Evaluating an Artificial Intelligence-Based Diagnostic Support Tool for Older Adults in Primary Care

N/ANot Yet RecruitingNCT07553559

University of Pennsylvania40 enrolled

Overview

Older adults commonly experience diagnostic errors that may lead to direct harms and increased healthcare costs. Older adults are especially at risk because of higher rates of comorbidity burden, medical complexity, frailty, and cognitive impairment. An artificial intelligence (AI) clinical decision support system (CDSS) offer a promising approach to promote diagnostic excellence for older adults. The purpose of this study is to assess the acceptability and feasibility of a new AI CDSS for older adults in primary care. The goal of this AI CDSS is to provide diagnostic support during primary care visits (i.e., help make timely and accurate diagnoses) and support communication amongst patients, doctors, and caregivers about the patient's health. In this study, participants will use the AI CDSS in a primary care visit and review its suggestions for diagnoses and tests. Afterwards, they will complete a feedback survey and interview where they share their thoughts about and experience using the AI CDSS.

Study Type

INTERVENTIONAL

Allocation

Purpose

DIAGNOSTIC

Masking

NONE

Enrollment

Conditions

Diagnostic Support

Interventions

INTERLACE is an artificial intelligence-based clinical decision support tool. It uses a patient's medical history, vital signs, and current symptoms to make suggestions for diagnoses and tests. These suggestions can be considered and discussed amongst patients, caregivers, and clinicians during primary care visits to help find a good diagnosis for the patient's symptoms.

Eligibility

Sex: ALLMin age: 65 Years

Medical Language ↔ Plain English

Inclusion Criteria: Clinicians 1. Work in the University of Pennsylvania Health System 2. Work in a primary care setting (i.e., Internal Medicine, Geriatric Medicine, Family Medicine, and Penn Primary Care) 3. Actively treat adult patients who are 65 years old or older Patients 1. 65 years of age or older 2. Have an upcoming encounter with a participating primary care clinician 3. Indicate a new or worsening health concern that they wish to discuss at the upcoming encounter Caregivers 1. 18 years old or older 2. Accompanying the participating patient during the encounter with the AI CDSS 3. Identified by the patient as a caregiver Exclusion Criteria: An individual who meets any of the following criteria will be excluded from participation in this study: 1. Under the age of 18 years old 2. Unable to provide informed consent in the opinion of the investigator 3. Has a "Research Do Not Contact" status in the electronic health record

Outcomes

Primary Outcomes

Feasibility of embedding the AI CDSS into a primary care visit

Participants will complete a Feasibility of Intervention Measure (FIM) via feedback survey following the primary care visit. Responses are measured on a 5-point Likert scale.

Time frame: From enrollment to the end of the study interview, up to two weeks

Feasibility of embedding the AI CDSS into a primary care visit

Feasibility will also be assessed through brief survey questions asking whether participants experienced any barriers to using INTERLACE, whether it was useful during the visit, and how long it was used (all measured on a 7-point Likert scale), as well as open-ended questions in a semi-structured interview.