Dataset Information

Effect of store and forward teledermatology on quality of life: a randomized controlled trial.

ABSTRACT: Although research on quality of life and dermatologic conditions is well represented in the literature, information on teledermatology's effect on quality of life is virtually absent.To determine the effect of store and forward teledermatology on quality of life.Two-site, parallel-group, superiority randomized controlled trial.Dermatology clinics and affiliated sites of primary care at 2 US Department of Veterans Affairs medical facilities.Patients being referred to a dermatology clinic were randomly assigned, stratified by site, to teledermatology or the conventional consultation process. Among the 392 patients who met the inclusion criteria and were randomized, 326 completed the allocated intervention and were included in the analysis.Store and forward teledermatology (digital images and a standardized history) or conventional text-based consultation processes were used to manage the dermatology consultations. Patients were followed up for 9 months.The primary end point was change in Skindex-16 scores, a skin-specific quality-of-life instrument, between baseline and 9 months. A secondary end point was change in Skindex-16 scores between baseline and 3 months.Patients in both randomization groups demonstrated a clinically significant improvement in Skindex-16 scores between baseline and 9 months with no significant difference by randomization group (P = .66, composite score). No significant difference in Skindex-16 scores by randomization group between baseline and 3 months was found (P = .39, composite score).Compared with the conventional consultation process, store and forward teledermatology did not result in a statistically significant difference in skin-related quality of life at 3 or 9 months after referral.clinicaltrials.gov Identifier: NCT00488293.

SUBMITTER: Whited JD

PROVIDER: S-EPMC3726199 | biostudies-literature | 2013 May

REPOSITORIES: biostudies-literature

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Effect of store and forward teledermatology on quality of life: a randomized controlled trial.

Whited John D JD Warshaw Erin M EM Edison Karen E KE Kapur Kush K Thottapurathu Lizy L Raju Srihari S Cook Bethany B Engasser Holly H Pullen Samantha S Parks Patricia P Sindowski Tom T Motyka Danuta D Brown Rodney R Moritz Thomas E TE Datta Santanu K SK Chren Mary-Margaret MM Marty Lucinda L Reda Domenic J DJ

JAMA dermatology 20130501 5

<h4>Importance</h4>Although research on quality of life and dermatologic conditions is well represented in the literature, information on teledermatology's effect on quality of life is virtually absent.<h4>Objective</h4>To determine the effect of store and forward teledermatology on quality of life.<h4>Design</h4>Two-site, parallel-group, superiority randomized controlled trial.<h4>Setting</h4>Dermatology clinics and affiliated sites of primary care at 2 US Department of Veterans Affairs medical ...[more]

PMID: 23426111

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Project description:Although partner violence screening has been endorsed by many health organizations, there is insufficient evidence that it has beneficial health outcomes.To determine the effect of computerized screening for partner violence plus provision of a partner violence resource list vs provision of a partner violence list only on women's health in primary care settings, compared with a control group.A 3-group blinded randomized controlled trial at 10 primary health care centers in Cook County, Illinois. Participants were enrolled from May 2009-April 2010 and reinterviewed 1 year (range, 48-56 weeks) later. Participants were English- or Spanish-speaking women meeting specific inclusion criteria and seeking clinical services at study sites. Of 3537 women approached, 2727 were eligible, 2708 were randomized (99%), and 2364 (87%) were recontacted 1 year later. Mean age of participants was 39 years. Participants were predominantly non-Latina African American (55%) or Latina (37%), had a high school education or less (57%), and were uninsured (57%).Randomization into 3 intervention groups: (1) partner violence screen (using the Partner Violence Screen instrument) plus a list of local partner violence resources if screening was positive (n = 909); (2) partner violence resource list only without screen (n = 893); and (3) no-screen, no-partner violence list control group (n=898).Quality of life (QOL, physical and mental health components) was the primary outcome, measured on the 12-item Short Form (scale range 0-100, mean of 50 for US population).At 1-year follow-up, there were no significant differences in the QOL physical health component between the screen plus partner violence resource list group (n = 801; mean score, 46.8; 95% CI, 46.1-47.4), the partner violence resource list only group (n = 772; mean score, 46.4; 95% CI, 45.8-47.1), and the control group (n = 791; mean score, 47.2; 95% CI, 46.5-47.8), or in the mental health component (screen plus partner violence resource list group [mean score, 48.3; 95% CI, 47.5-49.1], the partner violence resource list only group [mean score, 48.0; 95% CI, 47.2-48.9], and the control group [mean score, 47.8; 95% CI, 47.0-48.6]). There were also no differences between groups in days unable to work or complete housework; number of hospitalizations, emergency department, or ambulatory care visits; proportion who contacted a partner violence agency; or recurrence of partner violence.Among women receiving care in primary care clinics, providing a partner violence resource list with or without screening did not result in improved health.clinicaltrials.gov Identifier: NCT00526994.

Dataset Information

Effect of store and forward teledermatology on quality of life: a randomized controlled trial.

Publications

Effect of store and forward teledermatology on quality of life: a randomized controlled trial.

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