Related Experiment Video
Updated: Aug 15, 2026
02:28
Measuring Psoriasis Severity at Home
Published on: March 1, 2024
Adherence to Psoriasis Remote Monitoring and Its Associations With Demographic, Clinical, and Health Care Use
Maarja Lember1, Priit Kruus1,2, Katrin Kaarna3,4
1Tallinn University of Technology, Tallinn, Harjumaa, Estonia.
JMIR Formative Research
|August 13, 2026
Summary
Electronic patient-reported outcome measures (ePROMs) show feasibility for remote psoriasis monitoring. Older adults demonstrated higher adherence, suggesting potential for broader ePROM implementation in chronic skin disease management.
Area of Science:
- Dermatology
- Digital Health
- Health Services Research
Background:
- Psoriasis is a chronic, relapsing skin condition requiring continuous, personalized management.
- Electronic patient-reported outcome measures (ePROMs) offer potential for remote monitoring of psoriasis.
- Adherence to ePROMs and its predictors in psoriasis patients require further investigation.
Purpose of the Study:
- To assess adherence to ePROMs in patients with psoriasis.
- To identify factors associated with ePROM adherence in this population.
Main Methods:
- An observational, multi-center study over 12 months involving 110 patients with psoriasis.
- Utilized longitudinal health insurance data from Estonia for comprehensive analysis.
- Employed ordinal logistic regression to evaluate adherence in relation to demographic, clinical, and healthcare utilization factors.
Main Results:
- A total of 102 patients were included in the adherence analysis.
- The overall mean adherence ratio was 63.4%, with variations between primary (60.9%) and specialized care (66.0%).
- Older age was significantly associated with higher ePROM adherence (P=.03).
Conclusions:
- ePROMs are feasible for remote monitoring of chronic skin diseases across different care settings.
- Findings suggest older adults exhibit strong adherence, supporting wider adoption of ePROM-based remote care.
- Insights into adherence factors can guide tailored strategies to enhance remote monitoring effectiveness in psoriasis.
