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

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

Official Title
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Comparison Between Asynchronous Online Care Model for the Management of Atopic Dermatitis With That of Face-to-Face, Office Visits

Conditions
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Atopic Dermatitis

Intervention / Treatment
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* Other: Online Teledermatology Care
* Other: Conventional in Office Care


Participation Criteria
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Eligibility Criteria
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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.

Ages Eligible for Study
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Minimum Age: 4 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Health Services Research
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: None (Open Label)


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: Teledermatology<br>Online Telemedicine Group | Other: Online Teledermatology Care<br>* Patients randomized to the intervention group will have their scheduled follow-up visits online via store and forward teledermatology.<br>* Other names: Health care service modality;|
| Active Comparator: Usual Care<br>Conventional in-office care | Other: Conventional in Office Care<br>* Patients randomized to the control group will have their scheduled follow-up visits via conventional in office care.<br>* Other names: Health care service modality;|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Eczema Area and Severity Index (EASI) |  | Every 8 weeks | 
| Patient-oriented Eczema Measure (POEM) |  | Every 8 weeks | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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Teledermatology, Telemedicine, Atopic Dermatitis