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The goal of this clinical trial is to learn if a digital health app called DINKNESH is effective for palliative care identification compared to traditional paper-based assessment tools. It will also look at the factors that help or hinder the use of this app in primary care settings.
The main questions it aims to answer are:
Does the DINKNESH app improve palliative care assessments compared to paper forms?
What are the main barriers and facilitators for Health Extension Workers when using the app in their daily work?
We will compare the DINKNESH app to standard paper-based tools to see if digital tools improve clinical assessment and implementation.
Participants will:
Be assessed for palliative care needs using either the DINKNESH mobile app or standard paper forms.
Receive routine follow-up care as determined by their health provider.
(For health workers): Participate in interviews or surveys to discuss their experience using the assigned assessment tool.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| DINKNESH App | Experimental | Healthcare workers (Family Health Teams) in these clusters will utilize the DINKNESH mobile application during routine home-based visits to systematically identify and assess patients requiring palliative care. The app integrates validated tools (SPICT, ECOG, IPOS) and provides clinical decision support for symptom management, counseling, and referral protocols |
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| Paper based Tool | Active Comparator | Family Health Teams in these clusters will provide home-based chronic care services following standard paper based without the use of the digital application. |
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| DINKNESH App | Other | A mobile-based digital health application designed to support Family Health Teams in the systematic identification and assessment of patients with palliative care needs. The application digitizes validated clinical tools, including the Supportive and Palliative Care Indicators Tool (SPICT), the Eastern Cooperative Oncology Group (ECOG) performance status, and the Integrated Palliative care Outcome Scale (IPOS) along with reference materials |
| Measure | Description | Time Frame |
|---|---|---|
| Rate of identification of patients with palliative care needs. | The primary outcome is the rate of palliative care identifications, calculated as the number of individuals identified as requiring palliative care divided by the total number of chronic patient visit conducted by the Family Health Teams during the study period. | 6 weeks |
| Measure | Description | Time Frame |
|---|---|---|
| Qualitative assessment of implementation barriers and enablers. | Evaluation of implementation determinants (barriers and facilitators) through focus group discussions with health extension workers | 6 weeks |
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Inclusion Criteria
For patients(Quantitative Part):
For healthcare workers:
Exclusion Criteria
For patients
For healthcare workers:
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Meheret Amare, Doctor of Medicine | Contact | +251919373034 | meheretyeshitila3@gmail.com |
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| Type | Includes Protocol | Includes SAP | Includes ICF | Document Label | Document Date | Document Uploaded Date | Document File Name |
|---|---|---|---|---|---|---|---|
| Prot_ICF | Yes | No | Yes | Study Protocol and Informed Consent Form | Jan 20, 2026 | Apr 30, 2026 | Prot_ICF_000.pdf |
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| Paper based tool | Other | A paper-based clinical assessment protocol designed to support Family Health Teams in the systematic identification and assessment of patients with palliative care needs. It incorporates the same validated clinical tools used in the intervention arm, including the Supportive and Palliative Care Indicators Tool (SPICT), the Eastern Cooperative Oncology Group (ECOG) performance status, and the Integrated Palliative care Outcome Scale (IPOS), administered manually during routine home visits without the use of a digital application and reference material. |
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