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| Name | Class |
|---|---|
| UNITAID | OTHER |
| Bill and Melinda Gates Foundation | OTHER |
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This study aims to provide evidence on next-generation clinical measurement tools through a mixed methods diagnostic accuracy and implementation study in Kenya, Senegal, Tanzania, and Uttar Pradesh, India.
Performance and feasibility of photoplethysmograph (PPG)-derived clinical measurement tools (medical device and smartphone-based screening technologies) by primary care providers will be assessed using a type 2 hybrid design to conduct a mixed methods diagnostic accuracy and implementation study.
The diagnostic accuracy study will consist of 3 components to achieve the primary and secondary objectives: 1) a usability assessment of observed user-product interactions and a system usability score, 2) measurement of multimodal PO device performance through comparison against a reference standard, and 3) caregiver/provider acceptability through semi-structured interviews.
The observational implementation (OI) study consists of 3 components to achieve the primary and secondary objectives: 1) a human-centered design workshop, 2) an observational study to evaluate the feasibility of implementing an approved multimodal PO device in clinical care, and 3) semi-structured in-depth interviews to assess provider and caregiver acceptability and adaptation.
The interventions for this study are PPG-derived clinical measurement tools that measure oxygen saturation (SpO2), pulse rate, respiratory rate, and/or temperature. The interventions will also be compared to a reference standard for the different clinical measurements
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Multimodal PO | Device | Mixed methods diagnostic accuracy and implementation of multimodal PO |
| Measure | Description | Time Frame |
|---|---|---|
| Diagnostic accuracy: Performance of clinical measurement tools | To determine the performance of PPG-derived clinical measurement tools (medical device and smartphone-based screening technologies) compared to an accepted reference standard, among children 0-59 months seeking care at the primary care level. | 19 weeks |
| Observational implementation: multimodal (MM) operational feasibility | To evaluate the operational feasibility of implementing an approved next generation pulse oximeter at the primary care level. | 16 weeks |
| Measure | Description | Time Frame |
|---|---|---|
| DA: MM Usability | To measure the usability of multimodal PO devices, measuring pulse oximetry and respiratory rate in addition to other relevant clinical measurements, by healthcare providers at the primary care level. | 2 weeks |
| DA: MM Acceptability |
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Inclusion Criteria:
Exclusion Criteria:
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Children 0 - 59 months consulting for or reported to have a respiratory illness.
| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Helen Storey, PhD. | Contact | 510-541-4160 | hstorey@path.org | |
| Megan Horlacher | Contact | 7345365674 | mhorlacher@path.org |
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Mathare North Health Center | Recruiting | Nairobi | Kenya |
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| ID | Term |
|---|---|
| D004194 | Disease |
| ID | Term |
|---|---|
| D010335 | Pathologic Processes |
| D013568 | Pathological Conditions, Signs and Symptoms |
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To assess the acceptability of multimodal PO devices among healthcare providers and caregivers at the primary care level.
| 21 weeks |
| DA: Data repository | To create an open-source data repository for future research on PPG-derived clinical measurement tools for children. | 19 weeks |
| OI: MM/clinical measurement system requirements | To explore future multimodal PO device and smartphone based clinical measurement product concepts and prototypes to further define the user and health system requirements for potential device integration within integrated management of childhood illness (IMCI) care practices, among country stakeholders and healthcare providers. | 16 weeks |
| OI: MM co-design | To co-design integration of an approved multimodal PO device within existing IMCI practices, mapping current and future state workflows, prioritizing outcomes, and determining training needs. | 1 week |
| Ngiri Health Center | Recruiting | Nairobi | Kenya |
|