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Table 5 Meaningful Change in SD NRS

From: Content validity of a sleep numerical rating scale and a sleep diary in adults and adolescents with moderate-to-severe atopic dermatitis

Illustrative Quotes

Assessment

Adults

Adolescents

Adults

Adolescents

Smallest Improvement with which Participants Would Be Satisfied or Content

N = 19

N = 9

… any improvement is good …

I feel like if I was a 5, if I went down that would be cool, but getting to a 5 would be—I mean it’s like any improvement would be meaningful.

 1 point

11%

22%

 2 points

32%

44%

 3 points

26%

22%

 4 points

16%

 5 points

11%

 6 points

11%

 8 points

5%

Level of Improvement that Would Be Meaningful

N = 17

N = 10

[An improvement of one point]: Maybe I might sleep a little bit better or maybe I have sleep for more hours without dealing with a medication.

[An improvement of two points] means I could go to sleep better and that means I don’t have to wake up in the middle of the night knowing that I’m scratching myself or that means I can put makeup on, and it will cover my face.

I just feel like the one-point difference is kind of understandable for just a weekly basis.

[An improvement of three points] I think I would definitely recognize that, because, I mean, like it’s just a big change from waking up a couple times to being awake for the duration of the night.

 1 point

76%

80%

 2 points

18%

10%

 3 points

6%

10%

Participants’ ratings for “No or Minimal sleep disturbance

N = 18

N = 10

Well, if my sleep was like a one, I would say that’s still pretty good, that the itch is not there and if I wake up it’s not going to keep me up, it won’t keep me up.

I’m sleeping at a one or a two, and just being to sleep well because that’s like a basic thing that everybody else can do. It’s just something that I wish I had the privilege to be able to just sleep through the night without waking up from my neck hurts or thinking about how my skin is bothering. I kind of just wish I could sleep like a normal person.

 0

11%

10%

 1

29%

30%

 2

41%

40%

 3

24%

10%

 4

10%

  1. Abbreviation: SD NRS sleep disturbance numerical rating scale