Engaging Home-monitored Assessment to Navigate Clinical Decision-making

Официальное название

Engaging Home-monitored Assessment to Navigate Clinical Decision-making -The ENHANCe Study

Обзор

This study is testing a new app called ENHANCe, which is designed to help family doctors manage patients with high blood pressure using readings taken at home.

Подробное описание

The researchers want to find out if the app is easy to use in everyday clinic settings, whether doctors find it helpful and are willing to use it, and if it helps improve care. The study will involve 16 doctors and 100 patients with high blood pressure, split into two groups at two clinics. One group will use the ENHANCe app, which can read blood pressure data from different sources-including handwritten notes-and give doctors advice based on that information. The other group will receive regular care without the app. Over six months, researchers will collect feedback from doctors through surveys and group discussions at the end of the study. They'll also track how many people complete the study, how long clinic visits take, whether doctors follow the app's advice, and how well patients' blood pressure is controlled. The goal is to see if the app can help doctors make faster, better decisions and improve health outcomes for people managing their blood pressure at home.

Вмешательства

• Устройство ENHANCe app
  ENHANCe app is a prototype; it is a smartphone based clinical decision support (CDS) tool to manage patients with hypertension using their home blood pressure. The app will scan patients' home BP records from paper or mobile phone, and provide a recommendation to the doctor on how to manage their blood pressure. The patient will not need to use the device during the study period. However, the recommendation from the ENHANCe app will be available to the doctor to manage your blood pressure during
• Другое Teaching and training
  All patients will have access to online educational resources throughout the study. After recruitment, they will receive a nurse-led education on HBP monitoring. The research team will train all primary care physicians (PCPs) on managing patients with hypertension using HBP records.
• Другое Usual care
  Physicians manage patients using HBP records at their discretion

Первичные конечные точки

• Response rate of participants [Срок оценки: 6 months]
• Agreement with the CDSS recommendation among PCPs [Срок оценки: 6 months]
• Withdrawal rate [Срок оценки: 6 months]
• Study completion rate [Срок оценки: 6 months]
• Adverse event rates [Срок оценки: 6 months]
• Consult duration [Срок оценки: 6 months]
• Ease of home blood pressure record assessment among PCPS [Срок оценки: 6 months]

Вторичные конечные точки (2)

• Proportion of CDSS recommendation followed by the PCPS [Срок оценки: 6 months]
• Blood pressure control status [Срок оценки: 6 months]

Критерии участия

Критерии включения

For primary care physicians:

• PCPs aged 21 years and above.
• Involved in the clinical management of patients with hypertension in the past six months.

For patients:

• Patients aged 21 years and above
• Documentation of hypertension diagnosis in EMR
• Owns an HBP monitoring device

Exclusion Criteria for patients:

• Documentation of dementia diagnosis in EMR
• Audio or visual impairments
• Hypertensive urgency or emergency

Критерии приведены из реестра в оригинале (на английском). Окончательную оценку соответствия проводит исследовательский центр.

Здоровые добровольцы: Нет

Дизайн исследования

Распределение

Рандомизированное

Модель

Параллельные группы

Маскирование

Простое слепое

Основная цель

Организация здравоохранения

Центры проведения

Сингапур · 1 центр

• SingHealth Polyclinics — Singapore

Идентификаторы

NCT: NCT07399912 · 2024-4269-APP1

Первоисточники (государственные реестры)

• ClinicalTrials.gov (NIH, США)

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