Measuring outcomes for temple hollowing treatment: Content validity of new and existing FACE‐Q scales
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AbstractBackgroundThe FACE‐Q, a validated, modular patient‐reported outcome measure with global uptake, currently does not have a scale to measure the appearance of the temples. Objectives of our study were to develop a new FACE‐Q scale for appearance of temples and assess content validity of two existing FACE‐Q scales in the context of temple hollowing: Satisfaction with Facial Appearance and Psychological Function.MethodsA heterogeneous sample of adults who were seeking or had received treatments for temple hollowing was recruited from three outpatient clinics in the United States. Semi‐structured interviews using an interpretive description approach were completed to elicit concepts and generate an item pool and assess content validity of the two existing FACE‐Q scales. The item pool data were used to develop preliminary Temple scale, which was refined based on patient and expert feedback.ResultsParticipants (N = 15, 55 ± 9 years) described a range of esthetic concerns related to temple hollowing and its treatment. The data were used to draft the FACE‐Q Satisfaction with Temples scale, which was refined through input from patients (N = 12) and clinicians (N = 5), resulting in a 16‐item FACE‐Q Satisfaction with Temples scale. The scale covers concepts of fullness, harmony, scenarios (eg, mirror, bright lights), age, and shape. Content validity of the two existing FACE‐Q scales was substantiated.ConclusionThe FACE‐Q Satisfaction with Temples scale fills an important gap in patient‐reported outcome measurement in facial esthetics. The scale will be field‐tested to finalize content and develop the scoring algorithm prior to implementation in clinical practice and research.
