Evaluation of Dora Care for Supporting Fracture Liaison Services (FLS)

Summary

What is the study about? This study is testing "Dora", an AI-powered assistant that can make phone calls to patients, for use in the Fracture Liaison Service (FLS). The FLS is a clinic that helps prevent more bone fractures after an initial "fragility fracture" (a break that happens easily, usually due to osteoporosis).

Why is this being done? FLS clinicians often have to spend a lot of time on routine phone calls for assessments and follow-ups. If Dora can safely and accurately collect patient information, it might save time for staff and still give patients a good experience.

What will happen to patients in the study? Invitation and consent - Patients with a new fragility fracture who are eligible will be invited to take part after informed consent.

Dora call - Patients will receive an automated phone call from Dora, at the start of their FLS pathway and at follow-up.

At intake, Dora will ask about risk factors for bone problems (e.g., smoking, alcohol use, family fracture history).

At follow-up, Dora will ask about medication use, side effects, falls, or new fractures.

Clinician call - Soon after, patients will have their usual phone appointment with an FLS clinician, who asks similar questions.

Surveys/interviews - Patients will be asked to complete a short questionnaire and take part in an optional interview to say how they felt about talking to Dora.

What about clinicians? Clinicians involved in the FLS pathway will be asked to complete a short survey and to take part in an optional interview to understand how useful Dora's reports might be in their work.

Who can take part? Patients - Age 50+, English-speaking, with a new fragility fracture, and able to use the phone.

Clinicians - Those working in FLS or similar bone health services. How long will it take? Each patient might be involved for up to about 7 months. The whole study will take about a year.

Conditions

• AI (Artificial Intelligence)
• Osteoporosis
• Outpatient
• Telemedicine
• Automation
• Risk Assesment
• Bone Health

Interventions

DEVICE

Dora call

Patient participant will recieve a Dora call in addition to their standard clinical care telephone appointment

Sponsors & Collaborators

• University College London Hospitals

  collaborator OTHER

• University of York

  collaborator OTHER

• Ufonia

  lead INDUSTRY

Principal Investigators

• Aisling Higham, FRCOphth, MSc, MBBS · Ufonia

Study Design

Allocation

NA

Purpose

OTHER

Masking

NONE

Model

SINGLE_GROUP

Eligibility

Min Age

50 Years

Sex

ALL

Healthy Volunteers

No

Timeline & Regulatory

Start

2026-02-28

Primary Completion

2027-08-31

Completion

2027-12-31