Self-managed eHealth Disease Monitoring in Children and Adolescents with Inflammatory Bowel Disease: A Randomized Controlled Trial.

摘要: BACKGROUND To evaluate the impact of eHealth on disease activity, need for hospital contacts, and medical adherence in children adolescents with inflammatory bowel (IBD). Furthermore, to assess eHealth's influence school attendance quality life (QoL). METHODS Patients IBD, 10 17 years attending a public university hospital, were prospectively randomized 2-year open label case-controlled intervention. The eHealth-group used web-application young.constant-care.com (YCC) monthly basis case flare-ups, seen at one annual preplanned outpatient visit. control-group continued standard visits every third month. Every 3 months, both groups had blood fecal calprotectin tested following assessed: escalation medication, adherence, absence, QoL. RESULTS Fifty-three patients nonbiological treatment included (27 eHealth/26 control). We found no differences between regarding activity (symptoms, calprotectin, blood). number total (mean: 3.26, SEM 0.51; control 7.31, 0.69; P < 0.0001) IBD-related absence (mean days: 1.6, 0.5; 16.5, 4.4; 0.002) was significantly lower eHealth-group. No QoL found. Adherence YCC 81% (384 475 expected entries). None or parents felt unsafe using system. CONCLUSIONS use IBD is feasible, does not lead impaired control, can be managed by without risk increased activity.