Acne Vulgaris
Conditions
Keywords
Acne, Telemedicine, Dermatology
Brief summary
The purpose of this study is to test the efficacy, timeliness, and user satisfaction of an online E-Visit application that uses store-and-forward technology for acne patients requiring dermatologic care for their condition. Hypotheses: 1. That an E-Visit is an effective alternative to in-person clinic care for patients with mild to severe facial acne. 2. That providers and patients will be satisfied with this model. 3. That mean wait times for new and return visits will be reduced through the E-Visit model. 4. That this prototype for care will improve clinic workflow, offer additional patient access, and allow urgent cases to be seen earlier.
Detailed description
Across the United States, a geographically mal-distributed workforce of Dermatologists exists, a problem that is projected to worsen. Patient access to dermatologic care is threatened. The dermatology workforce shortage has resulted in long wait times for patients, especially new patient visits and acute care cases. Teledermatology has received much attention as a solution to the preceding problems. Teledermatology can reduce the burden of repeat office visits in chronic conditions by facilitating care from home. In this trial, a model incorporating store-and-forward technology is tested in general clinics while its impact on clinical outcomes, satisfaction, and wait times are studied. Comparison: After consent, study subjects are assigned a unique study number and randomly assigned to one of two groups: Group 1- The first group of subjects will have four (4) in-office visits spaced six weeks apart. Group 2- The second group will have four (4) e-visits spaced six weeks apart. At the end of study (after completion of 5th visit overall) all participants will complete a satisfaction survey.
Interventions
OTHEREvisit
Asynchronous,remote care delivery via a secure web platform
OTHEROffice visit
Conventional office-based care
Sponsors
Massachusetts General Hospital
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
HEALTH_SERVICES_RESEARCH
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
12 Years to No maximum
Healthy volunteers
No
Inclusion criteria
* Age 12 or older * Diagnosis of mild to severe facial acne * Access to a credit card * Access to an Internet connection and a computer * Ability to image self * MA Blue Cross/ Blue Shield Coverage
Exclusion criteria
* Non-English speaking individuals * Patients taking Accutane for their acne * Impaired Physical ability to image self * Impaired Cognitive ability
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Peer review of subject images using the Total Inflammatory Lesion Count at the end of active recruitment | 6 months |
Secondary
| Measure | Time frame |
|---|---|
| Subject satisfaction | 6 months |
| Physician satisfaction | 6 months |
| Timing of visits | ongoing |
Countries
United States
Outcome results
None listed