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| Name | Class |
|---|---|
| Onze Lieve Vrouwe Gasthuis | OTHER |
| St. Antonius Hospital | OTHER |
| Martini Hospital Groningen | OTHER |
| Catharina Ziekenhuis Eindhoven |
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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.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Intervention | Other | All cardiologists will be nudged during the trial. with the use of a stepped wedge design there will be a structured embedding in the current standard of care. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| 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. |
| Measure | Description | Time Frame |
|---|---|---|
| HF related hospitalization | The frequency of HF related hospitalization and duration of the hospitalization. | From enrollment to the end of the design (15 months). |
| All cause death | All cause death rate during the 15 month duration of the study. |
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Inclusion Criteria:
Exclusion Criteria:
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Medisch Spectrum Twente | Recruiting | Enschede | Overijssel | 7512KZ | Netherlands |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 39217271 | Background | Man JP, Koole MAC, Meregalli PG, Handoko ML, Stienen S, de Lange FJ, Winter MM, Schijven MP, Kok WEM, Kuipers DI, van der Harst P, Asselbergs FW, Zwinderman AH, Dijkgraaf MGW, Chamuleau SAJ, Schuuring MJ. Digital consults in heart failure care: a randomized controlled trial. Nat Med. 2024 Oct;30(10):2907-2913. doi: 10.1038/s41591-024-03238-6. Epub 2024 Aug 31. |
| Label | URL |
|---|---|
| Related Info | View source |
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| ID | Term |
|---|---|
| D006333 | Heart Failure |
| ID | Term |
|---|---|
| D006331 | Heart Diseases |
| D002318 | Cardiovascular Diseases |
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| OTHER |
| Canisius-Wilhelmina Hospital | OTHER |
| Maasstad Hospital, Rotterdam | UNKNOWN |
Stepped Wedge Randomized Controlled Trial.
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