RecruitingNot ApplicableNCT06831994

Digital Implementation of the German S3 Clinical Practice Guideline for Multimorbidity

Digital Implementation of the German S3 Clinical Practice Guideline for Primary Care of Older Patients With Multimorbidity - a Cluster-randomised Clinical Evaluation Study (Gp-multitool.de)

Sponsor

Universitätsklinikum Hamburg-Eppendorf

Enrollment

660 participants

Start Date

Feb 26, 2025

Study Type

INTERVENTIONAL

Conditions

Heart Failure Breast Neoplasms Obesity Comorbidities and Coexisting Conditions Depression Rheumatoid Arthritis Asthma Bronchiale Coronary Disease Diabetes Mellitus, Type 2 Diabetes Mellitus, Type 1 Pulmonary Disease, Chronic Obstructive Chronic Low-back Pain Osteoporosis

Summary

The web application gp-multitool.de is a digital tool for implementing the German S3 clinical practice guideline for multimorbidity of the German Society of General Practitioners and Family Physicians in primary care. The tool enhances evidence-based and patient-centered care by assessing and providing information relevant for the primary care of this patient group. This cluster-randomised clinical evaluation study examines the effectiveness of an intervention based on gp-multitool.de in general practitioner (GP) practices in Germany.

Eligibility

Min Age: 65 Years

Plain Language Summary

Simplified for easier understanding

This study is testing a digital health tool designed to help general practitioners in Germany better manage patients with multiple chronic conditions at once — a situation called multimorbidity. The tool is based on official German clinical guidelines and aims to help doctors give more coordinated care to patients who have two or more long-term illnesses. **You may be eligible if...** - You are enrolled in at least one of Germany's disease management programs (for conditions like diabetes, asthma, heart disease, COPD, depression, obesity, etc.) - You have at least two chronic conditions from a defined list (including hypertension, diabetes, arthritis, heart disease, depression, thyroid problems, and others) **You may NOT be eligible if...** - You are not enrolled in a disease management program - You have fewer than two qualifying chronic conditions Talk to your doctor to see if this trial is right for you.

This summary was AI-generated to explain the trial in plain language. It is not medical advice. Always discuss eligibility with your doctor before enrolling in a clinical trial.

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Interventions

OTHERgp-multitool.de

The intervention is based on the digital tool gp-multitool.de. The GPs can send questionnaires by email to patients and patients can fill out questionnaires at their home or in the waiting room of the practice using any digital device with browser and access to the internet. The digital tool also includes instructions for conducting a medication review. Results will be available from the computers of attending GPs. Decisions from talks between GPs and patients can be documented in the tool. The tool includes ten questionnaires: 1. patient preferences (including a. treatment goals, and b. involvement of other persons in decision making); 2. social life (including a. activities and participation, and b. social support); 3. treatment situation (including a. problems with medication, and b. treatment burden); 4. health complaints (including a. pain, b. psychiatric disorders, and c. other complaints). 5. resilience and protective behavior against heat.