Emergency Department (ED) Self-Monitoring Pilot COVID-19

University of Michigan

Overview

This feasibility study is being conducted to understand how discharged emergency department patients who were tested for the SARS-CoV-2 virus (COVID-19) engage with a symptom-tracking web application. Study participants that are enrolled in the study will be asked to enter daily information about their health into the CovidX web application (app.). In addition, patients will answer questions regarding anxiety levels, use a pulse oximeter to record information (if you own one or are given one). The investigators predict that participants will be able to engage with the CovidX web application over several days to weeks for the purposes of symptom tracking, and may have decreased anxiety over the study period.

Study Type

INTERVENTIONAL

Allocation

NON_RANDOMIZED

Purpose

OTHER

Masking

NONE

Conditions

COVID Covid-19 SARS-CoV 2

Interventions

Symptoms entered into the CovidX applicationOTHER

Participants are asked to enter symptoms into the CovidX application at least daily for 30 days. Additionally, they will enter demographic information and some survey information will be collected.

Eligibility

Sex: ALLMin age: 18 Years

Medical Language ↔ Plain English

Inclusion Criteria: * Reported symptoms of viral illness during ED encounter * Tested for SARS-CoV-2 (COVID-19) during ED encounter * Discharged home from the Emergency Department Exclusion Criteria: * Prisoners * Residents of congregate living facilities who are already being monitored * Baseline oxygen requirement * Patients whose primary goals of care are palliative * Pregnant women

Outcomes

Primary Outcomes

Change in the percent of participants using the CovidX web application (app) on 50% or greater of days

Time frame: baseline, up to 30 days

Average compliance rate with daily symptom tracking by day 30

Time frame: Day 30

Recruitment rate

The proportion of patients approached for the study who enroll

Time frame: through study completion an average of 1 year

Secondary Outcomes

Change in Patient-Reported Outcomes Measurement Information System (PROMIS) Anxiety short form 4a

The PROMIS Emotional Distress-Anxiety-Short Form 4a is a 4-item scale that assesses fear, anxiety, worry, and uneasiness. It uses a 5-point Likert scale (1 = never to 5 = always). Raw scores range from 4-20 with lower scores representing less endorsement of anxiety.

Time frame: completed at baseline (enrollment), up to 30 days

Change in Coronavirus Anxiety Scale

This is a 5- item questionnaire that assess anxiety related to the Coronavirus. Participants select from (0 = not at all to 4 = nearly every day over the last 2 weeks). The higher the total number the more anxiety.

Time frame: completed at baseline (enrollment), up to 30 days

CovidX web application usability and utility measured adapted by mHealth App Usability Questionnaire

The questionnaire is a series of 8 questions answered on a 1-7 Likert scale, with lower numbers indicating better usability. There are also 2 open-ended questions about why participants did or didn't like the application and other feedback is collected.

Time frame: 30 days

Differences in CovidX web application engagement between patients who do and do not receive a pulse oximeter

Data from ClinicalTrials.gov

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