The iVAN Project: an innovative solution to meet the challenges in trial recruitment during a global pandemic

Abstract

AbstractPurposeCOVID‐19 has greatly affected the number of patients willing and able to attend hospital, with research activity also greatly impacted. Imperial College Ophthalmology Research Group (ICORG) have observed clinical backlogs and a 77% decrease in trial patient recruitment. As a first of its kind, this project aims to combat clinic waiting lists and patient confidence in trial involvement through creating a safe, flexible and decentralised healthcare environment with iVAN, a mobile research unit.MethodsA survey of outpatients was performed exploring attitudes towards visiting hospital for clinical and research reasons amidst a pandemic. A vehicle was equipped with state‐of‐the‐art clinical research facilities in a COVID‐safe environment. A multi‐stage approach was taken in order to achieve relevant driving and roadworthiness certification, multi‐disciplinary involvement and healthcare network planning in order to ensure the smooth progression of the project. A pilot period of clinical visits was carried out and evaluated in close vicinity to the hospital.ResultsOf the 53 patients surveyed, 60% percent of patients were not willing to take part in clinical trials with others having concerns related to travel and being in the hospital. The final layout of the vehicle includes imaging devices, a visual field analyser, IT equipment and space for staff to see patients. Social distancing and infection control have been ensured to provide a pleasant and safe working environment. A pilot period is underway assessing staff and patient satisfaction along with capacity and trial data runs, with future plans involving satellite clinics in the community.ConclusionsFlexible and innovative service provision continues to be required to minimise morbidity attributable to the pandemic. The iVan has the facilities to bring decentralised, specialist ophthalmic care into local communities in a COVID‐safe manner, whilst being a useful tool to engage future research participants.