WIReD: Wireless Interstage Remote Device Study

Study Overview
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Brief Summary
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A mixed-methods study will be used to evaluate the use of standard of care periodic pulse oximetry by parents/LAR and the feasibility of the collection of physiologic data related to the use of the Pediarity System. This system includes the Gabi Band and software platform (Gabi Analytics).

Detailed Description
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After enrollment, parents will be taught by the study team on the use of the Pediarity System which includes the placement of the Gabi Band and the use of the Gabi Wi-Fi monitor application for data transfer. This education by the study team will ensure uniform training and preliminary understanding with teach back on the use of the Gabi band and Gabi Wi-Fi monitoring application. Parents can ask the study team any use and/or technical questions during this time period. All clinical care questions from standard of care monitoring will go to the CHAMP healthcare team. If parents/LARs have a clinical concern from a value on the Pediarity System - they will be referred to use their standard of care pulse oximetry before any clinical intervention and care is recommended by the healthcare team. The study team will not make any healthcare or diagnostic recommendations during the monitoring period based on any Pediarity System data. The study team will educate parents and LARs on the Pediarity System. This system does not replace any use of their standard of care pulse oximetry and CHAMP videos. Parents may place the Gabi band on their child and use the Pediarity System at any frequency they choose in the home setting for a length of approximately one month at home (to coordinate when they return to the study site for a care visit). Parents can email or Teams call the study team directly (during daytime hours M-F) for any technical questions during this the study period. The study team will evaluate clinical data only at the conclusion of the study period and qualitative feedback from the parents will be gathered.

Official Title
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WIReD: Wireless Interstage Remote Device Study

Conditions
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Congenital Heart Disease in Children, Vital Signs, Pediatrics, Remote Monitoring

Intervention / Treatment
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* Device: Gabi SmartCare Pediarity System [Gabi Band, Gabi Monitor App, Gabi Analytics]


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Study participants will be parent-child dyads - pediatric patients who have been diagnosed with congenital, arrhythmic, or acquired heart disease at Children's Mercy Kansas City. Age criteria for children: after birth and who are less than two years of age at the time of being approached. Age criteria for parents or legally authorized representatives (LAR's): one participating parent or LAR will be 18 years of age or older to consent at the time of being approached The child of the parent-child dyad must be planned from the clinical standpoint prior to approach for discharge home with standard of care oxygen saturation/heart rate/pulse oximeter for remote patient monitoring population - and followed with the CHAMP application in the home setting. CHAMP App CM IRB 15030113 - Pediatric patients must be utilizing the CHAMP app clinically Exclusion Criteria: Over two years of age at the time of being approached for study participation. A child with no parents or LAR over age of 18 at the time the study team would approach the family. Non-English-speaking families. Families that do not have access to a Wi-Fi network at home.

Ages Eligible for Study
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Maximum Age: 2 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

| Intervention/Treatment |
| --- |
|Device: Gabi SmartCare Pediarity System [Gabi Band, Gabi Monitor App, Gabi Analytics]|Gabi SmartCare has created a monitoring system named Pediarity System that obtains pediatric vitals data through non-invasive means through a Gabi band. When paired with a proprietary algorithm and software - Gabi Analytics - the cloud-based platform measures blood oxygen levels, pulse rate (and variability), respiratory rate, actigraphy, inter-beat interval, and tracking for the time the device is worn (or not worn by the child). Three LEDs on the monitor are used for capturing this information. Peak wavelengths for the red, infrared, and green LEDs operate at 660nm, 950nm, and 526nm respectively. The Gabi band features an optical front end coupled with an analog front end using 24 bits. Bluetooth data transmission is utilized on a mobile phone application with a tablet-based system in a CSV format for the purpose of offline data processing.|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Parental Experience Evaluation | Rigorously explore the parental experience of utilizing a continuous pediatric wireless device for monitoring at home pulse oximetry compared with standard of care periodic pulse oximetry through parent interviews. | 3-6 Weeks | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Data Transfer Rate Evaluation | Evaluate the rate of data transfer from a wireless continuous monitoring device night ± daytime vs. standard of care periodic pulse oximetry. | 3-6 Weeks | 
| Stakeholder Experience Assessment | Assess the technology experience for stakeholders with a wireless continuous monitoring device at home vs. standard of care periodic pulse oximetry using healthcare provider interviews to discuss outcome experience. | 3-6 Weeks | 
| Data Threshold Event Rate Evaluation | Evaluate the rate of data threshold events with continuous remote device monitoring at home vs. intermittent pulse oximetry via standard of care periodic pulse oximetry. | 3-6 Weeks | 
| Satisfaction with the System | Using the System Usability Survey (SUS) Strongly Disagree to Strongly Agree 1-7 | 3-6 weeks | 
| Effectiveness with the System | Using the System Usability Survey (SUS) Strongly Disagree to Strongly Agree 1-7 | 3-6 weeks | 
| Comfort with the System | Using the System Usability Survey (SUS) Strongly Disagree to Strongly Agree 1-7 | 3-6 weeks | 
| Easy to use the System | Using the System Usability Survey (SUS) Strongly Disagree to Strongly Agree 1-7 | 3-6 weeks | 
| Easy to find information within the System | Using the System Usability Survey (SUS) Strongly Disagree to Strongly Agree 1-7 | 3-6 weeks | 
| Visualization of information within the System | Using the System Usability Survey (SUS) Strongly Disagree to Strongly Agree 1-7 | 3-6 weeks | 
| Clear organization of information within the System | Using the System Usability Survey (SUS) Strongly Disagree to Strongly Agree 1-7 | 3-6 weeks | 
| Functions of the System | Using the System Usability Survey (SUS) Strongly Disagree to Strongly Agree 1-7 | 3-6 weeks | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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Pediatric, Physiologic vital signs