Actinic Keratoses, Dermatology, E-learning
Conditions
Brief summary
The evaluation on the diagnostic accuracy of actinic keratosis recognition by general practitioners before and after participation on an e-learning program.
Detailed description
Actinic keratosis is defined as the most frequent common intra-epithelial neoplasm in the Caucasian population, with an increasing prevalence. If left untreated, actinic keratosis has the potency to develop into a cutaneous squamous-cell carcinoma. Treatment of actinic keratosis is aimed at both lesion reduction and to prevent malignant transformation. To achieve treatment adherence for patients, it is necessary to raise physician awareness about actinic keratosis. This study primarily aimed to investigate whether the sensitivity of establishing a correct actinic keratosis diagnosis by general practitioners (in training) would increase after participating in an e-learning program about the recognition of actinic keratosis. This was achieved by comparing the results of a pre- and post-test completed by general practitioners which was incorporated in the e-learning program.
Interventions
All participants participate in this intervention: an e-learning program about the recognition of actinic keratosis. The program exists of 30 cases. Each case exists of a question and thorough explanation including references to various sources.
Sponsors
Study design
Eligibility
Inclusion criteria
* general practitioner in the Netherlands * access to e-learning module via phone/computer/tablet * knowledge of the Dutch language
Exclusion criteria
* no knowledge of the Dutch language * different specialists than general practitioner
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Difference in sensitivity | Measurement by baseline and after finalising the e-learning program (same day up until 30 days) | Difference in sensitivity of participants in the recognition of actinic keratosis, before and after the use of an e-learning program (paired). |
| Difference in specificity | Measurement by baseline and after finalising the e-learning program (same day up until 30 days) | Difference in specificity of participants in the recognition of actinic keratosis, before and after the use of an e-learning program (paired). |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Difference in area under the receiver operating characteristic (ROC) curve | Measurement by baseline and after finalising the e-learning program (same day up until 30 days) | Difference in area under the curve of participants in the recognition of actinic keratosis, before and after the use of an e-learning program. |
Countries
Netherlands