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Development of a novel mobile health tool for age-specific dehydration assessment and management in patients with diarrheal disease

Award Number: R01DK116163
ORGANIZATION: NATIONAL INSTITUTE OF DIABETES & DIGESTIVE & KIDNEY DISEASES
OPDIV: NIH
AWARD CLASS: DISCRETIONARY
AWARD ACTIVITY TYPE: SCIENTIFIC/HEALTH RESEARCH (INCLUDES SURVEYS)

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Development of a novel mobile health tool for age-specific dehydration assessment and management in patients with diarrheal disease - Project Summary Diarrheal diseases lead to an estimated 2.4 billion episodes of illness and 1.3 million deaths each year, with the majority of those deaths occurring in adults, adolescents, and children over five years. As the severity of diarrheal diseases can vary widely, accurately assessing dehydration status remains the most crucial step in preventing morbidity and mortality. While patients with severe dehydration require hospital admission and immediate resuscitation with intravenous fluids to prevent hemodynamic compromise, organ ischemia, and death, those with mild to moderate dehydration can be treated in outpatient settings with relatively inexpensive oral rehydration solution. Yet, while several tools have been validated for use in children under five years of age, no clinical diagnostic tool has ever been validated for the assessment of dehydration severity in adults, adolescents or children over five years of age with acute diarrhea. Differences in both adult physiology and diarrhea etiology may compromise the accuracy of clinical diagnostic models developed for use in young children. The proposed research will derive the very first age-specific clinical diagnostic models created for the assessment of dehydration status in patients over five years of age with acute diarrhea, incorporate those models into a new mobile health (mHealth) tool, and validate the performance of this tool in a new population of patients with acute diarrhea. To accomplish this task, we will enroll a prospective cohort of adults and children over five years of age with acute diarrhea presenting to the rehydration unit of the International Centre for Diarrhoeal Disease Research, Bangladesh (icddr,b) in Dhaka, Bangladesh and collect data on presenting clinical signs and symptoms shown to correlate with dehydration severity in prior studies. We will then employ machine learning techniques to derive age-specific clinical diagnostic models for assessing dehydration in patients over five years of age with acute diarrhea. We will conduct formative research among clinicians working at icddr,b to develop an innovative mobile phone based platform which will incorporate these new age-specific diagnostic models for rapid use by frontline health workers. Finally, we will validate both the accuracy and reliability of the newly developed mHealth tool in a new population of adults and children over five years of age with acute diarrhea. Once developed and properly validated, this novel mHealth tool has the potential to help physicians, nurses, and other healthcare providers more accurately diagnose dehydration severity and better determine the optimal management strategy for patients with acute diarrhea. Improved diagnostic approaches may in turn be shown to reduce both the morbidity and mortality that occurs as a result of missed diagnoses of dehydration, as well as the adverse events and inappropriate utilization of limited healthcare resources that can result from inaccurate diagnoses of dehydration.


Issue Date FY	Funding FY	Legal Entity Name	Legal Entity Address	Legal Entity City	Legal Entity State	Legal Entity Zip Code	Legal Entity COUNTY	Legal Entity COUNTRY	Assistance Listing	Award Code	Budget Year	Action Date	Action Type	Action Amount

Issue Date FY: 2025 ( Subtotal = $0 )
2025	2022	RHODE ISLAND HOSPITAL	593 EDDY ST	PROVIDENCE	RI	02903	PROVIDENCE	USA	Diabetes, Digestive, and Kidney Diseases Extramural Research	000	5	2/12/2025	NON-COMPETING CONTINUATION	$0
														Subtotal = $0

Issue Date FY: 2024 ( Subtotal = $676,935 )
2024	2024	BROWN UNIVERSITY	1 PROSPECT ST	PROVIDENCE	RI	02912	PROVIDENCE	USA	Diabetes, Digestive, and Kidney Diseases Extramural Research	001	6	4/23/2024	COMPETING CONTINUATION	$676,935
2024	2022	RHODE ISLAND HOSPITAL	593 EDDY ST	PROVIDENCE	RI	02903	PROVIDENCE	USA	Diabetes, Digestive, and Kidney Diseases Extramural Research	000	5	4/15/2024	NON-COMPETING CONTINUATION	$0
														Subtotal = $676,935

Issue Date FY: 2022 ( Subtotal = $543,575 )
2022	2022	RHODE ISLAND HOSPITAL	593 EDDY ST	PROVIDENCE	RI	02903	PROVIDENCE	USA	Diabetes, Digestive, and Kidney Diseases Extramural Research	000	5	6/28/2022	NON-COMPETING CONTINUATION	$543,575
														Subtotal = $543,575

Issue Date FY: 2021 ( Subtotal = $546,783 )
2021	2021	RHODE ISLAND HOSPITAL	593 EDDY ST	PROVIDENCE	RI	02903	PROVIDENCE	USA	Diabetes, Digestive, and Kidney Diseases Extramural Research	000	4	6/16/2021	NON-COMPETING CONTINUATION	$546,783
														Subtotal = $546,783

Issue Date FY: 2020 ( Subtotal = $618,136 )
2020	2020	RHODE ISLAND HOSPITAL	593 EDDY ST	PROVIDENCE	RI	02903	PROVIDENCE	USA	Diabetes, Digestive, and Kidney Diseases Extramural Research	000	3	6/25/2020	NON-COMPETING CONTINUATION	$618,136
														Subtotal = $618,136

Issue Date FY: 2019 ( Subtotal = $556,605 )
2019	2019	RHODE ISLAND HOSPITAL	593 EDDY ST	PROVIDENCE	RI	02903	PROVIDENCE	USA	Diabetes, Digestive, and Kidney Diseases Extramural Research	001	2	7/1/2019	NON-COMPETING CONTINUATION	$556,605
2019	2018	RHODE ISLAND HOSPITAL	593 EDDY ST	PROVIDENCE	RI	02903	PROVIDENCE	USA	Diabetes, Digestive, and Kidney Diseases Extramural Research	000	1	11/6/2018	NEW	$0
														Subtotal = $556,605

Issue Date FY: 2018 ( Subtotal = $544,336 )
2018	2018	RHODE ISLAND HOSPITAL	593 EDDY ST	PROVIDENCE	RI	02903	PROVIDENCE	USA	Diabetes, Digestive, and Kidney Diseases Extramural Research	000	1	8/28/2018	NEW	$544,336
2018	2018	RHODE ISLAND HOSPITAL	593 EDDY ST	PROVIDENCE	RI	02903	PROVIDENCE	USA	Diabetes, Digestive, and Kidney Diseases Extramural Research	001	1	8/29/2018	NEW	$0
														Subtotal = $544,336

Grand Total All Awards = $3,486,370

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Development of a novel mobile health tool for age-specific dehydration assessment and management in patients with diarrheal disease

Award Number: R01DK116163

ORGANIZATION: NATIONAL INSTITUTE OF DIABETES & DIGESTIVE & KIDNEY DISEASES

OPDIV: NIH

AWARD CLASS: DISCRETIONARY

AWARD ACTIVITY TYPE: SCIENTIFIC/HEALTH RESEARCH (INCLUDES SURVEYS)

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