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Investigating the Impact of Nudging Cardiologists to Prescribe Class I Recommendations Foundational- and Additional Medical Therapy in Heart Failure Patients
Sponsor: Medisch Spectrum Twente
Summary
This study investigates the impact of a nudge-based intervention on improving 2026 European Society of Cardiology guideline class I Foundational Medical Therapy (FMT) and Additional medical therapy (AMT) 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.
Official title: Assessment of Digital Care on Clinical Impact and Efficiency Using a Stepped Wedge Cluster RCT in Heart Failure Patients: the ADMINISTER II Trial
Key Details
Gender
All
Age Range
18 Years - Any
Study Type
INTERVENTIONAL
Enrollment
1320
Start Date
2026-10-09
Completion Date
2028-07-09
Last Updated
2026-10-15
Healthy Volunteers
No
Conditions
Interventions
Nudging
Clinicians will be nudged with a prompt, including remote monitoring data, current medication data, contraindications, in the electronic patient dossier whether further optimization to class I 2026 ESC recommendations of FMT and AMT is possible.
Locations (5)
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