NCT05986695

Informational Nudge to Improve Heart Failure Prescribing

Preliminary Implementation of an Informational Nudge to Improve Heart Failure Prescribing

• Status: Active Not Recruiting
• Phase: N/A
• Study type: Interventional
• Enrollment: 89 (actual)
• Sponsor: VA Office of Research and Development · Federal
• Sex: All
• Age: 18 Years
• Healthy volunteers: Accepted

Summary

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.

Detailed description

This study addresses a critical gap in quality of care for Veterans with heart failure (HF). Only 1/3 or fewer eligible Veterans are receiving SGLT2 inhibitors and mineralocorticoid receptor antagonists, both medications that save lives and prevents HF hospitalizations. The investigators will combine insights from behavioral science and quality improvement science to create two types of 'nudges' - informational alerts and peer comparison feedback - to increase prescribing of these medications. The investigators will create two types of 'nudges' - informational alerts and peer comparison feedback - to increase prescribing of these medications. The investigators will compare the effect of these two nudge strategies alone and in combination compared to usual care. This project will develop simple, scalable, and low-cost strategies to improve the health of Veterans with HF.

Conditions

• Heart Failure

Interventions

Type	Name	Description
BEHAVIORAL	Alert	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
BEHAVIORAL	Peer comparison report	Clinicians will receive an email describing their recent SGLT2 and MRA prescribing performance relative to their peers.

Timeline

• Start date: 2023-06-09
• Primary completion: 2025-09-30
• Completion: 2025-09-30
• First posted: 2023-08-14
• Last updated: 2025-07-20

Locations

1 site across 1 country: United States