{"doi":"10.1111/pde.15003","title":"<scp>Validation</scp> of remote atopic dermatitis severity assessment with the Eczema Area and Severity Ondex in children using <scp>caregiver‐provided</scp> photos and videos","abstract":"BACKGROUND/OBJECTIVES: We sought to quantify the reliability and validity of remote atopic dermatitis (AD) severity assessment using the Eczema Area and Severity Index (EASI) applied to caregiver-provided photos (p-EASI) and videos (v-EASI). METHODS: Children (0-17 years) with a physician diagnosis of AD were recruited. Caregivers took photos and a video of their child's skin. A clinician scored in-person EASI on the same day, then p-EASI and v-EASI for each participant 10 days or more between ratings. Two additional clinicians scored p-EASI and v-EASI. Lin's concordance correlation coefficient (CCC) was employed to assess criterion validity using in-person EASI as the gold standard. Intraclass correlation coefficients (ICCs) were calculated to assess interrater reliability of p-EASI and v-EASI. RESULTS: Fifty racially and ethnically diverse children (age [mean ± SD]: 4.3 ± 4.4 years; 42% female) with a range of AD severity (EASI: 6.3 ± 6.4) and Fitzpatrick skin types (1-2: 9%; 3-4: 60%; 5-6: 31%) were enrolled and received in-person EASI assessment. Fifty had p-EASI and 49 had v-EASI by the same in-person rater, and by two additional raters. The CCC and ICC for p-EASI were 0.89, 95% CI [0.83, 0.95] and 0.81, 95% CI [0.71, 0.89], respectively. The CCC and ICC for v-EASI were 0.75, 95% CI [0.63, 0.88] and 0.69, 95% CI [0.51, 0.81], respectively. CONCLUSIONS: In this diverse population with a range of skin tones, p-EASI showed good criterion validity and good interrater reliability. v-EASI showed moderate to good criterion validity and moderate interrater reliability. Both may be reliable and valid options for remote AD severity assessment.","journal":"Pediatric Dermatology","year":2022,"id":266501,"datarank":0.0,"base_score":0.0,"endowment":0.0,"self_citation_contribution":0.0,"citation_network_contribution":0.0,"self_endowment_contribution":0.0,"citer_contribution":0.0,"corpus_percentile":null,"corpus_rank":null,"citation_count":9,"citer_count":0,"citers_with_citation_signal":0,"citers_with_endowment":0,"datacite_reuse_total":0,"is_dataset":false,"is_dataset_confidence":0.8091,"is_data_producer":false,"deposit_databanks":null,"is_oa":true,"file_count":0,"downloads":0,"has_version_chain":false,"published_date":"2022-01-01","fair_score":null,"fair_percentile":null,"algorithm_id":"datarank_citation_only_1hop_v6","ranking_scope":"data_only","authors":[{"id":429057,"name":"Paul J. Rathouz","orcid":"0000-0001-8380-4300","position":1,"is_corresponding":false},{"id":927133,"name":"Fabiana Castro Porto Silva Lopes","orcid":null,"position":2,"is_corresponding":false},{"id":831400,"name":"Maria Leszczynska","orcid":"0000-0002-4965-0050","position":3,"is_corresponding":false},{"id":927134,"name":"Lucia Z. Diaz","orcid":null,"position":4,"is_corresponding":false},{"id":642612,"name":"Moise L. Levy","orcid":"0000-0002-8605-0935","position":5,"is_corresponding":false},{"id":927135,"name":"J. Ruth","orcid":null,"position":6,"is_corresponding":false},{"id":243850,"name":"Pooja Varshney","orcid":null,"position":7,"is_corresponding":false},{"id":709892,"name":"Lynn Rew","orcid":"0000-0002-1365-0550","position":8,"is_corresponding":false},{"id":327094,"name":"Elizabeth C. Matsui","orcid":"0000-0002-1699-9811","position":9,"is_corresponding":false},{"id":622735,"name":"Emily Croce","orcid":"0000-0002-6213-1335","position":0,"is_corresponding":true}],"reference_count":17,"raw_metadata":null,"created_at":"2026-07-19T00:26:58.102271Z","pmid":"35522088","pmcid":null,"fwci":null,"citation_percentile":null,"influential_citations":0,"oa_status":null,"license":null,"views":0,"total_file_size_bytes":0,"version_count":0,"fair_f":null,"fair_a":null,"fair_i":null,"fair_r":null,"fair_zscore":null,"fair_rationale":null,"fair_model":null,"fair_agent_version":null,"fair_fulltext_source":null,"fair_has_llm":null,"fair_computed_at":null,"clinical_trials":[],"software_tools":[],"db_accessions":[],"linked_datasets":[],"topics":[]}