Digital Tool Enhancing GPs' Information Management for Patients with Multimorbidity - a Pilot Study

Last updated: December 8, 2024
Sponsor: Universitätsklinikum Hamburg-Eppendorf
Overall Status: Completed

Phase

N/A

Condition

Asthma

Diabetes Prevention

Diabetes Mellitus, Type 1

Treatment

gp-multitool.de

Clinical Study ID

NCT06061172
2022-100786-BO-ff
  • Ages > 65
  • All Genders

Study Summary

The gp-multitool.de study is a cluster-randomized controlled trial that aims to enhance evidence-based and patient-centered care for patients with multimorbidity by assessing and providing information relevant for the primary care of this patient group. This pilot study examines the feasibility of the gp-multitool.de study, i.e., intervention and evaluation in GP practices in urban and rural administrative districts in Germany.

Eligibility Criteria

Inclusion

Inclusion Criteria:

  • participation in a DMP; in Germany, DMPs have been implemented in outpatient carefor asthma, breast neoplasms, coronary heart disease, diabetes mellitus type 1,diabetes mellitus type 2, and chronic obstructive pulmonary disease

  • at least two of the following coexisting conditions: Hypertension, Lipid metabolismdisorders, Chronic low back pain, Severe vision reduction, Joint arthrosis, Diabetesmellitus, Chronic ischemic heart disease, Thyroid dysfunction, Cardiac arrhythmias,Obesity, Hyperuricemia/Gout, Prostatic hyperplasia, Lower limb varicosis, Liverdiseases, Depression, Asthma/COPD, Gynaecological problems, Atherosclerosis/PAOD,Osteoporosis, Renal insufficiency, Cerebral ischemia/Chronic stroke, Cardiacinsufficiency, Severe hearing loss, Chronic cholecystitis/Gallstones, Somatoformdisorders, Hemorrhoids, Intestinal diverticulosis, Rheumatoid arthritis/Chronicpolyarthritis, Cardiac valve disorders, Neuropathies, Dizziness, Dementias, Urinaryincontinence, Urinary tract calculi, Anemias, Anxiety, Psoriasis, Migraine/chronicheadache, Parkinson's disease, Cancers, Allergies, Chronic gastritis/GERD, Sexualdysfunction, Insomnia, Tobacco abuse, Hypotension

Exclusion

Exclusion Criteria:

  • no capacity to consent

  • functional limitations precluding participation in the intervention (eg, loss ofvision)

  • functional limitations precluding participation in telephone interviews (eg, loss ofhearing)

  • limited German language skills precluding participation in telephone interviews

  • no access to a personal device with access to the internet (i.e., smartphone, tabletor personal computer)

  • participation in other trials during the observation time of the pilot study

Study Design

Total Participants: 123
Treatment Group(s): 1
Primary Treatment: gp-multitool.de
Phase:
Study Start date:
October 02, 2023
Estimated Completion Date:
August 29, 2024

Study Description

The gp-multitool.de study is a cluster-randomized controlled trial that enhances evidence-based and patient-centered care for patients with multimorbidity by assessing and providing information relevant for the primary care of this patient group. It aims to reduce the time patients spend in hospital (primary outcome) and their outpatient health care use, and to improve process quality of care, patients' health-related quality of life, and patient satisfaction (secondary outcomes).

This cluster-randomized controlled pilot study examines the feasibility of the gp-multitool.de study, i.e., intervention and evaluation in GP practices. Specifically, the aims of the pilot study are 1. to pilot the gp-multitool.de intervention over six months and to test acceptance, functionality, reliability and usability in general practices under real world conditions, 2. to assess feasibility of the study design, i.e., recruitment of practices and patients, baseline data acquisition, randomization, implementation of the intervention, and outcome data acquisition, and 3. to provide data for the final sample size calculation of the evaluation study.

GPs in the intervention group receive access to the digital tool, together with a brief introduction to its functionalities, a written manual, and contact data of a telephone support hotline, which can be called in case of any technical or organizational problems in relation to the digital tool. GPs in the control group receive no intervention and provide care as usual.

Patients will be recruited from GP practices in urban and rural administrative districts in Germany. The gp-multitool.de study is based on telephone interviews of patients and their GPs. Practices will be randomized after the baseline assessment by an independent statistician who does not have access to the assessed patient and practice data. The primary outcome will be analyzed using a multilevel mixed-effects negative-binomial regression model, and secondary outcomes will be analyzed by multilevel mixed-effects linear and negative-binomial regression models.

In addition to quantitative data collection, a qualitative process evaluation with all participating GPs and one patient from each practice will be conducted based on a pre-defined semi-structured interview guide. The process evaluation will focus on compliance with the study protocol, problems with functionality, usability and reliability of the tool and possible sources of bias in the study. The interviews will be digitally recorded, transcribed verbatim and analyzed by qualitative content analysis.

Connect with a study center

  • Universitätsklinikum Hamburg-Eppendorf

    Hamburg, 20246
    Germany

    Site Not Available

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