Evaluation of a Remote Monitoring Smartphone Application and Care Model of COVID-19 Patients in the Community (ReCOVER)

ReCOVER (Remote COVID-19 Evaluation and Response): a Prospective Non-randomised Controlled Trial to Evaluate the Effect of a Novel Smartphone Application-centric Model of Care for the Remote Monitoring of COVID-19 Patients in the Community.

This is a multi-site, prospective, non-randomised trial assessing the implementation of a smartphone application-based model of care for patients with COVID-19 infection managed in community isolation. We will recruit 2000 COVID +ve patients aged 18 years and over who are managed at home. The objective will be to describe the rates of avoidable presentations to ED and 30 day all case mortality per diagnosed COVID-19 case and to compare these to a propensity matched and synthetic control group.

Inclusion Criteria:

1. Age greater or equal to 18 years

2. Able to provide informed consent

3. Proven diagnosis of COVID-19 based on positive virology testing

4. Patients who are being managed at home OR those who are being discharged from hospital for ongoing home-based care in isolation.

5. Access to a smartphone or device that is compatible with the TCC-COVID app

   • Any iPhone or iPad running iOS 9 or above (essentially any iPhone 5 or above)
   • Any Android phone that is operating Android 7.0 or above

6. Speaks adequate English

Exclusion Criteria:

1. Patient meets clinical criteria for hospital-based care.

2. Inability to use the TCC-COVID app and pulse oximeter due to reasons including but not limited to:

   • Cognitive impairment
   • Impaired dexterity
   • Visual impairment
   • Language barrier

3. Patient residing outside the SESLHD catchment area during their period of isolation