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E-health in caring for patients with atopic dermatitis. An economic evaluation comparing usual care with Internet-guided monitoring and self-management training by a nurse practitioner.


- candidate number1986
- NTR NumberNTR612
- ISRCTNISRCTN92520775
- Date ISRCTN created19-jul-2006
- date ISRCTN requested4-jul-2006
- Date Registered NTR20-feb-2006
- Secondary IDsN/A 
- Public TitleE-health in caring for patients with atopic dermatitis. An economic evaluation comparing usual care with Internet-guided monitoring and self-management training by a nurse practitioner.
- Scientific TitleE-health in caring for patients with atopic dermatitis. An economic evaluation comparing usual care with Internet-guided monitoring and self-management training by a nurse practitioner.
- ACRONYME-health patients with atopic dermatitis.
- hypothesisWe hypothesize that e-health, consisting of internet guided monitoring and self management training online, for patients with atopic dermatitis combines cost savings with an improvement in quality of life.
- Healt Condition(s) or Problem(s) studiedAtopic dermatitis
- Inclusion criteria1. Patients with moderate or severe AD aged 16+ or parents of children aged 0 to 4; 2. Who visit the outpatient department of dermatology of the UMC Utrecht or Erasmus MC Rotterdam for the first time; 3. Who have Internet access.
- Exclusion criteria1. Oral immunosuppressive drugs; 2. UV-B / UV-A light therapy.
- mec approval receivedyes
- multicenter trialyes
- randomisedyes
- masking/blindingNone
- controlActive
- groupParallel
- Type-
- Studytypeintervention
- planned startdate 1-mrt-2006
- planned closingdate1-feb-2009
- Target number of participants200
- InterventionsIntervention group: E-health E-health consists of Internet guided monitoring and self-management training. Every patient has access to his personal website using a password. The nurse practitioner (NP) has access to this site too. This personal website contains: 1. General information about atopic dermatitis (AD) and personal information about prescribed treatment and daily skincare; 2. Provides monitoring information. The patient can monitor the disease using digital photographs of the skin, a self score of skin status, VAS-scores of sleeping and itching and by keeping a diary of ointment use. The NP uses the data to support patients or parents in self management by e-mail; 3. Offers the possibility for E-mail contact between the patient and NP on all working days; 4. Facilitates an assessment of psychosocial aspects and consequences of having AD for daily living. The NP can counsel, give information or advice in individual cases. Follow-up visits to the NP or dermatologist are possible in individual cases where e-health is inadequate. The control group receives the usual care consisting of scheduled follow-up visits to the dermatologist and the dermatology nurse practitioner.
- Primary outcome1. Direct and indirect costs of care; 2. Quality of Life.
- Secondary outcome1. Severity and extensiveness of the AD.
- Timepoints
- Trial web siteN/A
- statusopen: patient inclusion
- CONTACT FOR PUBLIC QUERIESDrs. Petra Eland-de Kok
- CONTACT for SCIENTIFIC QUERIESDrs. Petra Eland-de Kok
- Sponsor/Initiator University Medical Center Utrecht (UMCU), Department of Dermatology and Allergology
- Funding
(Source(s) of Monetary or Material Support)
ZON-MW, The Netherlands Organization for Health Research and Development
- PublicationsN/A
- Brief summaryThe problem investigated in this proposal is the inefficiency of scheduled visits for patients with atopic dermatitis (AD) and parents of young children with AD. The subject of the study is an economic evaluation comparing usual care with e-health consisting of internet guided monitoring and self-management training by a nurse practitioner(NP) using a personal website. It is expected that the proposed intervention combines cost savings with an improvement in quality of life. In a randomized controlled trial e-health for adults and parents of young children with AD will be compared with usual care, consisting of scheduled follow-up visits to the dermatologist and the dermatology nurse practitioner. Primary outcome measures are direct and indirect costs of care (fixed costs of e-health service; out-patient visits; days off work by adult patients and the parents of patients with AD) and Quality of Life. Secondary parameters are patient satisfaction and severity and extensiveness of the AD. Data-analysis will take place at three moments (baseline, after 3 and 12 months). Based on the power calculation two times 100 patients will be sufficient. The balance between costs and effects will be addressed using a multi-criteria analysis representing all outcomes and costs for both adults and parents of children. The total duration of the project is three years: patient inclusion 1,5 year, continuation 1 year and processing data 0,5 year.
- Main changes (audit trail)
- RECORD20-feb-2006 - 21-nov-2006


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