Clinical trial

Digital Implementation of the German S3 Clinical Practice Guideline for Multimorbidity

Active, not recruiting · Not applicable · 1 countries · Registry ID NCT06831994

Active, not recruitingNot applicableInterventional

What this study is about

The web application gp-multitool.de is a digital tool for implementing the German S3 clinical practice guideline for multimorbidity of the German Society of General Practitioners and Family Physicians in primary care. The tool enhances evidence-based and patient-centered care by assessing and providing information relevant for the primary care of this patient group. This cluster-randomised clinical evaluation study examines the effectiveness of an intervention based on gp-multitool.de in general practitioner (GP) practices in Germany.

A promising-looking record is not the same as confirmed eligibility. The study team must review the full criteria and current recruitment status.

Basic eligibility

Age65 Years to Not listed

SexAll

Healthy volunteersNot accepted

ConditionAsthma Bronchiale, Breast Neoplasms, Coronary Disease, Diabetes Mellitus, Type 2, Diabetes Mellitus, Type 1, Pulmonary Disease, Chronic Obstructive, Obesity, Heart Failure, Chronic Low-back Pain, Depression, Osteoporosis, Rheumatoid Arthritis, Comorbidities and Coexisting Conditions

Full registry criteria

Inclusion Criteria: * participation in a disease management program (DMP); in Germany, DMPs have been implemented in outpatient care for asthma, breast neoplasms, coronary heart disease, diabetes mellitus type 1, diabetes mellitus type 2, chronic obstructive pulmonary disease, obesity, heart failure, chronic low back pain, depression, osteoporosis, rheumatoid arthritis * at least two of the following coexisting conditions: Hypertension, Lipid metabolism disorders, Chronic low back pain, Severe vision reduction, Joint arthrosis, Diabetes mellitus, Chronic ischemic heart disease, Thyroid dysfunction, Cardiac arrhythmias, Obesity, Hyperuricemia/Gout, Prostatic hyperplasia, Lower limb varicosis, Liver diseases, Depression, Asthma/Chronic obstructive pulmonary disease, Gynaecological problems, Atherosclerosis/Peripheral arterial occlusive disease, Osteoporosis, Renal insufficiency, Cerebral ischemia/Chronic stroke, Cardiac insufficiency, Severe hearing loss, Chronic cholecystitis/Gallstones, Somatoform disorders, Hemorrhoids, Intestinal diverticulosis, Rheumatoid arthritis/Chronic polyarthritis, Cardiac valve disorders, Neuropathies, Dizziness, Dementias, Urinary incontinence, Urinary tract calculi, Anemias, Anxiety, Psoriasis, Migraine/chronic headache, Parkinson's disease, Cancers, Allergies, Chronic gastritis/Gastroesophageal reflux disease, Sexual dysfunction, Insomnia, Tobacco abuse, Hypotension Exclusion Criteria: * no capacity to consent * functional limitations precluding participation in the intervention (eg, loss of vision) * functional limitations precluding participation in telephone interviews (eg, loss of hearing) * limited German language skills precluding participation in telephone interviews * participation in other trials during the observation time of the evaluation study

Treatments and study arms

gp-multitool.de

Other

The intervention is based on the digital tool gp-multitool.de. The GPs can send questionnaires by email to patients and patients can fill out questionnaires at their home or in the waiting room of the practice using any digital device with browser and access to the internet. The digital tool also includes instructions for conducting a medication review. Results will be available from the computers of attending GPs. Decisions from talks between GPs and patients can be documented in the tool. The tool includes ten questionnaires: 1. patient preferences (including a. treatment goals, and b. involvement of other persons in decision making); 2. social life (including a. activities and participation, and b. social support); 3. treatment situation (including a. problems with medication, and b. treatment burden); 4. health complaints (including a. pain, b. psychiatric disorders, and c. other complaints). 5. resilience and protective behavior against heat.

Primary outcomes

Whether patients have stayed at least once for at least one night in hospital during the preceding twelve monthsOnce at baseline (before randomization of practices) and once at follow-up (immediately after the intervention)

The outcome will be assessed by a standardised questionnaire. The patients will be asked how often they had been in hospital during the preceding twelve months and how long these stays had lasted. Before analysis, the outcome will be dichotomised.

Study locations

1 locations were listed when this page was built. The first 40 are shown.

Universitätsklinikum Hamburg-Eppendorf🇩🇪 Hamburg, Germany

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