title: User evaluation of patient counselling, combining nurse consultation and eHealth in hand eczema.
abstract: OBJECTIVE
  This study reports the findings from a user evaluation of a counselling programme for hand eczema patients in which face-to-face encounters were supplemented with user access to a new website.
  
  
  METHODS
  Patients treated for hand eczema in two different settings were included consecutively. Website utilization was examined by use of the transaction log. Comparisons were made between participants who used the website and those who did not. The patients' perspectives were explored by the use of interviews.
  
  
  RESULTS
  Among potential website users (n = 140), 88 patients (63%) had an average of 5.1 site visits. At follow-up, the website users had improved more in quality of life (p = 0.014), current burden of disease (p = 0.053), and itching (p = 0.042). The website users reported more changes in habits than did the non-website users (p = 0.024). No differences in clinical severity of hand eczema were found. The interviewees were generally satisfied with the counselling and the website. The strict log-on procedures were considered to be an obstacle to using the site. The consecutive inclusion of participants was considered to be a barrier to engagement in the dialogue forum.
  
  
  CONCLUSIONS
  The website users benefited from the website, although this was not substantiated by clinical measurements. The trial design partly hampered website utilization. An initial feasibility study could have been warranted.
authors.affiliation: The National Allergy Research Centre, Department of Dermato-Allergology, Copenhagen University Hospital Gentofte, 2900, Hellerup, Denmark.
authors.forename: Annette
authors.initials: A
authors.lastname: Mollerup
authors.affiliation: Department of Dermato-Allergology, Copenhagen University Hospital Gentofte, 2900, Hellerup, Denmark.
authors.forename: Gitte
authors.initials: G
authors.lastname: Harboe
authors.affiliation: The National Allergy Research Centre, Department of Dermato-Allergology, Copenhagen University Hospital Gentofte, 2900, Hellerup, Denmark.
authors.forename: Jeanne D
authors.initials: JD
authors.lastname: Johansen
mesh_terms: D000328:Adult; D001294:Attitude to Health; D003376:Counseling; D004485:Eczema / Q000451:nursing / Q000628:therapy*; D005260:Female; D006229:Hand Dermatoses / Q000451:nursing / Q000628:therapy*; D006801:Humans; D020407:Internet; D016015:Logistic Models; D008297:Male; D008875:Middle Aged; D017060:Patient Satisfaction; D011788:Quality of Life; D012017:Referral and Consultation; D017216:Telemedicine; D055815:Young Adult
keywords: eHealth; everyday life; hand eczema; mixed-methods study; nurse consultation; patient counselling; self-management support; self-monitoring; user evaluation