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.
All heart failure diagnoses
>18 years
Not understanding the Dutch Language.
Allergies that make uptitration impossible.
Admission to hospice or palliative care.
Severe psychological disorders.
Medisch Spectrum Twente
Lead sponsor
Onze Lieve Vrouwe Gasthuis
Collaborator
St. Antonius Hospital
Collaborator
Martini Hospital Groningen
Collaborator
Catharina Ziekenhuis Eindhoven
Collaborator
Canisius-Wilhelmina Hospital
Collaborator
Maasstad Hospital, Rotterdam
Collaborator