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Набор скоро начнётся NCT07574281

Effectiveness and Implementation of the DINKNESH Digital Palliative Care Tool in Ethiopia

Без фазы С лечением Palliative Care

Ориентир для пациента и семьи

Простыми словами

Автоматическая сводка по структурированным данным реестра. Она помогает сориентироваться, но не заменяет официальный протокол или оценку врача.

Что изучают
В протоколе указаны: DINKNESH App, Paper based tool.
Кому может быть актуально
Состояния в реестре: Palliative Care. Базовые параметры: от 18 лет · Все.
Что важно проверить
Возраст, диагноз и пол — только базовые ориентиры. Предыдущее лечение, анализы и другие обязательные условия указаны ниже в критериях участия.
Где проводится
Список центров уточняется — проверьте первичный протокол.
Следующий шаг
Сохраните исследование, покажите его лечащему врачу и уточните актуальный статус у исследовательского центра. Расходы, документы и поездка →

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Официальное название

Effectiveness and Implementation Determinants of the DINKNESH App Compared to Paper-Based Assessment Tools for Palliative Care: A Mixed-Methods Cluster Randomized Trial in Addis Ababa, Ethiopia

Обзор

The goal of this clinical trial is to learn if a digital health app called DINKNESH is effective for palliative care identification compared to traditional paper-based assessment tools. It will also look at the factors that help or hinder the use of this app in primary care settings. The main questions it aims to answer are: Does the DINKNESH app improve palliative care assessments compared to paper forms? What are the main barriers and facilitators for Health Extension Workers when using the app in their daily work? We will compare the DINKNESH app to standard paper-based tools to see if digital tools improve clinical assessment and implementation. Participants will: Be assessed for palliative care needs using either the DINKNESH mobile app or standard paper forms. Receive routine follow-up care as determined by their health provider. (For health workers): Participate in interviews or surveys to discuss their experience using the assigned assessment tool.

Вмешательства

  • Другое DINKNESH App
    A mobile-based digital health application designed to support Family Health Teams in the systematic identification and assessment of patients with palliative care needs. The application digitizes validated clinical tools, including the Supportive and Palliative Care Indicators Tool (SPICT), the Eastern Cooperative Oncology Group (ECOG) performance status, and the Integrated Palliative care Outcome Scale (IPOS) along with reference materials
  • Другое Paper based tool
    A paper-based clinical assessment protocol designed to support Family Health Teams in the systematic identification and assessment of patients with palliative care needs. It incorporates the same validated clinical tools used in the intervention arm, including the Supportive and Palliative Care Indicators Tool (SPICT), the Eastern Cooperative Oncology Group (ECOG) performance status, and the Integrated Palliative care Outcome Scale (IPOS), administered manually during routine home visits without

Первичные конечные точки

  • Rate of identification of patients with palliative care needs. [Срок оценки: 6 weeks]
Вторичные конечные точки (1)
  • Qualitative assessment of implementation barriers and enablers. [Срок оценки: 6 weeks]

Критерии участия

Критерии включения

  • For patients(Quantitative Part):
  • Adults aged 18 years or older
  • Currently diagnosed with one or more chronic conditions and receiving home-based follow-up care from a participating Family Health Team within the catchment area of a selected study cluster
  • Willing to provide verbal informed consent, or has a primary caregiver willing to provide proxy consent
  • For healthcare workers:
  • Staff members of the Family Health Team at the selected clusters
  • Involved in delivering or supervising palliative care services during the study period
  • For the qualitative part: Participated in the DINKNESH App implementation process and is willing to participate in a Focus Group Discussion (FGD)

Критерии исключения

  • For patients
  • Patients whose clinical condition prevents both self-participation and proxy participation in the assessment process
  • Patients already formally identified and referred for palliative care prior to the study period
  • For healthcare workers:
  • Staff members planning to be absent for more than 1 day during the six-week active study period
  • Healthworkers not present during the training session

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
Открытое
Основная цель
Организация здравоохранения

Центры проведения

Список центров уточняется — проверьте первичный протокол.

Идентификаторы

NCT: NCT07574281 · MPH/039/18

Первоисточники (государственные реестры)

Открыть это исследование на ClinicalTrials.gov ↗