A Randomised Controlled Trial of ePROM-Guided Flexible Scheduling in Dermatology

Trial statusNot yet recruiting
Trial phaseNot applicable
Trial typeInterventional
Biological sexAll
Age16+
SponsorNational University Hospital, Singapore

About this trial

The goal of this clinical trial is to evaluate whether an electronic patient-reported outcome measure (ePROM)-guided flexible scheduling system can improve outpatient clinic resource utilisation in patients attending dermatology outpatient clinics for routine follow-up. The main questions it aims to answer are:

* Does the intervention reduce the number of actualised outpatient visits over 12 months compared with standard fixed scheduling? * Does the intervention group achieve higher adherence to monthly ePROM monitoring, as measured by the proportion of completed ePROM submissions?

Eligibility criteria

This trial does not accept healthy volunteers

Qualifiers

Dermatology outpatients otherwise due for a follow-up appointment within six months.

Ability to independently navigate and complete ePROMs.

Ability to provide informed consent (including parental consent for minors).

Disqualifiers

Patients who require fixed or scheduled in-person visits, including those needing skin cancer surveillance, bedside procedures (e.g., liquid nitrogen therapy), surgical interventions, or routine blood tests for immunosuppressive therapy.

Trial design

Design model

Parallel

Treatments tested in this trial

  • Flexible ePROM-guided Scheduling System

    Behavioral

    Monthly ePROM responses will feed a Bayesian decision system to determine appointment need, which will then be used to make recommendations to patients for scheduling of appointments.

  • electronic patient reported outcome measures (ePROMs)

    Behavioral

    Monthly electronic patient reported outcome measures (ePROMs) surveys will be sent to patients' mobile devices to capture self-reported disease severity data.

Treatment groups

250 Participants
are divided into 2 treatment groups
Group A: Intervention ArmExperimental treatment 2 interventions
Group B: Control ArmActive comparator 1 intervention

Trial outcomes

Primary outcomes

1

Number of actualised outpatient visits

Difference in actualised outpatient visits (in-person + teleconsult) over 12 months (effectiveness outcome).

Time frame
baseline to week 52
2

Proportion of completed monthly ePROMs

Difference in proportion of completed monthly ePROMs (implementation outcome)

Time frame
baseline to week 52

Secondary outcomes

1

No-show rate

Number of appointments missed without prior rescheduling or cancellation

Time frame
baseline to week 52
2

Cancelled or rescheduled appointments

Appointments booked but cancelled or rescheduled before the actual appointment date

Time frame
baseline to week 52
3

Urgent care or unscheduled visits

Emergency department visits or other urgent care visits related to patient's dermatological condition

Time frame
baseline to week 52
4

Skin-specific Quality of Life Impairment

Changes in quality of life using the Dermatology Life Quality Index (DLQI). Minimum Score: 0 (no impact on quality of life). Maximum Score: 30 (extremely large impact on quality of life).

Time frame
baseline, 6 months, 12 months

Other outcomes

Locations

This trial has no locations.

Sponsors and contacts

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