Standardization of Mid-Level Providers Using Point of Care Ultrasound to Diagnose Pediatric Pneumonia
Trial Snapshot
- Phase
- Not Applicable
- Enrollment
- 7
- Locations
- 1
- Primary Endpoint
- Trainee / Reviewer Diagnostic Agreement
Study Overview
Brief Summary
The POCUS training program aims to bring sustainable, affordable access to POCUS to patients in need of diagnostic services in Uganda. This research study seeks to demonstrate that Clinical Officers (COs) in rural Uganda can be trained on POCUS for pediatric pneumonia, and that this training can be completed through remote monitoring and observation.
Detailed Description
Objectives To prove that mid-level providers in low-resource settings can be trained to use POCUS to diagnose pediatric pneumonia through a five-day training program followed by six months of remote analysis.
Study Design and Methods The investigators propose a remote evaluation study assessing the ability of POCUS program trainees in Kabale to obtain and evaluate pediatric lung scans. The indicator of interest will be diagnosis of pneumonia or lack thereof.
Trainee Selection:
Trainees were selected from the pool of mid-level providers who work with Kigezi Healthcare Foundation (KIHEFO) and who participated in needs assessment questionnaires in February 2018. From those respondents who indicated that they would like to participate in the training program, seven were selected based on their work ethic and their likelihood of working in the Kabale region for the foreseeable future.
Data Collection, Management, and Sharing:
Study Design
- Study Type
- Interventional
- Allocation
- Na
- Intervention Model
- Single Group
- Primary Purpose
- Diagnostic
- Masking
- None
Eligibility Criteria
- Sex
- All
- Accepts Healthy Volunteers
- Yes
Inclusion Criteria
- •Mid-level provider working in Kabale, Uganda
- •Participated in pre-program needs assessment
- •Able to continue practicing POCUS in Kabale through the duration of the study
Exclusion Criteria
- •Inability to continue practicing POCUS in Kabale through the duration of the study
Arms & Interventions
Trainees
Local mid-level providers who undergo five day training on point of care ultrasound for diagnosing pediatric pneumonia
Intervention: Point of care ultrasound training (Device)
Outcomes
Primary Outcomes
Trainee / Reviewer Diagnostic Agreement
Time Frame: 9 months
The extent to which agreement between the diagnoses provided by our trainees, and that provided by our expert reviewers, is statistically significant.
Trainee Scan Acquisition
Time Frame: 7 months
The frequency at which trainees are able to acquire high-quality pediatric lung scans.
Secondary Outcomes
No secondary outcomes reported