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Not yet recruitingNCT07481019Updated Jul 1, 2026

A Randomised Controlled Trial of ePROM-Guided Flexible Scheduling in Dermatology

An interventional study of Flexible ePROM-guided Scheduling System and electronic patient reported outcome measures (ePROMs) in Chronic Dermatological Conditions, Eczema and Urticaria, sponsored by National University Hospital, Singapore. Not yet recruiting. Open to participants aged 16 Years and older. Per ClinicalTrials.gov, last updated 2026-07-01.

Sponsored by National University Hospital, Singapore · Not applicable, Interventional, and Health services research

Phase
Not applicable
Study type
Interventional
Enrollment
250
Allocation
Randomized
Ages
16 Years and older
Sex
All
01

Study summary

The goal of this clinical trial is to evaluate whether an electronic patient-reported outcome measure (ePROM)-guided flexible scheduling system can improve outpatient clinic resource utilisation in patients attending dermatology outpatient clinics for routine follow-up. The main questions it aims to answer are:

  • Does the intervention reduce the number of actualised outpatient visits over 12 months compared with standard fixed scheduling?
  • Does the intervention group achieve higher adherence to monthly ePROM monitoring, as measured by the proportion of completed ePROM submissions?
02

Conditions studied

  • Chronic Dermatological Conditions
  • Eczema
  • Urticaria
  • Psoriasis
  • Acne

Keywords

  • dermatology
  • flexible scheduling
  • patient initiated follow up
  • electronic patient-reported outcomes
  • ePROMs
  • Bayesian decision support
  • outpatient care
  • health services research
  • randomised controlled trial
  • implementation science
  • healthcare utilisation
  • appointment no-shows
  • value-based care
03

In context

Eczema

503 studies on the registry are indexed under Eczema; 89 are open to participants now.

This study's planned enrollment of 250 is above the median of 91 across 401 interventional studies indexed under Eczema.

Browse Eczema studies →

Lead sponsor

National University Hospital, Singapore is the lead sponsor of 454 studies on the registry; 99 are open to participants now.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
16 Years and older
Sexes eligible
All
Accepts healthy volunteers
No

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  • Dermatology outpatients otherwise due for a follow-up appointment within six months.
  • Ability to independently navigate and complete ePROMs.
  • Ability to provide (including parental consent for minors).

Exclusion criteria

Exclusion Criteria:

  • Patients who require fixed or scheduled in-person visits, including those needing skin cancer surveillance, bedside procedures (e.g., liquid nitrogen therapy), surgical interventions, or routine blood tests for therapy.
Terms in these criteria, in plain language(2)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

Informed consent

Before you join, the study team explains what taking part involves — its purpose, what happens, the risks and possible benefits — and answers your questions, so you can decide freely. Consent is usually recorded on a form (the informed consent form, ICF) signed by you or, where the law allows, by someone legally authorised to decide for you.

You can keep asking questions during the study, you are told of new information that matters, and you can choose to leave at any time.

Immunosuppression

A weakened immune system. It can come from an illness, such as HIV or some blood cancers, or from medicines that turn the immune system down, for example after an organ transplant or for an autoimmune disease; steroids at higher doses count.

Read whether the line is about a condition or about medicines, and which medicines and doses it means.

05

Study design

Phase
Not applicable
Primary purpose
Health services research
Allocation
Randomized
Intervention model
Parallel assignment
Masking
None (open label)
Enrollment
250 participants (estimated)

Study arms

  • Experimental
    Intervention Arm

    Participants in the intervention arm will not receive routine follow-up appointments at the end of their consultation. Instead, their monthly ePROM responses will feed a two-layer Bayesian decision system to determine appointment need.

    Behavioral: Flexible ePROM-guided Scheduling System · Behavioral: electronic patient reported outcome measures (ePROMs)

  • Active comparator
    Control Arm

    Participants in the control arm will continue standard care, with follow-up appointments scheduled at the end of each consultation. The ePROM responses may be used by patients for self-tracking and will be available to clinicians to inform decision-making at subsequent visits.

    Behavioral: electronic patient reported outcome measures (ePROMs)

Interventions

  • BehavioralFlexible ePROM-guided Scheduling System

    Monthly ePROM responses will feed a Bayesian decision system to determine appointment need, which will then be used to make recommendations to patients for scheduling of appointments.

  • Behavioralelectronic patient reported outcome measures (ePROMs)

    Monthly electronic patient reported outcome measures (ePROMs) surveys will be sent to patients' mobile devices to capture self-reported disease severity data.

06

What researchers measure

Primary outcomes

  1. Number of actualised outpatient visits

    Difference in actualised outpatient visits (in-person + teleconsult) over 12 months (effectiveness outcome).

    Time frame: baseline to week 52

  2. Proportion of completed monthly ePROMs

    Difference in proportion of completed monthly ePROMs (implementation outcome)

    Time frame: baseline to week 52

Secondary outcomes

  1. No-show rate

    Number of appointments missed without prior rescheduling or cancellation

    Time frame: baseline to week 52

  2. Cancelled or rescheduled appointments

    Appointments booked but cancelled or rescheduled before the actual appointment date

    Time frame: baseline to week 52

  3. Urgent care or unscheduled visits

    Emergency department visits or other urgent care visits related to patient's dermatological condition

    Time frame: baseline to week 52

  4. Skin-specific Quality of Life Impairment

    Changes in quality of life using the Dermatology Life Quality Index (DLQI). Minimum Score: 0 (no impact on quality of life). Maximum Score: 30 (extremely large impact on quality of life).

    Time frame: baseline, 6 months, 12 months

  5. Clinician-assessed disease severity

    Clinician-assessed disease severity using body surface area and the investigator global assessment on a 0-5 NRS

    Time frame: baseline to week 52

  6. Acceptability of the intervention

    Assessed using the Theoretical Framework of Acceptability

    Time frame: week 52

  7. Perceived burden of engaging with the intervention

    Research questionnaire assessing perceived burden of intervention use

    Time frame: baseline, 6 months, 12 months

  8. Fidelity to the scheduling algorithm

    The extent to which algorithm-generated recommendations were followed, overridden, or superseded

    Time frame: baseline to week 52

  9. Barriers and facilitators to implementation

    Explored through semi-structured qualitative interviews

    Time frame: week 52

  10. Bayesian Decision-layer outputs

    Decision-layer outputs, including monthly posterior summaries and posterior predictive probabilities for each appointment category

    Time frame: baseline to week 52

07

Study locations

No study locations are listed for this record.

08

References and documents

Individual participant data

Plan to share: Yes — IPD shared includes de-identified demographics, disease outcomes and measures.

Supporting information: Study protocol, Informed consent form, Analytic code

Time frame: IPD and supporting information will be available from the time of publication and for four years thereafter.

Access criteria: IPD and supporting information will be available from the study team on a case-by-case basis upon request.

No publications or documents are linked to this record.

09

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reachedSimilar studies: half by the dot; the band is the middle halfHalf of similar studies reached it by the dot; the band is the middle half, from a quarter to three quarters

Start is estimated for Sep 2026; primary completion for Jun 2029, 33 months later.

Of 45 non-industry interventional studies with no phase under Eczema, half reached primary completion within 17 months of starting (the median), counting those still running; a quarter within 10 and three quarters within 44. This study's planned 33 months is above that.

Counting every sponsor, half of 78 studies reached it within 11 months; a quarter within 4 and three quarters within 26.

How these figures are worked out, and which studies are left out of them.

Registered
Mar 15, 2026
First posted
Mar 18, 2026
StartEst.
Sep 2026
Primary completionEst.
Jun 2029
CompletionEst.
Dec 2029
Last update
Jul 1, 2026
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
No changes since tracking began. The registry record was last updated on Jul 1, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT07481019
Responsible party
Sponsor
First posted
Mar 18, 2026
Start date
Sep 2026 (estimated)
Primary completion
Jun 2029 (estimated)
Completion
Dec 2029 (estimated)
Last update
Jul 1, 2026

Study contacts

Ellie Choi, MBBS
Contact
dermatology@nuhs.edu.sg
65 6908 2222
Ellie Choi, MBBS
principal investigator · National University Hospital, Singapore

Oversight

Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is not yet recruiting, as verified in Mar 2026. You cannot join it, but the record below documents what was studied.

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