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Effectiveness and Implementation of the DINKNESH Digital Palliative Care Tool in Ethiopia
Sponsor: Addis Ababa University
Summary
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.
Official title: 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
Key Details
Gender
All
Age Range
18 Years - Any
Study Type
INTERVENTIONAL
Enrollment
1152
Start Date
2026-04-05
Completion Date
2026-05-15
Last Updated
2026-09-11
Healthy Volunteers
No
Conditions
Interventions
DINKNESH App
A mobile-based digital health application designed to support Family Health Teams in the systematic identification and assessment of patients with palliative care needs. The application digitizes validated clinical tools, including the Supportive and Palliative Care Indicators Tool (SPICT), the Eastern Cooperative Oncology Group (ECOG) performance status, and the Integrated Palliative care Outcome Scale (IPOS) along with reference materials
Paper based tool
A paper-based clinical assessment protocol designed to support Family Health Teams in the systematic identification and assessment of patients with palliative care needs. It incorporates the same validated clinical tools used in the intervention arm, including the Supportive and Palliative Care Indicators Tool (SPICT), the Eastern Cooperative Oncology Group (ECOG) performance status, and the Integrated Palliative care Outcome Scale (IPOS), administered manually during routine home visits without the use of a digital application and reference material.
Locations (1)
Addis Ababa City Administration Health Bureau primary health centres (12 selected)
Addis Ababa, Ethiopia