Optimization and Testing of ALRITE, a Clinical Decision Support Tool for Management of Respiratory Illnesses in Young Children in Primary Care Health Facilities in Uganda
试验速览
- 阶段
- 不适用
- 状态
- 尚未招募
- 入组人数
- 48
- 试验地点
- 1
- 主要终点
- Healthcare worker enrollment (study feasibility)
研究概览
简要总结
The goal of this study is to pilot test the feasibility of a mobile health clinical decision support tool called ALRITE for the diagnosis and management of acute lower respiratory illnesses in young children in Uganda. Asthma/wheezing illness, in particular, is underdiagnosed in this setting. The main questions the study aims to answer are:
- Are the intervention structure, processes, outcomes, and implementations strategies feasible to conduct in the desired settings?
- Does ALRITE increase the diagnosis of wheezing illness among children seen at Ugandan health centers?
Researchers will compare outcomes before and after ALRITE deployment to healthcare workers at 4 Ugandan healthcare centers using an interrupted time series design. Study participants are healthcare workers.
There will be12 months of baseline data collection ("baseline period"), at the beginning of which healthcare workers will be enrolled at each site. Following the baseline period, health workers will receive ALRITE training and will be encouraged but not required to use ALRITE in clinical care for a 6-month intervention period. Health worker participants will fill out surveys and participate in focus group discussions to provide feedback.
研究设计
- 研究类型
- Interventional
- 分配方式
- Na
- 干预模型
- Single Group
- 主要目的
- Health Services Research
- 盲法
- None
入排标准
- 年龄范围
- 18 Years 至 —（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Healthcare workers employed at each study site with a minimum of 6 months' experience of caring for children with respiratory symptoms in general outpatient care
- •Completed one of the following training programs: medical officer, clinical officer, nurse, midwife
- •proficient in reading and speaking English, one of the official languages of Uganda
- •at least 18 years of age
排除标准
- •inability to read/write English
研究组 & 干预措施
ALRITE deployment
Healthcare workers will undergo training in the mobile health decision support tool called ALRITE. They will each receive an ALRITE-enabled tablet to use in clinical care. ALRITE use is encouraged but not required. Researchers will collect clinical data from the health record at each study site to evaluate the effect of the ALRITE intervention on acute lower respiratory illness diagnosis and treatment.
干预措施: ALRITE (Other)
结局指标
主要结局
Healthcare worker enrollment (study feasibility)
时间窗: At enrollment
Number of healthcare workers enrolled during the baseline phase and additional healthcare workers who were enrolled during the remaining study period (ex: new hires or transfers)
Healthcare worker retention (study feasibility)
时间窗: From enrollment through study completion, an average of 20 months
Proportion of healthcare workers active in the study over total number enrolled
Availability of ALRITE-enabled devices (study feasibility)
时间窗: Monthly during the intervention period from ALRITE deployment through study completion, an average of 6 months
Proportion of functional devices over number of devices provided to the facility per month
ALRITE training completion (study feasibility)
时间窗: During ALRITE deployment at the end of the baseline period, estimated 1-2 months
Number of ALRITE training sessions completed per site
Data completeness (study feasibility)
时间窗: Monthly from baseline (day 1) through the study completion, estimated 20 months
Percentage of eligible pediatric cases correctly abstracted from the health facility records into the electronic database.
次要结局
- Diagnosis rate of wheezing illness(Monthly from baseline through study completion, estimated 20 months)
- Diagnosis rate of pneumonia(Monthly from baseline through study completion, estimated 20 months)
研究者
Laura Ellington
Assistant Professor, Department of Pediatrics
University of Washington