Evidence map›Paper›PMID 30481495›Full record

Trial reportThe Journal of investigative dermatology2019

Online Care Versus In-Person Care for Improving Quality of Life in Psoriasis: A Randomized Controlled Equivalency Trial.

April W Armstrong, Adam R Ford, Cindy J Chambers, Emanual Maverakis, Cory A Dunnick, Mary-Margaret Chren, Joel M Gelfand, Caitlin M Gibbons, Brittany M Gibbons, Christianne J Lane

Registry-linked trialOpen access · bronzeAbstract readComparative StudyMulticenter StudyRandomized Controlled Trial
In one paragraph

Trial report in The Journal of investigative dermatology, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02358135 (Collaborative Connected Health), which is not on this map. Cited by 22 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
22citing papers in PubMed, 2 pooled it
2.1field-weighted citation impact, top 12% of its field
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.

NCT02358135 nacompletednot on this map

Collaborative Connected Health (CCH): A Pragmatic Trial Evaluating Effectiveness of CCH in Psoriasis Management Compared to In-person Visits.

TypeinterventionalSponsorUniversity of Southern CaliforniaRan2015 to 2017Enrolled300ConditionsPsoriasisArmsCollaborative Connected health, (CCH), Control
3 · Its place in the literature

Who cites it

22 citing papers in PubMed, 2 syntheses or guidelines pooled it, 50 citations in OpenAlex.

  1. Pooled it
  2. Guideline
  3. Understanding patient priorities in teledermatology for psoriasis: A discrete choice experiment.Journal of the European Academy of Dermatology and Venereology : JEADV · 2025
    Trial
  4. Trial
  5. Attitudes of dermatological patients towards digital health interventions: a cross-sectional survey and cluster analysis.Journal der Deutschen Dermatologischen Gesellschaft = Journal of the German Society of Dermatology : JDDG · 2026
    Article
  6. Article
  7. Article
  8. Article
  9. Article
  10. Review
  11. Article
  12. Article
  13. Article
  14. Article
  15. Article
  16. Sun Protection Behavior Following Skin Cancer Resection and Reconstruction.Journal of cancer education : the official journal of the American Association for Cancer Education · 2022
    Article
  17. Article
  18. Article
  19. Teledermatology in the time of COVID-19.International journal of clinical practice · 2021
    Review
  20. 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

10 authors at 5 institutions in 1 country.

April W ArmstrongUniversity of Southern California, Los Angeles, California, USA. Electronic address: aprilarmstrong@post.harvard.edu.
Adam R FordUniversity of Southern California, Los Angeles, California, USA.
Cindy J ChambersUniversity of California Davis, Sacramento, California, USA.
Emanual MaverakisUniversity of California Davis, Sacramento, California, USA.
Cory A DunnickUniversity of Colorado Denver, Aurora, Colorado, USA.
Mary-Margaret ChrenVanderbilt University Medical Center, Nashville, Tennessee, USA.
Joel M GelfandUniversity of Pennsylvania, Philadelphia, Pennsylvania, USA.
Caitlin M GibbonsUniversity of Southern California, Los Angeles, California, USA.
Brittany M GibbonsUniversity of Southern California, Los Angeles, California, USA.
Christianne J LaneUniversity of Southern California, Los Angeles, California, USA.
University of Southern California · USUniversity of California, Davis · USUniversity of Colorado Denver · USUniversity of Pennsylvania · USVanderbilt University Medical Center · US

Funding

Patient-Centered Outcomes Research Institute IHS-071502-IC
6 · The paper itself

Abstract

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).

Indexed as

Disease ManagementAdultConfidence IntervalsDermatologic AgentsDermatologyFemaleHumansLinear ModelsMaleMiddle AgedOffice VisitsPrognosisPsoriasisRisk AssessmentSeverity of Illness IndexTelemedicineDermatologic Agents

Identifiers

PMID30481495
PMCPMC6599714
OpenAlexW2901927288

What OpenQuestion holds

Textmetadata
Read underepoch 390

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.