A randomized trial to evaluate the efficacy of online follow-up visits in the management of acne.
Source: Watson, A. J., et al. 2010 - Pubmed ID: 20404229
Setting: USA, 2 Teaching hospitals
RCT
Follow up: 24 weeks
Sample size:
Total: 151 (121)
IG: 74 (54)
CG: 77 (67)
Inclusion criteria:
- Mild to moderate acne
- 12 years or older
Website
Patients:
- Upload pictures
- Answer disease-specific questions
Dermatologist:
- Modify treatments
- Clarify patient history
- Attach electronic prescriptions
Intervention: Patients capture 3 facial digital images and upload them to a secure website and complete a structured set of disease-specific questions online. Dermatologists responded to e-visit subjects within 3 business days. The e-visit platform allowed physicians to modify treatments, clarify the history, and attach electronic prescriptions.
Duration: 24 weeks (4 follow up e-visits with dermatologist at 6 weeks intervals)
Add on: NA
Control group: In clinic follow up.
Clinical effect:
- Change in total inflammatory lesions →
- Acne improvement →
Patient safety: NA
Patient experiences:
- Satisfaction →
- Proportion of patients who would consider using e-visit again 91%
Staff experiences:
- Satisfaction with overall care →
Investment:
Staff resources
- Development of web site
- Training staff to review digital images.
Running:
Staff resources
- Dermatologist responding e-visit.
Organization:
- Development of new skills
Health care utilization:
- Time per visit →