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Not yet recruiting NCT07369817

Optimization and Testing of ALRITE, a Clinical Decision Support Tool for Management of Respiratory Illnesses in Young Children in Primary Care Health Facilities in Uganda

No phase Interventional Pneumonia Childhood Childhood Asthma Acute Lower Respiratory Illness Wheezing Lower Respiratory Illness

For patients and families

In plain language

An automatic summary of structured registry data. It is an orientation aid, not a substitute for the official protocol or a physician assessment.

What is being studied
The protocol lists: ALRITE.
Who it may be relevant to
Registry conditions: Pneumonia Childhood, Childhood Asthma, Acute Lower Respiratory Illness, Wheezing Lower Respiratory Illness. Basic parameters: from 18 years · All.
What needs checking
Age, condition and sex are only basic indicators. Prior treatment, laboratory values and other mandatory requirements appear in the eligibility criteria below.
Where it takes place
Uganda
Next step
Save the trial, show it to the treating physician, and confirm current recruitment with the study center. Costs, documents and travel →

Unsure about the terms? Read our patient guide →

Overview

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: * Are the intervention structure, processes, outcomes, and implementations strategies feasible to conduct in the desired settings? * Does ALRITE increase the diagnosis of wheezing illness among children seen at Ugandan health centers? 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.

Interventions

  • Other ALRITE
    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.

Primary outcome measures

  • Healthcare worker enrollment (study feasibility) [Time frame: At enrollment]
  • Healthcare worker retention (study feasibility) [Time frame: From enrollment through study completion, an average of 20 months]
  • Availability of ALRITE-enabled devices (study feasibility) [Time frame: Monthly during the intervention period from ALRITE deployment through study completion, an average of 6 months]
  • ALRITE training completion (study feasibility) [Time frame: During ALRITE deployment at the end of the baseline period, estimated 1-2 months]
  • Data completeness (study feasibility) [Time frame: Monthly from baseline (day 1) through the study completion, estimated 20 months]
Secondary outcome measures (2)
  • Diagnosis rate of wheezing illness [Time frame: Monthly from baseline through study completion, estimated 20 months]
  • Diagnosis rate of pneumonia [Time frame: Monthly from baseline through study completion, estimated 20 months]

Eligibility criteria

Inclusion criteria

  • Healthcare workers employed at each study site with a minimum of 6 months' experience of caring for children with respiratory symptoms in general outpatient care
  • Completed one of the following training programs: medical officer, clinical officer, nurse, midwife
  • proficient in reading and speaking English, one of the official languages of Uganda
  • at least 18 years of age

Exclusion criteria

  • inability to read/write English

Criteria are shown verbatim from the registry (in English). Final eligibility is always assessed by the study center.

Healthy volunteers: No

Study design

Allocation
N/A
Model
Single group
Masking
Open label
Primary purpose
Health services research

Study locations

Uganda · 1 center
  • Makerere University Lung Institute — Kampala

Identifiers

NCT: NCT07369817 · STUDY00020447 · 5K23HL163321-02

Primary sources (government registries)

View this study on ClinicalTrials.gov ↗