Comparison Between Asynchronous Online Care Model With Usual In Office Care for the Management of Atopic Dermatitis

University of California (UC) Davis

Status: Completed

Conditions: Atopic Dermatitis

Treatments: Other: Online Teledermatology Care; Other: Conventional in Office Care

Study type: Interventional

Funder types: Other

Identifiers

NCT00985894

200917162

Details and patient eligibility

About

The purpose of this study is to determine if an asynchronous online model of teledermatology can achieve similar clinical outcomes as compared to conventional in-office care for the management of atopic dermatitis. The investigators also aim to determine the effects of this online care model on patient quality of life as well as patient and physician satisfaction.

The investigators' hypotheses include the following:

1. Compared to in-person visits, the online care model will result in similar clinical improvement in atopic dermatitis disease severity.
2. Compared to in-person visits, the online care model will result in similar improvements in quality of life.
3. Providers and subjects in the online group will achieve a similar level of overall satisfaction as those in the in-person group.

Enrollment: 183 patients

Sex: All

Ages: 4+ years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• Patients aged 4 years or older at time of consent, may be male or female.
• Meet the Hanifin diagnostic criteria for atopic dermatitis.
• Capable of giving informed consent (for patients less than 18 years of age, assent will be obtained from the minor and informed consent will be obtained from a legal guardian).
• Able to image their skin or have someone do it for them.
• Able to adhere to the study visit schedule and other protocol requirements.
• Have access to a computer with internet connection, a digital camera, and an e-mail address.

Exclusion criteria

• Non English speaking patients.
• Patients requiring systemic treatment (e.g., cyclosporine, phototherapy).
• Patients requiring close laboratory monitoring.

Trial design

Primary purpose: Health Services Research

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: None (Open label)

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183 participants in 2 patient groups

Teledermatology

Experimental group

Description:

Online Telemedicine Group

Treatment:

Other: Online Teledermatology Care

Usual Care

Active Comparator group

Description:

Conventional in-office care

Treatment:

Other: Conventional in Office Care