A Randomised Controlled Trial of ePROM-Guided Flexible Scheduling in Dermatology
试验速览
- 阶段
- 不适用
- 状态
- 尚未招募
- 入组人数
- 250
- 主要终点
- Number of actualised outpatient visits
研究概览
简要总结
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?
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Health Services Research
- 盲法
- None
入排标准
- 年龄范围
- 16 Years 至 —（Child, Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •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).
排除标准
- •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.
研究组 & 干预措施
Intervention Arm
Participants in the intervention arm will not receive routine follow-up appointments at the end of their consultation. Instead, their monthly ePROM responses will feed a two-layer Bayesian decision system to determine appointment need.
干预措施: Flexible ePROM-guided Scheduling System (Behavioral)
Intervention Arm
Participants in the intervention arm will not receive routine follow-up appointments at the end of their consultation. Instead, their monthly ePROM responses will feed a two-layer Bayesian decision system to determine appointment need.
干预措施: electronic patient reported outcome measures (ePROMs) (Behavioral)
Control Arm
Participants in the control arm will continue standard care, with follow-up appointments scheduled at the end of each consultation. The ePROM responses may be used by patients for self-tracking and will be available to clinicians to inform decision-making at subsequent visits.
干预措施: electronic patient reported outcome measures (ePROMs) (Behavioral)
结局指标
主要结局
Number of actualised outpatient visits
时间窗: baseline to week 52
Difference in actualised outpatient visits (in-person + teleconsult) over 12 months (effectiveness outcome).
Proportion of completed monthly ePROMs
时间窗: baseline to week 52
Difference in proportion of completed monthly ePROMs (implementation outcome)
次要结局
- No-show rate(baseline to week 52)
- Cancelled or rescheduled appointments(baseline to week 52)
- Urgent care or unscheduled visits(baseline to week 52)
- Skin-specific Quality of Life Impairment(baseline, 6 months, 12 months)
- Clinician-assessed disease severity(baseline to week 52)
- Acceptability of the intervention(week 52)
- Perceived burden of engaging with the intervention(baseline, 6 months, 12 months)
- Fidelity to the scheduling algorithm(baseline to week 52)
- Barriers and facilitators to implementation(week 52)
- Bayesian Decision-layer outputs(baseline to week 52)