Evidence map›Paper›PMID 42594362›Full record

Observational studyJMIR formative research2026

Adherence to Psoriasis Remote Monitoring and Its Associations With Demographic, Clinical, and Health Care Use Characteristics: Multicenter Observational Study.

Maarja Lember, Priit Kruus, Katrin Kaarna, Tanel Traks, Laura Prett, Liisi Raam, Oliver Taul, Liis Ilves, Kaisa Viljar, Pille Konno and 3 more

Abstract readObservational StudyMulticenter Study
In one paragraph

Observational study in JMIR formative research, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

13 authors.

Maarja Lember *Tallinn University of Technology, Tallinn, Harjumaa, Estonia.ORCID 0000-0003-1875-0056
Priit Kruus *Tallinn University of Technology, Tallinn, Harjumaa, Estonia.ORCID 0009-0009-3852-9421
Katrin Kaarna *University of Tartu, Tartu, Tartu, Estonia.ORCID 0009-0001-0928-3778
Tanel TraksUniversity of Tartu, Tartu, Tartu, Estonia.ORCID 0000-0003-2749-8534
Laura PrettOÜ Linnamõisa Perearstikeskus, Tallinn, Harjumaa, Estonia.ORCID 0009-0007-6154-9856
Liisi RaamTartu University Hospital, Tartu, Tartu, Estonia.ORCID 0000-0001-7348-2125
Oliver TaulTartu University Hospital, Tartu, Tartu, Estonia.ORCID 0009-0000-9264-6500
Liis IlvesTartu University Hospital, Tartu, Tartu, Estonia.ORCID 0000-0002-5281-9689
Kaisa ViljarTartu University Hospital, Tartu, Tartu, Estonia.ORCID 0009-0001-6443-2828
Pille KonnoConfido Medical Centre, Tallinn, Harjumaa, Estonia.ORCID 0000-0002-9603-7064
Secil MatasovaTallinn University of Technology, Tallinn, Harjumaa, Estonia.ORCID 0000-0002-5599-4730
Peeter RossTallinn University of Technology, Tallinn, Harjumaa, Estonia.ORCID 0000-0003-1072-7249
Külli KingoUniversity of Tartu, Tartu, Tartu, Estonia.ORCID 0000-0001-6301-9612

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPsoriasis is a lifelong, relapsing, quick-to-flare skin disease that requires personalized, continuous management. Due to its unpredictable nature, there is an increasing interest in using electronic patient-reported outcome measures (ePROMs) for remote monitoring of the condition. However, adherence to ePROMs and predictors of adherence have not been sufficiently explored among patients with psoriasis.

objectiveThis study aimed to assess the adherence to ePROMs and the factors associated with adherence among patients with psoriasis.

methodsWe conducted an observational study that spanned multiple centers to measure adherence to ePROMs among 55 patients managed in primary care and 55 patients managed in specialized care over 12 months. We analyzed the data together with longitudinal health care data recorded in Estonia's countrywide health insurance database-a unique dataset previously unavailable to researchers studying remote monitoring. While continuing their routine clinical care, patients were periodically prompted to complete ePROMs. Adherence to remote monitoring was evaluated in relation to a range of demographic, clinical, and health care use factors using ordinal logistic regression.

resultsA total of 102 patients (male: n=49, 48%; female: n=53, 52%) were included in the adherence calculation, including 46 (45.1%) patients in the high-adherence group, 22 (21.6%) in the medium-adherence group, and 34 (33.3%) in the low-adherence group. The total mean adherence ratio was 63.4% (SD 30.8%). The mean adherence ratio was 60.9% (SD 32.8%) among patients in primary care and 66.0% (SD 28.9%) among patients in specialized care. In multivariable ordinal logistic regression, older age was associated with higher adherence (P=.03). No significant associations were observed for the other investigated factors.

conclusionsThis study adds to existing research on the use of ePROMs in chronic diseases by demonstrating the feasibility of using ePROMs for remote monitoring of chronic skin diseases across different levels of care. The findings provide insights into factors associated with adherence, which may inform the development of tailored approaches to improve the effectiveness of remote monitoring in psoriasis. Importantly, adherence remained strong among older adults, supporting broader implementation of ePROM-based remote care.

Indexed as

Patient CompliancePsoriasisAdultAgedDigital HealthEstoniaFemaleHumansMaleMiddle AgedPatient Reported Outcome MeasuresRemote Patient MonitoringadherenceeHealthelectronic patient-reported outcomeePROMinsurance databasepsoriasisremote monitoring

Identifiers

PMID42594362
PMCPMC13522812

What Socratic holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.