Piloting the Use of Smartphones, Reminders, and Accountability Partners to Promote Skin Self-Examinations in Patients with Total Body Photography: A Randomized Controlled Trial.

MedStar author(s):
Citation: American Journal of Clinical Dermatology. 19(5):779-785, 2018 Oct.PMID: 30062632Institution: MedStar Harbor HospitalForm of publication: Journal ArticleMedline article type(s): Journal ArticleSubject headings: *Early Detection of Cancer/is [Instrumentation] | *Melanoma/pc [Prevention & Control] | *Photography/is [Instrumentation] | *Self-Examination/is [Instrumentation] | *Skin Neoplasms/pc [Prevention & Control] | Adult | Early Detection of Cancer/mt [Methods] | Female | Follow-Up Studies | Humans | Male | Melanoma/dg [Diagnostic Imaging] | Middle Aged | Mobile Applications | Pilot Projects | Reminder Systems/is [Instrumentation] | Self-Examination/mt [Methods] | Skin Neoplasms/dg [Diagnostic Imaging] | Smartphone | Treatment Outcome | Young AdultYear: 2018ISSN:
  • 1175-0561
Name of journal: American journal of clinical dermatologyAbstract: CONCLUSION: A mobile app alone, or with reminders and/or accountability partners, was found to be an effective tool that can help to increase SSE rates. Skin examination reminders may help provide a better overall experience for a subset of patients.DESIGN: Randomized controlled trial with computer generated randomization table to allocate interventions.INTERVENTION: A mobile app loaded with digital TBP photos for all participants, and either (1) the mobile app only, (2) skin examination reminders, (3) an accountability partner, or (4) reminders and an accountability partner.MAIN OUTCOME MEASURE: Change in SSE rates as assessed by enrollment and end-of-study surveys 6 months later.OBJECTIVE: The aim of this study was to evaluate the use of a mobile application (app) in patients already using total body photography (TBP) to increase skin self-examination (SSE) rates and pilot the effectiveness of examination reminders and accountability partners.PARTICIPANTS: 69 patients aged 18 years or older with an iPhone/iPad, who were already in possession of TBP photographs.RESULTS: Eighty one patients completed informed consent, however 12 patients did not complete trial enrollment procedures due to device incompatibility, leaving 69 patients who were randomized and analyzed [mean age 54.3 years, standard deviation 13.9). SSE rates increased significantly from 58% at baseline to 83% at 6 months (odds ratio 2.64, 95% confidence interval 1.20-4.09), with no difference among the intervention groups. The group with examination reminders alone had the highest (94%) overall satisfaction, and the group with accountability partners alone accounted for the lowest (71%).SETTING: University of Pennsylvania pigmented lesion clinic.TRIAL REGISTRATION: ClinicalTrials.gov Identifier: NCT02520622.All authors: Chu EY, Khan ZA, Kovarik CL, Marek AJ, Ming MEFiscal year: FY2019Digital Object Identifier: ORCID: Date added to catalog: 2018-08-02
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Journal Article MedStar Authors Catalog Article 30062632 Available 30062632

CONCLUSION: A mobile app alone, or with reminders and/or accountability partners, was found to be an effective tool that can help to increase SSE rates. Skin examination reminders may help provide a better overall experience for a subset of patients.

DESIGN: Randomized controlled trial with computer generated randomization table to allocate interventions.

INTERVENTION: A mobile app loaded with digital TBP photos for all participants, and either (1) the mobile app only, (2) skin examination reminders, (3) an accountability partner, or (4) reminders and an accountability partner.

MAIN OUTCOME MEASURE: Change in SSE rates as assessed by enrollment and end-of-study surveys 6 months later.

OBJECTIVE: The aim of this study was to evaluate the use of a mobile application (app) in patients already using total body photography (TBP) to increase skin self-examination (SSE) rates and pilot the effectiveness of examination reminders and accountability partners.

PARTICIPANTS: 69 patients aged 18 years or older with an iPhone/iPad, who were already in possession of TBP photographs.

RESULTS: Eighty one patients completed informed consent, however 12 patients did not complete trial enrollment procedures due to device incompatibility, leaving 69 patients who were randomized and analyzed [mean age 54.3 years, standard deviation 13.9). SSE rates increased significantly from 58% at baseline to 83% at 6 months (odds ratio 2.64, 95% confidence interval 1.20-4.09), with no difference among the intervention groups. The group with examination reminders alone had the highest (94%) overall satisfaction, and the group with accountability partners alone accounted for the lowest (71%).

SETTING: University of Pennsylvania pigmented lesion clinic.

TRIAL REGISTRATION: ClinicalTrials.gov Identifier: NCT02520622.

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