessment of the individual 12 Measuring quality of life in cleft lip and palate patients: Twenty consecutive patients presented for secondary cleft rhinoplasty surgery between May and May It provides valid and reliable data for clinical audit and governance and for evaluating the merits of one treatment protocol against another. Intellectual, achievement, behavioral and personality variables.

  DISTRIBUTED DATABASES STEFANO CERI PDF

Richman LC, Eliason M. Measuring outcomes in craniofacial and pediatric plastic surgery.

Psychological profile of Chinese with cleft lip and derrifford deformities. The general population data revealed widespread concerns about appearance.

Distress from being unable to change hairstyle. Many PRO instruments have been used in plastic surgery; however, for a PRO instrument to be scientifically sound it should assess the impact of surgical intervention in a clinically meaningful manner 7.

Derriford Appearance Scale – Short form (DAS24)

Measuring Functioning and Well-Being: A comprehensive review of the literature. The study was approved by the hospital research ethics board. Neither the decreases in facial self-consciousness FSC nor Phys were statistically significant in this group.

Adult psychological functioning of individuals born with craniofacial anomalies. However, a small number of items within this generic scale contributing to this difference may suggest the need for a more patient specific measure for assessment of surgical outcomes in the cleft population.

Correlations with other appropriate standardised tests show good criterion validity and good construct validity. The DAS measures the underlying construct of adjustment to problems in appearance.

Currently available patient-reported outcomes measures. In plastic and reconstructive surgery, it is important to have condition-specific measures given that generic measures often miss the issues that matter the most to patients. Content validity has appeaarnce assured by basing scald scale’s items on a detailed autobiographical study of representative patients.

Distress from being unable to answer the front door. Measuring outcomes in aesthetic surgery: This outcome assessment may include photographic analysis, anatomical measurements and complications. Current approaches and future directions. Evaluation of esthetic, functional, and quality-of-life outcome in adult cleft lip and palate patients.