title: E-learning enables parents to assess an infantile hemangioma.
abstract: BACKGROUND
  Infantile hemangiomas (IH) at risk for complications need to be recognized early.
  
  
  OBJECTIVE
  We sought to determine if parents are able to assess, after e-learning, whether their child has an IH, is at risk for complications, and needs to be seen (urgently) by a specialist.
  
  
  METHODS
  This was a prospective study of 158 parents participating in an IH e-learning module. Parents were asked to assess their child's skin abnormality. A dermatologist answered the same questions (by e-consult). The 2 assessments were compared.
  
  
  RESULTS
  Parents showed a 96% concordance with the dermatologist for correct diagnosis after e-learning. Concordances were 79%, 75%, and 84% (P < .001), respectively, on assessing the risk of complications, the need to be seen by a specialist, and the urgency for specialized care.
  
  
  CONCLUSIONS
  Parents had a relatively high education level and were therefore not representative of the general population.
  
  
  CONCLUSIONS
  Parents were able to correctly diagnose and evaluate an IH after completing an e-learning module. E-learning by parents could result in earlier presentation and treatment of high-risk IH.
authors: Department of Pediatric Dermatology and Allergology, Wilhelmina Children's Hospital, University Medical Center Utrecht, Utrecht, The Netherlands; Department of Dermatology and Allergology, University Medical Center Utrecht, Utrecht, The Netherlands. Electronic address: m.degraaf-10@umcutrecht.nl.
authors: Marlies
authors: M
authors: de Graaf
authors: Epidemiology and Surveillance Unit, Center for Infectious Disease Control National Institute for Public Health and the Environment, Bilthoven, The Netherlands.
authors: Mirjam J
authors: MJ
authors: Knol
authors: Department of Pediatric Dermatology and Allergology, Wilhelmina Children's Hospital, University Medical Center Utrecht, Utrecht, The Netherlands.
authors: Joan E E
authors: JE
authors: Totté
authors: Department of Dermatology and Allergology, University Medical Center Utrecht, Utrecht, The Netherlands.
authors: Harmieke
authors: H
authors: van Os-Medendorp
authors: Department of Pediatric Plastic Surgery, Wilhelmina Children's Hospital, University Medical Center Utrecht, Utrecht, The Netherlands.
authors: Corstiaan C
authors: CC
authors: Breugem
authors: Department of Pediatric Dermatology and Allergology, Wilhelmina Children's Hospital, University Medical Center Utrecht, Utrecht, The Netherlands.
authors: Suzanne G M A
authors: SG
authors: Pasmans
mesh_terms: D000328:Adult; D006391:Hemangioma / Q000150:complications / Q000175:diagnosis*; D006801:Humans; D007223:Infant; D020407:Internet; D007858:Learning; D010290:Parents; D010353:Patient Education as Topic / Q000379:methods*; D011446:Prospective Studies; D019114:Remote Consultation; D012878:Skin Neoplasms / Q000150:complications / Q000175:diagnosis*; D011795:Surveys and Questionnaires; D054079:Vascular Malformations / Q000175:diagnosis
keywords: child; diagnosis; e-health; e-learning; hemangioma; optimizing care; parents; risk evaluation