Photograph Quality Rating Scale Study ("PQRS Study")
United States40 participantsStarted 2016-03
Plain-language summary
Advances in smart phone-based photography (both quality and image transmission) offer the potential to greatly improve access to pediatric dermatologists. However, the accuracy of diagnoses reliant on parent-provided photographs has been neither measured nor compared to diagnoses based on in-person examinations. Therefore, the primary objective of this study was to assess the concordance between diagnoses based on photographs taken by parents (or legal guardians) and those based on in-person examinations. A secondary aim was to assess the effect of photography instructions on improving this concordance.
Who can participate
Age range17 Years
SexALL
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Inclusion criteria
✓. Must be a new patient/parent dyad arrived at the main pediatric dermatology clinic
✓. Patient must be under the age of 18.
✓. Consenting parent or guardian must be present and able to speak English to participate.
✓. Patients are either already enrolled in MyCHOP (MyChart) or are willing to enroll during the encounter.
✓. Parent or legal guardian has a mobile phone with the capability to download the free MyChart app.
✓. Parents have a data plan that allows them to download the MyChart app (if not already downloaded) and upload pictures, and are willing to accept any potential data charges incurred with these activities.
✓. Patient has active skin lesion or rash that can be photographed during the clinic visit.
Exclusion criteria
✕. Patient is over the age of 18.
✕. Parent or guardian is not present or not able to speak English.
What they're measuring
1
The effect of photography instructions on average image quality, as evaluated using a photograph quality rating scale (PQRS)
✕. Parent or guardian is not able to enroll in MyCHOP (MyChart).
✕. Parent or guardian does not have a mobile phone capable of downloading the MyChart app.
✕. Photographs are not able to be taken (phone battery dies, phone/app does not work, patient is not cooperative, participant does not have time).
✕. If there are no active skin lesions to photograph the patient/parent will not be enrolled (e.g. hives that are inactive, hyperhidrosis \[excessive sweating\], itching without a rash, resolved skin lesions \[e.g. warts, molluscum\]).
✕. Patients presenting for a general full body skin exam will be excluded, as this would require full body photography, which is too time consuming. (Note: this does not include evaluation of one individual mole \[nevus\], which can be included in the study).