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Simple Summary: This study describes the use of a motion-detecting device (3-D accelerometer) to remotely monitor therapy in dogs who had been diagnosed and treated for itch by a dermatologist during a prolonged period that included the 2020–2023 COVID-19 pandemic. Ensuring dog owner adherence to recommended protocols, obtaining early warning of flare-ups, and maintaining close monitoring of patient condition are factors that can dramatically improve the outcome. Movement monitoring devices linked with data recording apps combined with real-time communication with the veterinary practice can help to address these challenges and lead to improved medical management. The medical management of chronic canine pruritic dermatologic conditions is challenging and often frustrating. This is a report that shows one way of aiding the management of pruritic dogs using a remote monitoring device. It is often difficult for veterinarians to get dog owners to return to the clinic once a dog is treated. It is possible that a 3-D accelerometer device could provide information to the clinic staff on the success or failure of a pruritus treatment plan while the dog was cared for at home. Eighty-seven dogs and their owners came to a Florida dermatology specialty clinic or its general practice hospital to be evaluated and treated for pruritus. An ANIMO® 3-D accelerometer was placed on the collar of dogs diagnosed and treated for pruritus. Dogs that completed this study were monitored for 120 days (4 months). The ANIMO smart phone application monitored a dog's daily scratching, shaking, sleeping, activity, and resting and summarized this information in a daily report visible on the pet owner's smart phone. An additional variable (grooming minutes per day) could be seen by the study team that was not yet available in the app. The use of a 3-D accelerometer enabled veterinarians to continuously monitor dogs at home when they were being treated for itching. Clinic staff kept in touch with the owners by phone and could change therapy or bring the dog back for a recheck if problems were seen. Daily reports were combined into line charts that showed plots of scratching, shaking, grooming, and sleeping over four months. Veterinarians were able to remotely monitor dogs that had been treated for pruritus for up to four months through use of a collar-borne monitoring device. Dog owners and clinic staff used the daily summaries accessible through a smart phone application. Dogs seemed to tolerate the device well because of its small size, light weight, long battery life, and unobtrusive nature. [ABSTRACT FROM AUTHOR]