Usability, Acceptability, and Impact of a Pediatric Teledermatology Mobile Health Application

Abstract

A mobile health app allowing families to directly consult a pediatric dermatologist was usable, acceptable, and expedited care.

A Framework-Driven Systematic Review of the Barriers and Facilitators to Teledermatology Implementation

“…Additionally, the lack of in-person contact restricted dialog between patients and dermatologists, and created communication difficulties for providing patients with diagnoses, advice, and emotional support [ 43 – 44 , 55 , 57 ]. Studies also reported several technological limitations associated with teledermatology; these include slow image uploading and downloading speed [ 36 , 43 ] and cumbersome technology user interface [ 37 , 38 , 46 , 48 , 57 , 59 ]. Primary care providers reported additional barriers related to the time and money required to set up teledermatology technology [ 39 , 41 , 47 ].…”

“…Questionnaires (20 studies, 67% of included studies) and interviews (9 studies, 30% of included studies) were the most common methods of data collection. Only three of the thirty studies used a theoretical implementation framework to guide their investigation [42][43][44][45][46][47][48][49][50][51][52][53][54][55][56][57][58][59][60]. Each of the three studies used the technology acceptance model, a model designed to assess individuals' level of acceptance of technology (i.e., teledermatology).…”

“…Teledermatology technologies were reported to be useful ways to improve both patients' and primary care providers' knowledge and management of skin disorders [3,36,39,41,52,60]. Technology user friendliness was also reported to facilitate teledermatology implementation in some studies [37,41,42,44,56,57,59,60].…”

Definitions, survey methods, and findings of patient satisfaction studies in teledermatology: a systematic review

“…For those 13 studies, scores of agree (4) and strongly agree (5) generally were deemed satisfactory [10-14, 22, 26-32]. Three studies scored statements of satisfaction on an agree/disagree basis [18][19][20]. The survey characteristics (whether a five-point grading scale was used, the method of administration, and acceptable scores) are set out in Table 2.…”

An Innovative Model for Providing Dermatology Services Within Primary Care

“…9,10 Others have used telemedicine and e-consult systems to provide more timely dermatologic care to patients. [11][12][13] Again, these systems have generally been well-received by both patients and PCPs. However, there continue to be challenges around reimbursement, technology and legal liability.…”