Evidence map›Paper›PMID 30062632›Full record

Trial reportAmerican journal of clinical dermatology2018

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

Andrew J Marek, Emily Y Chu, Michael E Ming, Zeeshan A Khan, Carrie L Kovarik

Registry-linked trialAbstract readRandomized Controlled Trial
In one paragraph

Trial report in American journal of clinical dermatology, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02520622 (Evaluation of the Impact of Using Digital Photographs on a Mobile Device Versus Printed Photographs on Patient Conducted Skin Exams), which is not on this map. Cited by 8 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT02520622 nacompletednot on this map

Evaluation of the Impact of Using Digital Photographs on a Mobile Device Versus Printed Photographs on Patient Conducted Skin Exams

TypeinterventionalSponsorUniversity of PennsylvaniaRan2015 to 2017Enrolled69ConditionsMelanomaArmsDigital photographs loaded onto a mobile device, Skin exam reminders, Social support network
3 · Its place in the literature

Who cites it

8 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Review
  3. Review
  4. Article
  5. Review
  6. Review
  7. [Artificial intelligence and smartphone program applications (Apps) : Relevance for dermatological practice].Der Hautarzt; Zeitschrift fur Dermatologie, Venerologie, und verwandte Gebiete · 2020
    Review
  8. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Andrew J MarekDepartment of Dermatology, Johns Hopkins School of Medicine, Baltimore, MD, USA. marekandrew@icloud.com.ORCID http://orcid.org/0000-0003-4642-7256
Emily Y ChuDepartment of Dermatology, Perelman School of Medicine at the University of Pennsylvania, Philadelphia, PA, USA.
Michael E MingDepartment of Dermatology, Perelman School of Medicine at the University of Pennsylvania, Philadelphia, PA, USA.
Zeeshan A KhanDepartment of Medicine, Rowan University School of Osteopathic Medicine, Stratford, NJ, USA.
Carrie L KovarikDepartment of Dermatology, Perelman School of Medicine at the University of Pennsylvania, Philadelphia, PA, USA.

Funding

Institutional Clinical and Translational Science AwardUL1TR000003 · NCATS · UNIVERSITY OF PENNSYLVANIA · PI FITZGERALD, GARRET A · 2012 to 2015
$38.9M
Institutional Clinical and Translational Science AwardTL1TR000138 · NCATS · UNIVERSITY OF PENNSYLVANIA · PI FITZGERALD, GARRET A · 2012 to 2015
$877k
Institute for Translational Medicine and Therapeutics TL1TR000138National Center for Advancing Translational Sciences UL1TR000003NCATS NIH HHS TL1 TR000138NCATS NIH HHS UL1 TR000003
6 · The paper itself

Abstract

objectiveThe 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.

designRandomized controlled trial with computer generated randomization table to allocate interventions.

settingUniversity of Pennsylvania pigmented lesion clinic.

participants69 patients aged 18 years or older with an iPhone/iPad, who were already in possession of TBP photographs.

interventionA 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 measureChange in SSE rates as assessed by enrollment and end-of-study surveys 6 months later.

resultsEighty 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%).

conclusionA 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.

trial registrationClinicalTrials.gov Identifier: NCT02520622.

Indexed as

AdultEarly Detection of CancerFemaleFollow-Up StudiesHumansMaleMelanomaMiddle AgedMobile ApplicationsPhotographyPilot ProjectsReminder SystemsSelf-ExaminationSkin NeoplasmsSmartphoneTreatment Outcome

Identifiers

PMID30062632
PMCPMC6126944

What OpenQuestion holds

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LicenceTDM
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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.