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

Enrolling by invitation · Not applicable

Conditions studied: Heart Failure

In brief

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.

Key facts

Study ID

NCT06844006

Run by

Medisch Spectrum Twente

People needed

1320

Starts

2024-06-13

Expected to finish

2028-08-31

Last updated by the study team

2026-08-10

Who can join

Age: 18 and older. Sex: any. Healthy volunteers: not accepted.

You may qualify if…

• All heart failure diagnoses
• >18 years

You may not qualify if…

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

Where it is running

• Catharina Ziekenhuis — Eindhoven, North Brabant, Netherlands
• OLVG-oost — Amsterdam, North Holland, Netherlands
• Medisch Spectrum Twente — Enschede, Overijssel, Netherlands
• Maasstad hospital — Rotterdam, South Holland, Netherlands
• St. Antonius hospital — Nieuwegein, Utrecht, Netherlands

Full record on ClinicalTrials.gov

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