GRAPPA Video Project: module descriptions. Summarized from Mease, et al. J Rheumatol 2016;43:979–85; with permission6.
| Module | Description/notes |
|---|---|
| PASI and BSA | Photographic examples of erythema, induration, and scale, methods of assessing area score, and BSA instruction. |
| 6-point sPGA, v. 1 | Erythema, induration, and scale assessed 0–5, then averaged and rounded to nearest whole numbers (adaptation of National Psoriasis Foundation Psoriasis score). |
| 6-point sPGA v. 2 | Erythema, induration, scale each scored 0–5, using slightly different scale descriptions than v1. |
| 6-point sPGA, v. 3 | Erythema, induration, scale assessed and a single score of 0–5 assigned (no rounding). |
| 5-point sPGA | Erythema, induration, and scale assessed individually, then averaged and rounded to nearest whole numbers. |
| 5-point IGA2011 “modified”7 | Erythema, induration, and scale assessed 0–4. Certification module available (3 examples). |
| NAPSI | Describes features of matrix and nail bed psoriasis and how to perform this measure. |
| mNAPSI | Description of the rationale and method. |
| PSSI | Adaptation of PASI for scalp assessment. |
| PPPASI | Adaptation of PASI for scoring palmar-plantar pustular or nonpustular psoriasis. |
| TPSS | Assesses target plaques, scores erythema, induration, and scale. |
| Dactylitis and enthesitis v. 1 | Dactylitis background and use of dactylometer; enthesitis background, evaluation using LEI, MASES Enthesitis Index, the Enthesitis Skeletal exam, SPARCC Enthesitis Index, Major Enthesitis Index, and 4-point Enthesitis Index. |
| Dactylitis and enthesitis v. 2 | Dactylitis background and use of dactylometer; enthesitis background, evaluation using LEI only. |
| Dactylitis and enthesitis v. 3 | Dactylitis background and use of dactylometer; enthesitis background, excludes use of dactylometer. |
| Synovitis | Includes educational content on joint exam and synovitis introductions, video demonstration of examining joints. |
| Joint count assessment | Pragmatic approach to the tender and swollen joint count. |
| Axial disease assessment | Includes background and video demonstration of measuring cervical rotation, chest expansion, occiput-to-wall/tragus-to-wall distance, forward flexion, lateral bending of spine, examination of the hip. |
| BSA | Describes background and rationale for the handprint method of determining BSA involvement of psoriasis. |
Shaded rows indicate new additions in 2016. GRAPPA: Group for Research and Assessment of Psoriasis and Psoriatic Arthritis; PASI: Psoriasis Area and Severity Index; BSA: body surface area; sPGA: static physician’s global assessment; IGA2011: Investigator’s Global Assessment 2011; NAPSI: Nail Psoriasis Area Severity Index; mNAPSI: modified NAPSI; PSSI: Psoriasis of the Scalp Severity Index; PPPASI: Palmar-Plantar Psoriasis Area and Severity Index; TPSS: Total Plaque Severity Score; LEI: Leeds Enthesitis Index; MASES: Maastricht Ankylosing Spondylitis Enthesis Score; SPARCC: Spondyloarthritis Research Consortium of Canada.