Clinic Waiting Room-based Pilot of Swahili Language Artificial Intelligence-driven Symptom Assessments in Primary Health Care Facilities, Dar es Salaam, Tanzania
试验速览
- 阶段
- 不适用
- 入组人数
- 109
- 试验地点
- 1
- 主要终点
- Accuracy and Comprehensiveness measures of Ada WRA and HDA
研究概览
简要总结
This study will evaluate the accuracy of the condition suggestions and urgency advice of the Swahili language Ada symptom assessment application (SAA), when symptoms are input by a lay-person user and a medical professional; these SAA results will then be compared to the condition suggestions and urgency advice of different tiers of doctors and a "gold standard" created by a panel.
详细描述
There will be two different wings of this study: (1) where a lay-person inputs their symptoms into the Swahili language Ada symptom assessment application (SAA); (2) where the usual care doctor asks a lay-person (the patient) the same questions from the SAA and determines their own condition suggestions based off this questioning and the SAA's condition suggestions. In both wings, the patient will be seeing their usual care doctor for a diagnosis and then a study-provided physician for a diagnosis. Separately, the doctors will list a ranking of other considered condition suggestions (diagnoses) and urgency advice, which will not be shared with the patient. These condition suggestions and urgency advice will be compared to a "gold standard", which will be determined by a high level panel for each patient's case, based on the doctor notes and physical examination results of each patient's visit.
研究设计
- 研究类型
- Observational
- 观察模型
- Case Only
- 时间视角
- Prospective
入排标准
- 年龄范围
- 2 Months 至 —（Child, Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •All patients who enter the clinic and that are willing/able to provide consent will be included, except those who fall under certain conditions listed below
排除标准
- •Patients with severe injury/illness requiring immediate treatment
- •Patients with traumatic injury (many of these patients require minimal anamnesis, and it is not rational to include them in a pilot study)
- •Patients incapable of completing a health assessment (e.g. due to illiteracy, mental impairment or inebriation or other incapacity).
结局指标
主要结局
Accuracy and Comprehensiveness measures of Ada WRA and HDA
时间窗: through study completion, an average of 4 months
The condition-suggestion accuracy and comprehensiveness of the SAA, evaluated against the gold-standard differential diagnosis determined by the review panel, reported in the context of the accuracy of the usual care health practitioner.
次要结局
- Urgency advice accuracy(through study completion, an average of 4 months)
- Questionnaire data insights(through study completion, an average of 4 months)
- Comparison of usual care doctor condition suggestions(through study completion, an average of 4 months)