Online Care Versus In-Person Care for Improving Quality of Life in Psoriasis: A Randomized Controlled Equivalency Trial
| Autor: | Armstrong, April W, Ford, Adam R, Chambers, Cindy J, Maverakis, Emanual, Dunnick, Cory A, Chren, Mary-Margaret, Gelfand, Joel M, Gibbons, Caitlin M, Gibbons, Brittany M, Lane, Christianne J |
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| Rok vydání: | 2019 |
| Předmět: |
Adult
Male Comparative Effectiveness Research Office Visits Clinical Trials and Supportive Activities Clinical Sciences Oncology and Carcinogenesis Dermatology Severity of Illness Index Risk Assessment 7.1 Individual care needs Clinical Research Confidence Intervals Humans Psoriasis Dermatology & Venereal Diseases Disease Management Middle Aged Prognosis Telemedicine United States Treatment Outcome Good Health and Well Being Linear Models Female Dermatologic Agents Management of diseases and conditions |
| Zdroj: | The Journal of investigative dermatology, vol 139, iss 5 |
| Popis: | This 12-month, pragmatic, randomized controlled equivalency trial evaluated whether an online, collaborative connected-health model results in equivalent improvements in quality of life compared with in-person care for psoriasis. Overall, 296 adults with physician-diagnosed psoriasis from ambulatory clinics were randomly assigned to either online or in-person care; all were analyzed for outcomes. In the online group, patients and primary care providers sought dermatologists' care directly and asynchronously online. The in-person group sought care face to face. Interventions did not allow blinding of participants; investigators were blinded during analysis. Across 12 months, for the online group, the mean ± standard deviation decline in Skindex-16 from baseline across follow-up visits was 9.02 ± 20.67 compared with 10.55 ± 23.50 for the in-person group. The difference in Skindex-16 between the two groups was -0.83 (95% confidence interval= -5.18 to 3.51), and this was within the equivalence margin (±7.0). For the online group, the mean ± standard deviation decline in Dermatology Life Quality Index was 1.64 ± 4.34 compared with 1.18 ± 4.77 for the in-person group. The difference in Dermatology Life Quality Index between the two groups was -0.45 (95% confidence interval=-1.29 to 0.38) and was within the equivalence margin (±2.5). In conclusion, the online model was as effective as in-person care in improving quality of life among psoriasis patients. This study was funded by the Patient-Centered Outcomes Research Institute and is registered on clinicaltrials.gov (NCT02358135). |
| Databáze: | OpenAIRE |
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