Health TrialsbyHealthPanel

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

ConditionHeart Failure
Trial statusRecruiting
Trial phaseNot applicable
Trial typeInterventional
Biological sexAll
Age18+
SponsorMedisch Spectrum Twente

About this trial

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 criteria

This trial does not accept healthy volunteers

Qualifiers

All heart failure diagnoses

>18 years

Disqualifiers

Not understanding the Dutch Language.

Allergies that make uptitration impossible.

Admission to hospice or palliative care.

Severe psychological disorders.

Trial design

Design model

Single group

Treatments tested in this trial

  • Nudging

    Combination product

    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.

Treatment groups

1,320 Participants
are divided into 1 treatment group
Group A: InterventionOther 1 intervention

Trial outcomes

Primary outcomes

1

HF related hospitalization

The frequency of HF related hospitalization and duration of the hospitalization.

Time frame
From enrollment to the end of the design (15 months).
2

All cause death

Time frame
All cause death rate during the 15 month duration of the study.

Secondary outcomes

Other outcomes

Sponsors and contacts

Click on the lead sponsor to view all of their trials.

Medisch Spectrum Twente

Lead sponsor

Onze Lieve Vrouwe Gasthuis

Collaborator

St. Antonius Hospital

Collaborator

Martini Hospital Groningen

Collaborator

Catharina Ziekenhuis Eindhoven

Collaborator

Canisius-Wilhelmina Hospital

Collaborator

Maasstad Hospital, Rotterdam

Collaborator

Source ClinicalTrials.gov
Apply now