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| ID | Type | Description | Link |
|---|---|---|---|
| 5K23HL163321-02 | U.S. NIH Grant/Contract | View source |
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| Name | Class |
|---|---|
| National Heart, Lung, and Blood Institute (NHLBI) | NIH |
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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:
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.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| ALRITE deployment | Experimental | 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. |
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| ALRITE | Other | ALRITE is a point-of-care mobile health clinical decision support tool designed for use by healthcare workers in Uganda. ALRITE guides the user into entering patient information and provides guideline-concordant recommendations. ALRITE also includes educational videos and weight-based dosing. |
| Measure | Description | Time Frame |
|---|---|---|
| Healthcare worker enrollment (study feasibility) | 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) | At enrollment |
| Healthcare worker retention (study feasibility) | Proportion of healthcare workers active in the study over total number enrolled | From enrollment through study completion, an average of 20 months |
| Availability of ALRITE-enabled devices (study feasibility) | Proportion of functional devices over number of devices provided to the facility per month | Monthly during the intervention period from ALRITE deployment through study completion, an average of 6 months |
| ALRITE training completion (study feasibility) | Number of ALRITE training sessions completed per site | During ALRITE deployment at the end of the baseline period, estimated 1-2 months |
| Data completeness (study feasibility) | Percentage of eligible pediatric cases correctly abstracted from the health facility records into the electronic database. | Monthly from baseline (day 1) through the study completion, estimated 20 months |
| Measure | Description | Time Frame |
|---|---|---|
| Diagnosis rate of wheezing illness | Diagnosis rates of wheezing illness/asthma among all young children presenting to study sites, as recorded in the health record | Monthly from baseline through study completion, estimated 20 months |
| Diagnosis rate of pneumonia |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Jane Edelson | Contact | 206-779-9351 | jedelson@uw.edu |
| Name | Affiliation | Role |
|---|---|---|
| Laura Ellington, MD, MS | University of Washington | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Makerere University Lung Institute | Kampala | Uganda |
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Interrupted time series design, no comparison group
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Diagnosis rates of pneumonia among all young children presenting to study sites, as recorded in the health record |
| Monthly from baseline through study completion, estimated 20 months |