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Development of SkinTracker, an integrated dermatology mobile app and web portal enabling remote clinical research studies
INTRODUCTION: In-person dermatology clinical research studies often face recruitment and participation challenges due to travel-, time-, and cost-associated barriers. Studies incorporating virtual/asynchronous formats can potentially enhance research subject participation and satisfaction, but few m...
Autores principales: | , , , , , , , , , , , , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Frontiers Media S.A.
2023
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10516539/ https://www.ncbi.nlm.nih.gov/pubmed/37744686 http://dx.doi.org/10.3389/fdgth.2023.1228503 |
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author | Jin, Joy Q. Hong, Julie Elhage, Kareem G. Braun, Mitchell Spencer, Riley K. Chung, Mimi Yeroushalmi, Samuel Hadeler, Edward Mosca, Megan Bartholomew, Erin Hakimi, Marwa Davis, Mitchell S. Thibodeaux, Quinn Wu, David Kahlon, Abhilash Dhaliwal, Paul Mathes, Erin F. Dhaliwal, Navdeep Bhutani, Tina Liao, Wilson |
author_facet | Jin, Joy Q. Hong, Julie Elhage, Kareem G. Braun, Mitchell Spencer, Riley K. Chung, Mimi Yeroushalmi, Samuel Hadeler, Edward Mosca, Megan Bartholomew, Erin Hakimi, Marwa Davis, Mitchell S. Thibodeaux, Quinn Wu, David Kahlon, Abhilash Dhaliwal, Paul Mathes, Erin F. Dhaliwal, Navdeep Bhutani, Tina Liao, Wilson |
author_sort | Jin, Joy Q. |
collection | PubMed |
description | INTRODUCTION: In-person dermatology clinical research studies often face recruitment and participation challenges due to travel-, time-, and cost-associated barriers. Studies incorporating virtual/asynchronous formats can potentially enhance research subject participation and satisfaction, but few mobile health tools are available to enable remote study conduct. We developed SkinTracker, a patient-facing mobile app and researcher-facing web platform, that enables longitudinal collection of skin photos, patient reported outcomes, and biometric health and environmental data. METHODS: Eight design thinking sessions including dermatologists, clinical research staff, software engineers, and graphic designers were held to create the components of SkinTracker. Following iterative prototyping, SkinTracker was piloted across six adult and four pediatric subjects with atopic dermatitis (AD) of varying severity levels to test and provide feedback on SkinTracker for six months. RESULTS: The SkinTracker app enables collection of informed consent for study participation, baseline medical history, standardized skin photographs, patient-reported outcomes (e.g., Patient Oriented Eczema Measure (POEM), Pruritus Numerical Rating Scale (NRS), Dermatology Life Quality Index (DLQI)), medication use, adverse events, voice diary to document qualitative experiences, chat function for communication with research team, environmental and biometric data such as exercise and sleep metrics through integration with an Apple Watch. The researcher web portal allows for management and visualization of subject enrollment, skin photographs for examination and severity scoring, survey completion, and other patient modules. The pilot study requested that subjects complete surveys and photographs on a weekly to monthly basis via the SkinTracker app. Afterwards, participants rated their experience in a 7-item user experience survey covering app function, design, and desire for participation in future studies using SkinTracker. Almost all subjects agreed or strongly agreed that SkinTracker enabled more convenient participation in skin research studies compared to an in-person format. DISCUSSION: To our knowledge, SkinTracker is one of the first integrated app- and web-based platforms allowing collection and management of data commonly obtained in clinical research studies. SkinTracker enables detailed, frequent capture of data that may better reflect the fluctuating course of conditions such as AD, and can be modularly customized for different skin conditions to improve dermatologic research participation and patient access. |
format | Online Article Text |
id | pubmed-10516539 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2023 |
publisher | Frontiers Media S.A. |
record_format | MEDLINE/PubMed |
spelling | pubmed-105165392023-09-23 Development of SkinTracker, an integrated dermatology mobile app and web portal enabling remote clinical research studies Jin, Joy Q. Hong, Julie Elhage, Kareem G. Braun, Mitchell Spencer, Riley K. Chung, Mimi Yeroushalmi, Samuel Hadeler, Edward Mosca, Megan Bartholomew, Erin Hakimi, Marwa Davis, Mitchell S. Thibodeaux, Quinn Wu, David Kahlon, Abhilash Dhaliwal, Paul Mathes, Erin F. Dhaliwal, Navdeep Bhutani, Tina Liao, Wilson Front Digit Health Digital Health INTRODUCTION: In-person dermatology clinical research studies often face recruitment and participation challenges due to travel-, time-, and cost-associated barriers. Studies incorporating virtual/asynchronous formats can potentially enhance research subject participation and satisfaction, but few mobile health tools are available to enable remote study conduct. We developed SkinTracker, a patient-facing mobile app and researcher-facing web platform, that enables longitudinal collection of skin photos, patient reported outcomes, and biometric health and environmental data. METHODS: Eight design thinking sessions including dermatologists, clinical research staff, software engineers, and graphic designers were held to create the components of SkinTracker. Following iterative prototyping, SkinTracker was piloted across six adult and four pediatric subjects with atopic dermatitis (AD) of varying severity levels to test and provide feedback on SkinTracker for six months. RESULTS: The SkinTracker app enables collection of informed consent for study participation, baseline medical history, standardized skin photographs, patient-reported outcomes (e.g., Patient Oriented Eczema Measure (POEM), Pruritus Numerical Rating Scale (NRS), Dermatology Life Quality Index (DLQI)), medication use, adverse events, voice diary to document qualitative experiences, chat function for communication with research team, environmental and biometric data such as exercise and sleep metrics through integration with an Apple Watch. The researcher web portal allows for management and visualization of subject enrollment, skin photographs for examination and severity scoring, survey completion, and other patient modules. The pilot study requested that subjects complete surveys and photographs on a weekly to monthly basis via the SkinTracker app. Afterwards, participants rated their experience in a 7-item user experience survey covering app function, design, and desire for participation in future studies using SkinTracker. Almost all subjects agreed or strongly agreed that SkinTracker enabled more convenient participation in skin research studies compared to an in-person format. DISCUSSION: To our knowledge, SkinTracker is one of the first integrated app- and web-based platforms allowing collection and management of data commonly obtained in clinical research studies. SkinTracker enables detailed, frequent capture of data that may better reflect the fluctuating course of conditions such as AD, and can be modularly customized for different skin conditions to improve dermatologic research participation and patient access. Frontiers Media S.A. 2023-09-06 /pmc/articles/PMC10516539/ /pubmed/37744686 http://dx.doi.org/10.3389/fdgth.2023.1228503 Text en © 2023 Jin, Hong, Elhage, Braun, Spencer, Chung, Yeroushalmi, Hadeler, Mosca, Bartholomew, Hakimi, Davis, Thibodeaux, Wu, Kahlon, Dhaliwal, Mathes, Dhaliwal, Bhutani and Liao. https://creativecommons.org/licenses/by/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY) (https://creativecommons.org/licenses/by/4.0/) . The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms. |
spellingShingle | Digital Health Jin, Joy Q. Hong, Julie Elhage, Kareem G. Braun, Mitchell Spencer, Riley K. Chung, Mimi Yeroushalmi, Samuel Hadeler, Edward Mosca, Megan Bartholomew, Erin Hakimi, Marwa Davis, Mitchell S. Thibodeaux, Quinn Wu, David Kahlon, Abhilash Dhaliwal, Paul Mathes, Erin F. Dhaliwal, Navdeep Bhutani, Tina Liao, Wilson Development of SkinTracker, an integrated dermatology mobile app and web portal enabling remote clinical research studies |
title | Development of SkinTracker, an integrated dermatology mobile app and web portal enabling remote clinical research studies |
title_full | Development of SkinTracker, an integrated dermatology mobile app and web portal enabling remote clinical research studies |
title_fullStr | Development of SkinTracker, an integrated dermatology mobile app and web portal enabling remote clinical research studies |
title_full_unstemmed | Development of SkinTracker, an integrated dermatology mobile app and web portal enabling remote clinical research studies |
title_short | Development of SkinTracker, an integrated dermatology mobile app and web portal enabling remote clinical research studies |
title_sort | development of skintracker, an integrated dermatology mobile app and web portal enabling remote clinical research studies |
topic | Digital Health |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10516539/ https://www.ncbi.nlm.nih.gov/pubmed/37744686 http://dx.doi.org/10.3389/fdgth.2023.1228503 |
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