Acceptability of Telehealth Triage Using Robotic Systems in COVID-19

Study Overview
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Brief Summary
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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.

Official Title
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Acceptability of Telehealth Triage Using Robotic Systems in COVID-19

Conditions
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COVID-19, Telemedicine, Robotics, Emergencies, Emerging Infectious Disease

Intervention / Treatment
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* Device: Doctor Spot


Participation Criteria
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Eligibility Criteria
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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

Ages Eligible for Study
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Minimum Age: 18 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Intervention arm<br>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. | Device: Doctor Spot<br>* Robotic platform (Boston Dynamics) controlled by clinician with video interface to facilitate telemedicine triage<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Acceptance of robotic telehealth system | Quantitative questionnaire on the acceptance of virtual robotic care graded on a likert scale (higher scores better) | Immediately after completion of triage | 
| Willingness to interact with robotic telehealth system | Quantitative questionnaire on the willingness to use this system again based on a likert scale (higher scores better) | Immediately after completion of triage | 
| Satisfaction of interacting with a robotic telehealth system | Quantitative questionnaire on the user satisfaction with their triage experience (How satisfied were you with your experience interacting with the robotic system today?) | Immediately after completion of triage | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Use of robotic system versus in-person triage | Quantitative questionnaire comparing robotic triage process with in-person triage: Do you think your interaction with the robotic system was better, the same or no different than an in-person evaluation?) | Immediately after completion of triage |