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Online vs In-Person Care for Adults with Psoriasis
JAMA Network Open; ePub 2018 Oct 5; Armstrong, et al
Innovative telehealth delivery models that emphasize collaboration, quality, and efficiency can be transformative to improving patient-centered outcomes in chronic diseases, such as psoriasis, a recent study found. Furthermore, the online, collaborative connected-health model was as effective as in-person management in improving clinical outcomes among patients with psoriasis. Adults with psoriasis were randomized 1:1 to receive online or in-person care (148 randomized to online care and 148 randomized to in-person care). The online model enabled patients and primary care physicians to access dermatologists online asynchronously. Dermatologists provided assessments, recommendations, education, and prescriptions online. The in-person group sought care in person. All participants were exposed to their respective interventions for 12 months. Researchers found:
- Of the 296 randomized participants, 147 were women, 149 were men, 187 were white, and the mean (SD) age was 49 (14) years.
- The adjusted difference between the online and in-person groups in the mean change in the self-administered Psoriasis Area Severity Index (PASI) score during the 12-month study period was –0.27.
- The difference in the mean change in body surface area (BSA) affected by psoriasis between the 2 groups was –0.05%.
Armstrong AW, Chambers CJ, Maverakis E, et al. Effectiveness of online vs in-person care for adults with psoriasis. A randomized clinical trial. [Published online ahead of print October 5, 2018]. JAMA Network Open. doi:10.1001/jamanetworkopen.2018.3062.