E-learning enables parents to assess an infantile hemangioma

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• 作者：Marlies de Graaf ; MD ; PhD^a ; ^c ; ^{m.degraaf-10@umcutrecht.nl" class="auth_mail} ; Mirjam J. Knol ; PhD^d ; Joan E.E. Totté ; MD^a ; Harmieke van Os-Medendorp ; PhD^c ; Corstiaan C. Breugem ; MD ; PhD^b ; Suzanne G.M.A. Pasmans ; MD ; PhD^a
• 关键词：child ; diagnosis ; e-health ; e-learning ; hemangioma ; optimizing care ; parents ; risk evaluation
• 刊名：Journal of the American Academy of Dermatology
• 出版年：May, 2014
• 年：2014
• 卷：70
• 期：5
• 页码：893-898
• 全文大小：638 K

文摘

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Background

Infantile hemangiomas (IH) at risk for complications need to be recognized early.

Objective

We sought to determine if parents are able to assess, after e-learning, whether their child has an IH, is at risk for complications, and needs to be seen (urgently) by a specialist.

Methods

This was a prospective study of 158 parents participating in an IH e-learning module. Parents were asked to assess their child's skin abnormality. A dermatologist answered the same questions (by e-consult). The 2 assessments were compared.

Results

Parents showed a 96% concordance with the dermatologist for correct diagnosis after e-learning. Concordances were 79%, 75%, and 84% (P < .001), respectively, on assessing the risk of complications, the need to be seen by a specialist, and the urgency for specialized care.

Limitations

Parents had a relatively high education level and were therefore not representative of the general population.

Conclusion

Parents were able to correctly diagnose and evaluate an IH after completing an e-learning module. E-learning by parents could result in earlier presentation and treatment of high-risk IH.