Acceptability of Telehealth Triage Using Robotic Systems in COVID-19

Overview

The overall objective of this investigation is to understand the patient response to a robotic platform used to facilitate telehealth triage in the emergency department during the COVID-19 pandemic. The COVID-19 pandemic has altered the manner in which emergency department triage is completed. Attempts at cohorting individuals with potential COVID-19 disease in order to prevent disease transmission to healthcare workers and minimize the use of personal protective equipment (PPE) have renewed interest in telemedical solutions as a method to triage and manage individuals with COVID-19. This investigation deploys a legged robotic platform to facilitate agile, highly mobile telemedicine to manage COVID-19 patients in the emergency department. The primary objective is to measure the patient response to interacting with these systems.

Study Type

  • Study Type: Observational
  • Study Design
    • Time Perspective: Prospective
  • Study Primary Completion Date: July 31, 2020

Interventions

  • Device: Doctor Spot
    • Robotic platform (Boston Dynamics) controlled by clinician with video interface to facilitate telemedicine triage

Arms, Groups and Cohorts

  • Intervention arm
    • Patients presenting to the emergency department are triaged using a novel robotic telehealth triage system. Once triage is complete, patients complete a quantitative assessment to measure their acceptance and willingness to interact with the robotic telehealth system.

Clinical Trial Outcome Measures

Primary Measures

  • Acceptance of robotic telehealth system
    • Time Frame: Immediately after completion of triage
    • Quantitative questionnaire on the acceptance of virtual robotic care
  • Willingness to interact with robotic telehealth system
    • Time Frame: Immediately after completion of triage
    • Quantitative questionnaire on the willingness to use this system again
  • Satisfaction of interacting with a robotic telehealth system
    • Time Frame: Immediately after completion of triage
    • Quantitative questionnaire on the user satisfaction with their triage experience

Secondary Measures

  • Use of robotic system versus in-person triage
    • Time Frame: Immediately after completion of triage
    • Quantitative questionnaire comparing robotic triage process with in-person triage

Participating in This Clinical Trial

Inclusion Criteria

  • Presenting to the emergency department for evaluation
  • > 18 years old

Exclusion Criteria

  • Brought to emergency department via ambulance
  • <18 years old
  • non-english speaking
  • in extremis, or unable to participate due to underlying acute medical condition

Gender Eligibility: All

Minimum Age: 18 Years

Maximum Age: N/A

Are Healthy Volunteers Accepted: No

Investigator Details

  • Lead Sponsor
    • Brigham and Women’s Hospital
  • Provider of Information About this Clinical Study
    • Principal Investigator: Peter R Chai, Assistant Professor – Brigham and Women’s Hospital
  • Overall Contact(s)
    • Peter R Chai, MD MMS, 617-732-5640, pchai@bwh.harvard.edu

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