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This study aimed to examine if self-paced learning with a novel digital patient-case-based educational platform can increase primary care physicians' diagnostic accuracy of malignant and benign skin lesions on both the level of benign/malignant and the diagnosis level. Secondarily the study aimed to investigate the time spent in reaching this change in proficiency.
Participants were given a questionnaire and an initial Skin Cancer Multiple Choice-Questionnaire (MCQ) to test their diagnostic skills regardining skin and mole cancer and the most common differential diagnoses.
Participants in the Intervention group was then given access to an educational mobile application (App) for 8 days and asked to diagnose 500 patient cases. The participants did so at their own leisure and time.
After 8 days they were asked to abstain from using the App for another 8 days (wash out period) and were then given a Final Skin Cancer Multiple Choice-Questionnaire (MCQ).
Participants of the control group received no intervention nor education during the 16 days of waiting before they took the final Skin Cancer Multiple Choice-Questionnaire.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Intervention | Active Comparator | Access to educational mobile application for 8 days, diagnosing 500 digital patient-cases. |
|
| Control | No Intervention | Control group receiving no intervention, continuing daily practice. |
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Dermloop Learn | Other | Educational Mobile Application with a library of digital patient-cases and written learning modules the user can access on 36 common skin lesions, both benign and malignant. |
| Measure | Description | Time Frame |
|---|---|---|
| Multiple-Choice Questionnaire (MCQ) Score | Participants are given a test before and after the intervention using a skin cancer MCQ test with 12 digital-patient cases. A higher score means better diagnostic proficiency. The primary outcome is the change of this score. | Before and immediately after intervention (On average 19 days after enrollment) |
| Measure | Description | Time Frame |
|---|---|---|
| Diagnostic proficiencies | Sensitivity, Specificity and Positive Predictive Value of the participants in the intervention group, calculated on their cases seen in the educational mobile application. | During the 8 days of access to the educational mobile application. |
| Time spend |
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Inclusion Criteria:
Exclusion Criteria:
-
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| AISC Research Fascility | Copenhagen | Danmark | 2700 | Denmark |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 37624707 | Derived | Nervil GG, Ternov NK, Vestergaard T, Solvsten H, Chakera AH, Tolsgaard MG, Holmich LR. Improving Skin Cancer Diagnostics Through a Mobile App With a Large Interactive Image Repository: Randomized Controlled Trial. JMIR Dermatol. 2023 Aug 9;6:e48357. doi: 10.2196/48357. |
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Participant quiz-answer data can be shared upon reasonable request.
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After publication
Researchers with interest in skin cancer diagnostics.
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| ID | Term |
|---|---|
| D008545 | Melanoma |
| D002277 | Carcinoma |
| ID | Term |
|---|---|
| D018358 | Neuroendocrine Tumors |
| D017599 | Neuroectodermal Tumors |
| D009373 | Neoplasms, Germ Cell and Embryonal |
| D009370 | Neoplasms by Histologic Type |
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Intervention and Controlgroup parallel design using sequential continues block randomization.
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The Dermloop Learn app tracks how much time each user spends quizzing and reading. |
| During the 8 days of access to the educational mobile application. |
| D009369 | Neoplasms |
| D009380 | Neoplasms, Nerve Tissue |
| D018326 | Nevi and Melanomas |
| D012878 | Skin Neoplasms |
| D009371 | Neoplasms by Site |
| D012871 | Skin Diseases |
| D017437 | Skin and Connective Tissue Diseases |
| D009375 | Neoplasms, Glandular and Epithelial |