ट्रायल रडार AI | ||
|---|---|---|
क्लिनिकल ट्रायल NCT05986695 (Nudge) के लिए हृदय विफलता वर्तमान में सक्रिय, भर्ती नहीं है। सभी विवरणों के लिए क्लिनिकल ट्रायल रडार कार्ड दृश्य और AI खोज उपकरण देखें, या यहाँ कुछ भी पूछें। | ||
एक परीक्षण फ़िल्टर मानदंडों से मेल खाता है
कार्ड दृश्य
Informational Nudge to Improve Heart Failure Prescribing
चिकित्सा परीक्षण का विवरण मुख्य रूप से अंग्रेजी में उपलब्ध है। हालाँकि, ट्रायल रडार AI मदद कर सकता है! बस 'परीक्षण समझाएं' पर क्लिक करें और अपनी चुनी हुई भाषा में परीक्षण की जानकारी देखें और चर्चा करें।
क्लिनिकल परीक्षण NCT05986695 (Nudge) एक हस्तक्रियात्मक चिकित्सकीय अध्ययन है जो हृदय विफलता से जुड़ा हुआ है। परीक्षण वर्तमान में सक्रिय, भर्ती नहीं चल रहा है। इसकी शुरुआत 9 जून 2023 को हुई थी, और इसमें कुल 89 प्रतिभागियों के नामांकन की योजना है। VA Office of Research and Development इस परीक्षण का नेतृत्व कर रहे हैं और इसके 30 सितंबर 2025 तक पूरा होने की उम्मीद है। ClinicalTrials.gov वेबसाइट पर यह जानकारी 20 जुलाई 2025 को अंतिम बार अपडेट की गई थी।
संक्षिप्त सारांश
This study addresses a critical gap of care for Veterans with heart failure (HF). Only 1/3 or fewer eligible Veterans are receiving recommended SGLT2 and MRA therapies that save lives and prevents HF hospitalizations. The investigators will compare the effect of clinician directed nudges as strategies to improve the health of Veterans with HF.
विस्तृत विवरण
This study addresses a critical gap in quality of care for Veterans with heart failure (HF). Only 1/3 or fewer eligible Veterans are receiving SGLT2 inhibitors and mineralocorticoid receptor antagonists, both medications that save lives and prevents HF hospitalizations. The investigators will combine insights from behavioral science and quality improvement science to create two types of 'nudges' - informational alerts and peer comparison feedback - to increase prescribing of these medications. The investigators will create two types of 'nudges' - informational alerts and peer comparison feedback - to increase prescribing of these medications. The investigators will compare the effect of these two nudge strategies alone and in combination compared to usual care. This project will develop simple, scalable, and low-cost strategies to improve the health of Veterans with HF.
आधिकारिक शीर्षक
Preliminary Implementation of an Informational Nudge to Improve Heart Failure Prescribing
चिकित्सीय स्थितियाँ
हृदय विफलताअन्य अध्ययन आईडी
- Nudge
- PPO 22-091
NCT नंबर
अध्ययन प्रारंभ तिथि (वास्तविक)
2023-06-09
अंतिम अद्यतन प्रकाशित
2025-07-20
अध्ययन की समाप्ति तिथि (अनुमानित)
2025-09-30
नामांकन (अनुमानित)
89
अध्ययन प्रकार
हस्तक्रियात्मक
चरण
निर्दिष्ट नहीं
स्थिति
सक्रिय, भर्ती नहीं
प्रमुख शब्द
Sodium-Glucose Transporter 2 Inhibitors
Mineralocorticoid Receptor Antagonists
Economics, Behavioral
feedback
medical audit
Mineralocorticoid Receptor Antagonists
Economics, Behavioral
feedback
medical audit
प्राथमिक उद्देश्य
स्वास्थ्य सेवा अनुसंधान
डिज़ाइन आवंटन
यादृच्छिक
हस्तक्षेप मॉडल
कारक अभिकल्प
अंधकरण
एकल अंध
समूह/हस्तक्षेप
| प्रतिभागी समूह/हाथ | हस्तक्षेप/इलाज |
|---|---|
सक्रिय तुलना समूहPeer Comparison Report Clinicians assigned to peer comparison, will receive messages by secure email every two weeks regarding their SGLT2i and MRA prescribing performance. | Peer Comparison Report Clinicians will receive an email describing their recent SGLT2 and MRA prescribing performance relative to their peers. |
सक्रिय तुलना समूहAlert Clinicians in the alert arm will receive an alert two business days prior to a patient's upcoming appointment. Clinicians will receive approximately two alerts per week. | सतर्क Interruptive alert. The prototype alert is in the form of a chart note with evidence-based practice guidelines that will actively display in the clinician's list of daily alerts (like an inbox) that must be cleared daily. It is interruptive because can only be dismissed from the clinician's inbox list after signing the note |
सक्रिय तुलना समूहAlert and Peer Comparison The combined alert and peer comparison arm will receive both interventions. | सतर्क Interruptive alert. The prototype alert is in the form of a chart note with evidence-based practice guidelines that will actively display in the clinician's list of daily alerts (like an inbox) that must be cleared daily. It is interruptive because can only be dismissed from the clinician's inbox list after signing the note Peer Comparison Report Clinicians will receive an email describing their recent SGLT2 and MRA prescribing performance relative to their peers. |
कोई हस्तक्षेप नहींControl No alert or peer comparison | निर्दिष्ट नहीं |
प्राथमिक परिणाम माप
द्वितीयक परिणाम माप
| परिणाम माप | माप विवरण | समय सीमा |
|---|---|---|
Effectiveness | The primary effectiveness outcome is the proportion of SGLT2 or MRA prescriptions in eligible HF patients in the three intervention groups compared with the control group within 30 days of appointment. Thirty days is a common time interval for HF outcomes assessment and allows for chart documentation, care coordination, laboratory testing, and medication prescribing that may occur days after a patient encounter. The investigators will record all SGLT2 or MRA prescriptions, including those from non-targeted clinicians, given that nudge interventions, especially the informational alert, may impact other clinicians directly (e.g., view alert in EHR) or indirectly (e.g., referral from targeted clinician). | 30 days |
| परिणाम माप | माप विवरण | समय सीमा |
|---|---|---|
Reach-Clinician | Reach will be measured at the clinician level as the number of unique clinicians who received an informational alert or peer comparison. | 6 months |
Incidence of Treatment Emergent Adverse Events | The investigators will measure safety as the number of discontinued prescribed medicine due to suspected adverse effects within 30 days of the nudge interventions. | 30 days |
Implementation-Acceptability | Implementation will be assessed by clinician-directed survey of Acceptability of intervention Measure. Likert Scale: minimum 1 and maximum 5. 5 being the highest. | 6 months |
Reach-Patient | At the patient level, Reach will be measured as the number of informational alerts delivered for unique patient visits and unique patients. | 6 months |
Reach-Comparison of Strategies | the investigators will measure the proportion of alerts relative to the total number of eligible patients with HF; this denominator will allow for comparisons of representativeness of the alert strategy. | 6 months |
Implementation-Appropriateness | Implementation will be assessed by clinician direct survey of Intervention Appropriateness Measure. Likert scale: minimum 1 and maximum 5. 5 being the highest. | 6 months |
Implementation-Feasibility | Implementation will be assessed by clinician direct survey of Feasibility of Intervention Measure. Likert scale: minimum 1 and maximum 5. 5 being the highest. | 6 months |
पात्रता मानदंड
अध्ययन के लिए पात्र आयु
वयस्क, वृद्ध वयस्क
अध्ययन के लिए न्यूनतम आयु
18 Years
अध्ययन के लिए पात्र लिंग
सभी
स्वस्थ स्वयंसेवकों को स्वीकार करता है
हाँ
- Primary care and cardiology clinicians at Southern AZ VA Health Care System working in outpatient clinic setting
- Clinicians who are in training status (resident, fellow) will be excluded.
VA Office of Research and Developmentएरिजोना स्टेट विश्वविद्यालयकोई संपर्क डेटा नहीं।
1 1 देशों में अध्ययन स्थल
Arizona
Southern Arizona VA Health Care System, Tucson, AZ, Tucson, Arizona, 85723-0001, United States