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

Ada Health

Status: Unknown

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

Treatments: Device: Ada Waiting Room App (WRA) and Ada Diagnostic Support Application (HDA)

Study type: Observational

Funder types: Other; Industry

Identifiers

NCT04958577

AFYA

Details and patient eligibility

About

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.

Full 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.

Enrollment: 109 patients

Sex: All

Ages: 2+ months old

Volunteers: No Healthy Volunteers

Inclusion criteria

• All patients who enter the clinic and that are willing/able to provide consent will be included, except those who fall under certain conditions listed below

Exclusion criteria

• Patients with severe injury/illness requiring immediate treatment
• Patients with traumatic injury (many of these patients require minimal anamnesis, and it is not rational to include them in a pilot study)
• Patients incapable of completing a health assessment (e.g. due to illiteracy, mental impairment or inebriation or other incapacity).

Trial design

109 participants in 2 patient groups

Wing A (Ada WRA)

Description:

Patients in this group will be filling out the Ada assessment themselves and then heading to a normal consultation by first the usual care doctor and then the study-provided physician.

Treatment:

Device: Ada Waiting Room App (WRA) and Ada Diagnostic Support Application (HDA)

Wing B (Ada HDA)

Description:

Patients in this group will be asked questions from the Ada assessment by a health care practitioner and then heading to a normal consultation by first the usual care doctor and then the study-provided physician.

Treatment:

Device: Ada Waiting Room App (WRA) and Ada Diagnostic Support Application (HDA)