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.
Study Type
INTERVENTIONAL
Allocation
NA
Purpose
TREATMENT
Masking
NONE
Enrollment
1,320
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.
Medisch Spectrum Twente
Enschede, Overijssel, Netherlands
RECRUITINGHF 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).
All cause death
Time frame: All cause death rate during the 15 month duration of the study.
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