Informational Nudge to Improve Heart Failure Prescribing

Part of paid clinical trials in Tucson, Arizona.

Sponsor
VA Office of Research and Development
Study ID
NCT05986695
Status
Completed

Conditions

Eligibility Criteria

Sex
ALL
Age
18 Years - N/A
Healthy Volunteers
Accepted

Interventions

  • Alert — BEHAVIORAL
    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 — BEHAVIORAL
    Clinicians will receive an email describing their recent SGLT2 and MRA prescribing performance relative to their peers.

Study Details

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.

Key Dates

Start date
Jun 9, 2023
Status verified
Apr 2026
Primary completion
Oct 31, 2024
Completion
Oct 31, 2024

Study Design

Enrollment
81 participants (actual)
Allocation
RANDOMIZED
Intervention model
FACTORIAL
Primary purpose
HEALTH_SERVICES_RESEARCH

Arms

  • Active Comparator: Peer Comparison Report
    Clinicians assigned to peer comparison, will receive messages by secure email every two weeks regarding their SGLT2i and MRA prescribing performance.
  • Active Comparator: Alert
    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.
  • Active Comparator: Alert and Peer Comparison
    The combined alert and peer comparison arm will receive both interventions.
  • No Intervention: Control
    No alert or peer comparison

Primary Outcome Measure

Effectiveness (MRA Prescriptions) [ Time Frame: 30 days ]

Locations (1)

FacilityCityStateZIPSite coordinators
Southern Arizona VA Health Care System, Tucson, AZTucsonArizona85723-0001-

Find similar trials in Tucson, AZ

By condition
Heart failure
By specialty
CardiologyHeart disease
By research site
Southern Arizona VA Health Care System, Tucson, AZ· Tucson, AZ

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