A Pilot Study for Adaptation of Neospot Device for Health Care at Primary Health Facilities in Kenya

Study Overview
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Brief Summary
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Neospot device is a 5-in-1 wearable vital signs monitor designed to measure temperature, blood pressure, pulse rate (PR), respiratory rate (RR) and blood oxygen saturation (SPO2). We propose to study the experiences of patients and nurses regarding spot measurement of vital signs at the outpatient department in primary care facilities in Kenya. The study aims to investigate the capability, opportunity, and motivation of nurses to use the Neospot device for vital signs measurement in level 3 facilities in Kenya by validating the accuracy of the Neospot and assessing the experience of patients while using the Neospot, the study also aims to assess the experiences of nurses as they use the Neospot and determine how the Neospot affects their workflow.

Detailed Description
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This study intends to investigate the experiences of both nurses and patients in the use of a specific brand of such a device known as the 'neospot' device in various sub county, health centres in Kenya. The study also aims at finding out whether the device affects the rate and efficiency of how nurses work in these facilities. The study will apply a cross sectional design, three facilities will be used as the sampling frame two urban facilities from Nairobi County and one peri urban rural facility from Kajiado county. The participants will be selected randomly. Data will be obtained from a total of 159 randomly selected patients, all the nurses who will be on duty will also be included as participants in the study and the team leaders will be interviewed as key informants for qualitative data. Quantitative data will be analysed using SPSS version 24 for descriptive and inferential statistics, NVIVO software will be used to analyse the qualitative data to determine the themes. Study Duration: Data collection, analysis and report writing will take 4 ½ months.

Official Title
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A Pilot Study for the Adaptation of Neospot Device for Health Care Among Out-Patients at Primary Health Facilities in Nairobi and Kajiado Counties, Kenya

Conditions
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Morbidity

Intervention / Treatment
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* Device: Neospot vitals measurement


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Participants between 18 and 70 years of age In stable condition Willing to give consent to participate in the study Exclusion Criteria: Very ill and unstable patients who need emergency care Patients with medical conditions that are characterized by rapid changes in vital signs such as thyroid disorders Patients who have skin lesions on the forehead where the device is to be fixed

Ages Eligible for Study
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Minimum Age: 18 Years
Maximum Age: 70 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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Design Details

Primary Purpose: Supportive Care
Intervention Model: Single Group Assignment
Interventional Model Description: This is a cross-sectional study design. All participants receive the same intervention of our Neospot vitals measurements.
Masking: None (Open Label)


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: Neospot Vitals Measurement<br>Neospot is a 5-in-1 wearable vitals measurement device designed to measure temperature, blood pressure, pulse rate, respiratory rate and blood oxygen saturation. For the standard of care vitals measurement, conventional vital signs will be measured using mercury blood pressure cuffs and infrared or mercury thermometers for blood pressure and temperature respectively, pulse oximeter for oxygen saturation and a 1-minute count of heart rate and breathing rate. | Device: Neospot vitals measurement<br>* Vitals of participants in the intervention group will be measured using neospot alongside standard of care measurement.<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Capability, opportunity and motivation of nurses to use the Neospot device for vital signs measurement | Number of nurses reporting positive experiences and improved workflow as a result of utilizing the neospot product as responded in surveys | From enrolment, monitoring, data extraction and analysis over a period of 4 months | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Accuracy of vitals measurement of Neospot device compared to traditional equipment | We want to validate the accuracy of the Neospot device to measure temperature, SPO2, pulse rate and respiratory rate by comparing similarities and differences to the traditional devices vital signs readings | From enrolment, monitoring, data extraction and analysis over a period of 4 months | 
| Experiences of patients using the Neospot vitals measurement device | Number of patients reporting positive experience with our Neospot device through surveys | From enrolment, monitoring, data extraction and analysis over a period of 4 months | 
| Acceptability of Neospot device by nurses for adoption in health facilities | Number of nurses willingness to adopt the use the Neospot device as their primary vital sign measurement tool post utilization, determined through surveys | From enrolment, monitoring, data extraction and analysis over a period of 4 months | 
| Effects of Neospot vitals measurement device on nurses' workflow | Number of nurses reporting positive impact of the Neospot device on efficiency and improved workflow through surveys | From enrolment, monitoring, data extraction and analysis over a period of 4 months | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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Morbidity, Vitals Measurement, Health