NCT04958577

Clinic Waiting Room-based Study of Swahili Language Artificial Intelligence-driven Symptom Assessments in Tanzanian Primary Health Care Facilities

Clinic Waiting Room-based Pilot of Swahili Language Artificial Intelligence-driven Symptom Assessments in Primary Health Care Facilities, Dar es Salaam, Tanzania

• Status: Unknown
• Phase: —
• Study type: Observational
• Enrollment: 109 (actual)
• Sponsor: Ada Health GmbH · Industry
• Sex: All
• Age: 2 Months
• Healthy volunteers: Not accepted

Summary

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.

Detailed description

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.

Conditions

• Abdominal Pain/Gastrointestinal Issues
• Lower Respiratory System Conditions
• Upper Respiratory System Conditions
• Mental Health Conditions
• Ophthalmology Conditions
• Orthopedic Conditions
• Cardiovascular System Conditions
• Genitourinary System Conditions
• ENT Conditions
• Dermatology Conditions
• Gynecology/Obstetrics Conditions
• Neurological Conditions

Interventions

Type	Name	Description
DEVICE	Ada Waiting Room App (WRA) and Ada Diagnostic Support Application (HDA)	This device is a medical device but will be used only observationally--this device takes a patient's symptoms into account by asking questions and gives a ranked list of likely conditions that the patient might have based on the answers to these questions. The assessment report also includes urgency advice levels, that is, which care the patient should proceed to based on the condition suggestions. The WRA is used by the patient directly and the HDA is used by the doctor to ask the questions to the patient.

Timeline

• Start date: 2021-08-03
• Primary completion: 2021-12-17
• Completion: 2022-06-01
• First posted: 2021-07-12
• Last updated: 2022-05-17

Locations

1 site across 1 country: Tanzania