Feasibility of an artificial intelligence phone call for postoperative care following cataract surgery in a diverse population: two phase prospective study protocol.

Autor:	Hatamnejad A; McMaster University Michael G DeGroote School of Medicine, Hamilton, Ontario, Canada., Higham A; Ufonia Limited, Oxford, UK.; Royal Berkshire Hospital NHS Foundation Trust, Reading, UK., Somani S; Department of Opthalmology and Vision Sciences, Temerty Faculty of Medicine, University of Toronto, Toronto, Ontario, Canada.; William Osler Health System, Brampton, Ontario, Canada., Tam ES; Department of Opthalmology and Vision Sciences, Temerty Faculty of Medicine, University of Toronto, Toronto, Ontario, Canada.; William Osler Health System, Brampton, Ontario, Canada., Lim E; Ufonia Limited, Oxford, UK.; Department of Computer Science, University of York, York, UK., Khavandi S; Ufonia Limited, Oxford, UK., de Pennington N; Ufonia Limited, Oxford, UK., Chiu HH; McMaster University Michael G DeGroote School of Medicine, Hamilton, Ontario, Canada hannah.chiu@mail.utoronto.ca.; Department of Opthalmology and Vision Sciences, Temerty Faculty of Medicine, University of Toronto, Toronto, Ontario, Canada.; William Osler Health System, Brampton, Ontario, Canada.
Jazyk:	angličtina
Zdroj:	BMJ open ophthalmology [BMJ Open Ophthalmol] 2024 Jan 10; Vol. 9 (1). Date of Electronic Publication: 2024 Jan 10.
DOI:	10.1136/bmjophth-2023-001475
Abstrakt:	Introduction: Artificial intelligence (AI) development has led to improvements in many areas of medicine. Canada has workforce pressures in delivering cataract care. A potential solution is using AI technology that can automate care delivery, increase effectiveness and decrease burdens placed on patients and the healthcare system. This study assesses the use of 'Dora', an example of an AI assistant that is able to deliver a regulated autonomous, voice-based, natural-language consultation with patients over the telephone. Dora is used in routine practice in the UK, but this study seeks to assess the safety, usability, acceptability and cost-effectiveness of using the technology in Canada. Methods and Analysis: This is a two-phase prospective single-centred trial. An expected 250 patients will be recruited for each phase of the study. For Phase I of the study, Dora will phone patients at postoperative week 1 and for Phase II of the study, Dora will phone patients within 24hours of their cataract surgery and again at postoperative week 1. We will evaluate the agreement between Dora and a supervising clinician regarding the need for further review based on the patients' symptoms. A random sample of patients will undergo the System Usability Scale followed by an extended semi-structured interview. The primary outcome of agreement between Dora and the supervisor will be assessed using the kappa statistic. Qualitative data from the interviews will further gauge patient opinions about Dora's usability, appropriateness and level of satisfaction. Ethics and Dissemination: Research Ethics Board William Osler Health System (ID: 22-0044) has approved this study and will be conducted by guidelines of Declaration of Helsinki. Master-linking sheet will contain the patient chart identification (ID), full name, date of birth and study ID. Results will be shared through peer-reviewed journals and presentations at conferences. Competing Interests: Competing interests: SS: speaking honorarium for Allergan, Bayer, Novartis and industry ad board member for Novartis, Consultant Ripple Therapeutics. HHC: ad board member for Bayer, Novartis and Johnson & Johnson. Public and private support: nothing to disclose. AHi, SK, EL and NdP are employees of Ufonia, Limited. (© Author(s) (or their employer(s)) 2024. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ.)
Databáze:	MEDLINE
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