Perceptual Expertise Training for Triage of Moles

NCT03246633 | Completed

• 1 other identifier: STU00205548
• Study Type: interventional
• Target: 95
• Locations: 1 country
• Sites: 1

Brief Summary

The aim of this study is to assess a novel educational mobile and online application which will use images of pigmented skin lesions with question prompts to train future medical providers to more accurately detect malignant lesions. The hypothesis of this study is that this new educational tool will result in higher melanoma detection rates among future providers.

Conditions

Lesion; Pigment; Diagnostic Self Evaluation

Outcome Measures

Primary Outcomes (1)

• Usability of Course

  Usability will be assessed with the System Usability Scale, a widely accepted and validated scale to assess consumer satisfaction with new products

  18 months

Secondary Outcomes (1)

• Effectiveness of Course

  18 months

Study Arms (1)

Perceptual Training

OTHER

Single-Arm study, all participants will receive educational training via online modules and will be assessed after completion of the training.

Other: Perceptual Training

Interventions

Perceptual Training OTHER

Participants will assess skin lesions before and after completion of an online/mobile course that has the goal of learning to triage pigmented lesions as benign or malignant. Participants will also help evaluate the usability and effectiveness of the course by completing a questionnaire after completion of the course.

Perceptual Training

Eligibility Criteria

• Age: 18 Years+
• Sex: all
• Healthy Volunteers: Yes
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• Study participants must:
• be over the age of 18
• be currently a medical student , dermatology resident or member of the dermatology faculty at Northwestern University Feinberg School of Medicine
• able to consent
• Study participants must:
• be over the age of 18
• be currently enrolled in an MD or PA course at Northwestern University Feinberg School of Medicine
• able to consent
• have internet access
• own and be able to use a smart phone
• be willing to participate in two online surveys before and after each simulation

You may not qualify if:

• Participants will be excluded if:
• Not over 18 years of age
• Do not have internet access
• Do not have smart phone access
• Are not currently enrolled as MD or PA students

Sponsors & Collaborators

• Northwestern University: lead

Study Sites (1)

Northwestern Memorial Hospital

Chicago, Illinois, 60611, United States

Location

Related Publications (17)

• Society, A.C. Melanoma Skin Cancer. 2016.

  BACKGROUND

• Reed KB, Brewer JD, Lohse CM, Bringe KE, Pruitt CN, Gibson LE. Increasing incidence of melanoma among young adults: an epidemiological study in Olmsted County, Minnesota. Mayo Clin Proc. 2012 Apr;87(4):328-34. doi: 10.1016/j.mayocp.2012.01.010.

  PMID: 22469345 BACKGROUND

• Aviles-Izquierdo JA, Molina-Lopez I, Rodriguez-Lomba E, Marquez-Rodas I, Suarez-Fernandez R, Lazaro-Ochaita P. Who detects melanoma? Impact of detection patterns on characteristics and prognosis of patients with melanoma. J Am Acad Dermatol. 2016 Nov;75(5):967-974. doi: 10.1016/j.jaad.2016.07.009. Epub 2016 Sep 16.

  PMID: 27645105 BACKGROUND

• Summaries for patients. Screening for skin cancer: U.S. Preventive Services Task Force recommendation. Ann Intern Med. 2009 Feb 3;150(3):I40. doi: 10.7326/0003-4819-150-3-200902030-00003. No abstract available.

  PMID: 19189902 BACKGROUND

• Society, A.C. Skin Exams. 2016.

  BACKGROUND

• Thomas L, Tranchand P, Berard F, Secchi T, Colin C, Moulin G. Semiological value of ABCDE criteria in the diagnosis of cutaneous pigmented tumors. Dermatology. 1998;197(1):11-7. doi: 10.1159/000017969.

  PMID: 9693179 BACKGROUND

• Scope A, Dusza SW, Halpern AC, Rabinovitz H, Braun RP, Zalaudek I, Argenziano G, Marghoob AA. The "ugly duckling" sign: agreement between observers. Arch Dermatol. 2008 Jan;144(1):58-64. doi: 10.1001/archdermatol.2007.15.

  PMID: 18209169 BACKGROUND

• Herschorn A. Dermoscopy for melanoma detection in family practice. Can Fam Physician. 2012 Jul;58(7):740-5, e372-8.

  PMID: 22859635 BACKGROUND

• Brochez L, Verhaeghe E, Bleyen L, Naeyaert JM. Diagnostic ability of general practitioners and dermatologists in discriminating pigmented skin lesions. J Am Acad Dermatol. 2001 Jun;44(6):979-86. doi: 10.1067/mjd.2001.113442.

  PMID: 11369910 BACKGROUND

• Wender RC. Barriers to effective skin cancer detection. Cancer. 1995 Jan 15;75(2 Suppl):691-8. doi: 10.1002/1097-0142(19950115)75:2+3.0.co;2-g.

  PMID: 7804996 BACKGROUND

• Cassileth BR, Clark WH Jr, Lusk EJ, Frederick BE, Thompson CJ, Walsh WP. How well do physicians recognize melanoma and other problem lesions? J Am Acad Dermatol. 1986 Apr;14(4):555-60. doi: 10.1016/s0190-9622(86)70068-6.

  PMID: 3958271 BACKGROUND

• Oliveria SA, Heneghan MK, Cushman LF, Ughetta EA, Halpern AC. Skin cancer screening by dermatologists, family practitioners, and internists: barriers and facilitating factors. Arch Dermatol. 2011 Jan;147(1):39-44. doi: 10.1001/archdermatol.2010.414.

  PMID: 21242390 BACKGROUND

• Garg A, Wang J, Reddy SB, Powers J, Jacob R, Powers M, Biello K, Cayce R, Savory S, Belazarian L, Domingues E, Korzenko A, Wilson L, Grant-Kels JM, George P, Robinson-Bostom L, Trotter SC, Geller AC. The Integrated Skin Exam film: an educational intervention to promote early detection of melanoma by medical students. J Am Acad Dermatol. 2014 Jan;70(1):115-9. doi: 10.1016/j.jaad.2013.09.028. Epub 2013 Nov 9.

  PMID: 24220723 BACKGROUND

• Lofgreen S, Lehrer M, Bennett P, Garg A, Dunnick CA. Integrating The Integrated Skin Exam film into medical education. Dermatol Online J. 2016 Nov 15;22(11):13030/qt5pk3n658.

  PMID: 28329558 BACKGROUND

• Eide MJ, Asgari MM, Fletcher SW, Geller AC, Halpern AC, Shaikh WR, Li L, Alexander GL, Altschuler A, Dusza SW, Marghoob AA, Quigley EA, Weinstock MA; INFORMED (INternet course FOR Melanoma Early Detection) Group. Effects on skills and practice from a web-based skin cancer course for primary care providers. J Am Board Fam Med. 2013 Nov-Dec;26(6):648-57. doi: 10.3122/jabfm.2013.06.130108.

  PMID: 24204061 BACKGROUND

• Jain N, Anderson MJ, Patel P, Blatt H, Davis L, Bierman J, McGaghie W, Brucker JB, Martini M, Robinson JK. Melanoma simulation model: promoting opportunistic screening and patient counseling. JAMA Dermatol. 2013 Jun;149(6):710-6. doi: 10.1001/jamadermatol.2013.2882.

  PMID: 23552462 BACKGROUND

• Brooke, J., SUS: A

  BACKGROUND

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: NA
• Masking: NONE
• Purpose: DIAGNOSTIC
• Intervention Model: SINGLE GROUP
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: MD

Study Record Dates

• First Submitted: July 28, 2017
• First Posted: August 11, 2017
• Study Start: August 10, 2017
• Primary Completion: February 6, 2018
• Study Completion: February 6, 2018
• Last Updated: September 25, 2018

Record last verified: 2018-09

Locations

US (1)