Evaluation of Clinical Outcomes in an Online Teledermatology Model for the Management of Psoriasis

The purpose of this study is to determine if an asynchronous online model of teledermatology can achieve similar clinical outcomes as compared to conventional in-office care for the management of psoriasis. The investigators also aim to determine the effects of this online care model on patient quality of life as well as patient and physician satisfaction.

The investigators' hypotheses include the following:

1. Compared to in-person visits, the online care model will result in similar clinical improvement in psoriasis disease severity.
2. Compared to in-person visits, the online care model will result in similar improvements in quality of life.
3. Providers and subjects in the online group will achieve a similar level of overall satisfaction as those in the in-person group.

• Other: Online Teledermatology Care
  Patients randomized to the intervention group will have their scheduled follow-up visits online via a store and forward teledermatology modality.
  Other Name: Health care service modality
• Other: Conventional in Office Care
  Patients randomized to the control group will have their scheduled follow-up visits via conventional in office care.
  Other Name: Health care service modality

• Experimental: Teledermatology
  Online Telemedicine Group
  Intervention: Other: Online Teledermatology Care
• Active Comparator: Usual Care
  Conventional in-office care
  Intervention: Other: Conventional in Office Care

Inclusion Criteria:

• 18 years of age or older at time of consent, may be men or women.
• Requiring treatment of psoriasis for medically-indicated reasons.
• Capable of giving informed consent.
• Able to have their skin imaged by themselves or by family members.

Exclusion Criteria:

• Non-English speaking individuals.
• Individuals lacking access to a digital camera and computer with internet connection.