The Development and Evaluation of an "E-Visit" Program for the Management of Acne

NCT ID: NCT00417456

Last Updated: 2012-03-16

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

NA

Total Enrollment

151 participants

Study Classification

INTERVENTIONAL

Study Start Date

2005-10-31

Study Completion Date

2007-12-31

Brief Summary

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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

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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.

Conditions

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Acne Vulgaris

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

HEALTH_SERVICES_RESEARCH

Blinding Strategy

NONE

Study Groups

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1

Office Visits

Group Type ACTIVE_COMPARATOR

Office visit

Intervention Type OTHER

Conventional office-based care

2

Evisit

Group Type EXPERIMENTAL

Evisit

Intervention Type OTHER

Asynchronous,remote care delivery via a secure web platform

Interventions

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Evisit

Asynchronous,remote care delivery via a secure web platform

Intervention Type OTHER

Office visit

Conventional office-based care

Intervention Type OTHER

Other Intervention Names

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RelayHealth platform

Eligibility Criteria

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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
Minimum Eligible Age

12 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Massachusetts General Hospital

OTHER

Sponsor Role lead

Responsible Party

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Joseph C. Kvedar

Director, Center for Connected Health

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Joseph C. Kvedar, M.D.

Role: PRINCIPAL_INVESTIGATOR

Massachusetts General Hospital

Locations

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MGH Dermatology Associates

Boston, Massachusetts, United States

Site Status

Brigham and Women's Hospital Department of Dermatology

Boston, Massachusetts, United States

Site Status

Countries

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United States

References

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Watson AJ, Bergman H, Williams CM, Kvedar JC. A randomized trial to evaluate the efficacy of online follow-up visits in the management of acne. Arch Dermatol. 2010 Apr;146(4):406-11. doi: 10.1001/archdermatol.2010.29.

Reference Type DERIVED
PMID: 20404229 (View on PubMed)

Other Identifiers

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2005-P-000289

Identifier Type: -

Identifier Source: org_study_id

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