RecruitingNot ApplicableNCT06844006

Investigating the Impact of Nudging Cardiologists to Prescribe Guideline-directed Medical Therapy in Heart Failure Patients

Assessment of Digital Care on Clinical Impact and Efficiency Using a Stepped Wedge Cluster RCT in Heart Failure Patients: the ADMINISTER II Trial

Sponsor

Medisch Spectrum Twente

Enrollment

1,320 participants

Start Date

Jun 13, 2024

Study Type

INTERVENTIONAL

Conditions

Heart Failure

Summary

This study investigates the impact of a nudge-based intervention on improving guideline directed medical therapy (GDMT) prescription among cardiologists. Using a stepped wedge randomized controlled trial design, we assess whether digital decision support-leveraging home monitoring and clinical data-enhances adherence to guideline-recommended medication titration. The primary outcomes include HF related hospitalization rates and all cause mortality.

Eligibility

Min Age: 18 Years

Inclusion Criteria2

All heart failure diagnoses
\>18 years

Exclusion Criteria4

Not understanding the Dutch Language.
Allergies that make uptitration impossible.
Admission to hospice or palliative care.
Severe psychological disorders.

Interventions

COMBINATION_PRODUCTNudging

Clinicians will be nudged with a prompt, based on remote monitoring data, current medication data, contraindications, in the electronic patient dossier whether further optimization to guideline directed medical therapy (GDMT) is possible.