Development of a Robust and Reliable Pulse Oximeter for Children With Pneumonia in Low-income Countries
Study Details
Study Description
Brief Summary
This study is to test the usability of a new pulse oximeter probe designed for children 0-5 years.
Condition or Disease | Intervention/Treatment | Phase |
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N/A |
Detailed Description
Pneumonia is the leading infectious cause of death in children under five. World Health Organization guidelines recommend measurement of peripheral oxygen saturation (SpO2) in children with pneumonia to guide treatment. This project focuses on the design of a new 'Lifebox' pulse oximeter probe for use in children 0-5 years of age.
A new oximeter probe compatible with the Lifebox oximeter has been designed to be used for children 0-5 years in all settings.
The aims of the study are to:
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to evaluate the usability of the redesigned Lifebox oximeter probe by an expert user
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to evaluate the usability of the redesigned oximeter probe by trained healthcare workers, against defined product specifications.
Study Design
Arms and Interventions
Arm | Intervention/Treatment |
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Other: Healthcare worker measurement of SpO2 Measurement of SpO2 using the Lifebox pulse oximeter probe in children of different ages, stratified by age: 0-1 months, 2-11 months, 12-23 months and 24-59 months |
Device: Pulse oximeter
Time taken to measure oxygen saturation.
Completion of usability questionnaire
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Other: Expert measurement of SpO2 Measurement of SpO2 using the Lifebox pulse oximeter probe in children of different ages, stratified by age: 0-1 months, 2-11 months, 12-23 months and 24-59 months |
Device: Pulse oximeter
Time taken to measure oxygen saturation.
Completion of usability questionnaire
|
Outcome Measures
Primary Outcome Measures
- Time to obtain SpO2 reading [Through completion of study, average one hour]
The time to obtain a stable reading will be declared by the healthcare worker and noted by the independent observer, to give a proportion fulfilling the Target Product Profile (TPP).
Other Outcome Measures
- Usability questionnaire [Through study completion, average one hour]
Healthcare workers and the expert user will complete a usability questionnaire after completion of readings in children of different ages
Eligibility Criteria
Criteria
Inclusion Criteria:
Patient participants:
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Inpatients (or child awaiting surgery on pre-operative ward) in Great Ormond Street Hospital
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Aged 0 - 59 months
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Clinically stable (as judged by the ward sister and medical team)
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Parent (or adult with parental responsibility) present
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Written informed consent from the parent (or adult with parental responsibility)
Healthcare worker participants:
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Nursing staff employed at Great Ormond Street Hospital who are trained in the use of pulse oximetry
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Written informed consent from the healthcare worker
Exclusion Criteria:
Patient participants:
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Unstable or critically unwell patients (as judged by the ward sister and medical team)
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Parents (or adult with parental responsibility) who are not able or willing to give informed consent
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Parents (or adult with parental responsibility) unable to speak English well enough to understand study methods or consent form
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For part of the study assessing usability of the probe by healthcare workers, patients with oxygen saturation 95% or below will be excluded
Healthcare worker participants:
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Nursing staff who are not trained to use a pulse oximeter
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Nursing staff who have not given written informed consent
Contacts and Locations
Locations
Site | City | State | Country | Postal Code | |
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1 | Great Ormond Street Hospital NHS Foundation Trust | London | United Kingdom | WC1N 3JH |
Sponsors and Collaborators
- The Lifebox Foundation
- Johns Hopkins University
- University College, London
- PACHI Malawi - Parent and Child Health Initiative Trust
- Bill and Melinda Gates Foundation
Investigators
- Principal Investigator: Isabeau A Walker, FRCA, Great Ormond Street Hospital NHS Foundation Trust
Study Documents (Full-Text)
None provided.More Information
Additional Information:
- Field guide to Human Centered Design by the design company 'IDEO' (IDEO.org)
- Description of usability testing from the British Standards Institute
Publications
- Bhutta ZA, Das JK, Walker N, Rizvi A, Campbell H, Rudan I, Black RE; Lancet Diarrhoea and Pneumonia Interventions Study Group. Interventions to address deaths from childhood pneumonia and diarrhoea equitably: what works and at what cost? Lancet. 2013 Apr 20;381(9875):1417-1429. doi: 10.1016/S0140-6736(13)60648-0. Epub 2013 Apr 12.
- Burn SL, Chilton PJ, Gawande AA, Lilford RJ. Peri-operative pulse oximetry in low-income countries: a cost-effectiveness analysis. Bull World Health Organ. 2014 Dec 1;92(12):858-67. doi: 10.2471/BLT.14.137315. Epub 2014 Sep 24. Review.
- Duke T, Wandi F, Jonathan M, Matai S, Kaupa M, Saavu M, Subhi R, Peel D. Improved oxygen systems for childhood pneumonia: a multihospital effectiveness study in Papua New Guinea. Lancet. 2008 Oct 11;372(9646):1328-33. doi: 10.1016/S0140-6736(08)61164-2. Epub 2008 Aug 15.
- Faulkner L. Beyond the five-user assumption: benefits of increased sample sizes in usability testing. Behav Res Methods Instrum Comput. 2003 Aug;35(3):379-83.
- Finch LC, Kim RY, Ttendo S, Kiwanuka JK, Walker IA, Wilson IH, Weiser TG, Berry WR, Gawande AA. Evaluation of a large-scale donation of Lifebox pulse oximeters to non-physician anaesthetists in Uganda. Anaesthesia. 2014 May;69(5):445-51. doi: 10.1111/anae.12632.
- Liu L, Oza S, Hogan D, Perin J, Rudan I, Lawn JE, Cousens S, Mathers C, Black RE. Global, regional, and national causes of child mortality in 2000-13, with projections to inform post-2015 priorities: an updated systematic analysis. Lancet. 2015 Jan 31;385(9966):430-40. doi: 10.1016/S0140-6736(14)61698-6. Epub 2014 Sep 30. Erratum in: Lancet. 2015 Jan 31;385(9966):420. Erratum in: Lancet. 2016 Jun 18;387(10037):2506.
- Matai S, Peel D, Wandi F, Jonathan M, Subhi R, Duke T. Implementing an oxygen programme in hospitals in Papua New Guinea. Ann Trop Paediatr. 2008 Mar;28(1):71-8. doi: 10.1179/146532808X270716.
- Soofi S, Ahmed S, Fox MP, MacLeod WB, Thea DM, Qazi SA, Bhutta ZA. Effectiveness of community case management of severe pneumonia with oral amoxicillin in children aged 2-59 months in Matiari district, rural Pakistan: a cluster-randomised controlled trial. Lancet. 2012 Feb 25;379(9817):729-37. doi: 10.1016/S0140-6736(11)61714-5. Epub 2012 Jan 27.
- Yeboah-Antwi K, Pilingana P, Macleod WB, Semrau K, Siazeele K, Kalesha P, Hamainza B, Seidenberg P, Mazimba A, Sabin L, Kamholz K, Thea DM, Hamer DH. Community case management of fever due to malaria and pneumonia in children under five in Zambia: a cluster randomized controlled trial. PLoS Med. 2010 Sep 21;7(9):e1000340. doi: 10.1371/journal.pmed.1000340.
- OPP1133291