Virtual Assistant for COVID-19 PPE

University Health Network, Toronto

Status: Unknown

Conditions: COVID-19

Treatments: Other: Human Coach first, then Virtual Assistant; Other: Virtual Assistant first, then Human Coach

Study type: Interventional

Funder types: Other

Identifiers

NCT04435275

20-5399

Details and patient eligibility

About

The COVID virus is acquired through droplet and micro droplet transmission. Although healthcare workers must adhere to strict up-to-date clinical procedures to minimize exposure to the virus and avoid contamination, the assumption that everyone can precisely remember every step is improbable as many of these procedures are quite complex and involve multiple steps in stressful situations. Further the use of a trained safety officer to ensure adherence is not always feasible due to the ever growing demand of healthcare providers. Investigators propose to utilize the Amazon Alexa device and Alexa Skills application to develop a voice enabled virtual assistant to guide healthcare professionals through the exact steps of clinical procedures including the donning and doffing of PPE, intubation and extubation procedures.

Methods A total of 10 staff anesthesiologists will be recruited to participate in phase 1 of the study to evaluate the utility and functionality of this VA device.

A total of 40 healthcare professionals will be recruited to participate in phase 2 of the study. Anesthesia providers (staff and fellows), anesthesia assistants, respiratory assistants and operating room nurses will be randomized to receive instructional guidance by the VA on one test occasion and a human coach on another occasion. During this phase of the study, the effectiveness of this VA prototype will be compared with a trained human safety officer / coach in its ability to provide instructional guidance for 4 safety and clinical procedures: 1) proper donning of personal protective equipment (PPE); 2) doffing of PPE; 3) intubation (putting in a breathing tube) and 4) extubation (taking out a breathing tube).

Enrollment: 50 estimated patients

Sex: All

Ages: 18 to 80 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• Only anesthesia attending staff are allowed in the phase 1 study.
• Any working anesthesia staff and fellow, anesthesia assistant, respiratory assistant and operating room nurse are qualified to take part in phase 2 of this study. However, only anesthesia staff and fellows and anesthesia assistants will participate in the part that involves intubation and extubation.

Exclusion criteria

• Unwillingness to enter the study for phase 1 or phase 2.

Trial design

Primary purpose: Other

Allocation: Randomized

Interventional model: Crossover Assignment

Masking: None (Open label)

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50 participants in 4 patient groups

Donning PPE using VA then doffing PPE using HC

Active Comparator group

Description:

Study subjects will receive VA guidance for donning first, then guidance from a human coach (HC) for doffing.

Treatment:

Other: Virtual Assistant first, then Human Coach

Donning PPE using HC then doffing PPE using VA

Active Comparator group

Description:

Study subjects will receive HC guidance for donning first, then VA guidance for doffing.

Treatment:

Other: Human Coach first, then Virtual Assistant

Intubation using VA then extubation using HC;

Active Comparator group

Description:

Study subjects will receive VA guidance for the intubation first , then HC guidance for extubation procedure

Treatment:

Other: Virtual Assistant first, then Human Coach

Intubation using HC then extubation using VA

Active Comparator group

Description:

Study subjects will receive HC guidance for the intubation first , then VA guidance for extubation procedure

Treatment:

Other: Human Coach first, then Virtual Assistant