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
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 1,152
- 试验地点
- 1
研究概览
简要总结
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.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Health Services Research
- 盲法
- None
入排标准
- 年龄范围
- 18 Years 至 —（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •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)
排除标准
- •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
研究组 & 干预措施
DINKNESH App
Healthcare workers (Family Health Teams) in these clusters will utilize the DINKNESH mobile application during routine home-based visits to systematically identify and assess patients requiring palliative care. The app integrates validated tools (SPICT, ECOG, IPOS) and provides clinical decision support for symptom management, counseling, and referral protocols
干预措施: DINKNESH App (Other)
Paper based Tool
Family Health Teams in these clusters will provide home-based chronic care services following standard paper based without the use of the digital application.
干预措施: Paper based tool (Other)
研究者
Meheret Y. Amare
Dr
Addis Ababa University