HypertensionSOFIANCT07916753
Use and Acceptability of an AI-Assisted Health Application for Individuals Living With a Chronic Condition
A study testing SOFIA application in people with Hypertension and Diabetes Mellitus, Type 2, run by Fondation Net-Care.ch at 1 site in Switzerland.
Trial summary
The SOFIA study evaluates a web-based health application for people living with one or more chronic conditions. The study aims to find out whether the SOFIA application is useful, easy to use, and used over time by participants. Read more about this study
- Who is it for?
- Ages 18 years and older
- Conditions the study is for
- Hypertension, Diabetes Mellitus, Type 2, Obesity
- What is being tested?
- SOFIA application
- Type of treatment
- Pill or oral medicine, Lifestyle or therapy programme
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 1,600 participants
- Where
- 1 siteSwitzerland
- Study dates
- Nov 2026to Dec 2027
- Phase
- Interventional
- Are there results?
- Not yet: the study is under way
Key requirements
Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.
- Ages 18 years and older
- All sexes
- No healthy volunteers
- Adult, Older adult
Who may be able to join
- Aged 18 years or older
- Resident or worker in the canton of Geneva
- Access to a device with a web browser and internet connection (smartphone, tablet, or computer)
- Ability to read and understand French sufficiently to use the application and complete study questionnaires
- Willing and able to comply with the study procedures
- Digital informed consent (e-consent) provided
- Self-reported diagnosis of hypertension
Who cannot join
- Current participation in another interventional clinical trial
- Inability to provide digital informed consent
- Participation in the SOFIA beta testing program
Trial locations and contacts
1 site in 1 country. Contact the study team or a site near you to ask about taking part.
Switzerland1 site
Geneva University Hospitals (HUG), Division of Primary Care Medicine
Geneva, 1205
About this study
Official title: SOFIA: Evaluation of the Use and Acceptability of an AI-Assisted Health Application for Individuals Living With a Chronic Condition
The SOFIA study evaluates a web-based health application for people living with one or more chronic conditions. The study aims to find out whether the SOFIA application is useful, easy to use, and used over time by participants.
The SOFIA application offers tools to support the day-to-day management of health: lifestyle challenges, health data entry and personal tracking (e.g., blood pressure, weight), medication tracking for people using pochettes-doses (pharmacy-prepared unit-dose packets), and an AI conversational assistant providing general health information. The application does not make diagnoses, give personalized medical advice, or recommend treatment. It complements usual medical care but does not replace it.
Read more
The study first enrolls people with hypertension, then, subject to ethics committee approval, people with type 2 diabetes and obesity.
Participation takes place entirely online, through the SOFIA application, accessible from a web browser (smartphone, tablet, or computer). There are no in-person visits. Participants use the application freely, at their own pace, until the end of the study. Short questionnaires (most take 1 to 3 minutes) are offered in the application during the study, and a final questionnaire (about 20 minutes) at the end.
Read the detailed description
Regulatory classification: Other Clinical Trial according to the Swiss Ordinance on Clinical Trials (ClinO, Chapter 4), Risk Category A.
Deployment model: All application users are study participants; the digital informed consent also serves as the terms of use. Enrolment is rolling from application launch and opens by condition as its content is integrated, starting with hypertension.
Data collection: Usage data (sessions, feature use, AI interactions, scan events) are collected server-side. Validated instruments are delivered individually within the application on a rotating micro-assessment schedule, with a final assessment administering all instruments simultaneously.
Safety: Adverse events can be reported at any time within the application. An urgency classifier triggers the display of emergency numbers (144 / 143) when needed.
Statistical analysis: Acceptability is tested formally (one-sided α = 0.025, mixed-effects model). Retention is evaluated descriptively, with Kaplan-Meier analysis as supportive analysis. Secondary endpoints are analyzed with mixed-effects models or generalized estimating equations. Sensitivity analyses include multiple imputation, a per-protocol set, and tipping-point analyses. Sex-disaggregated analyses are planned across all endpoints.
Data protection: Data are coded, hosted in Switzerland, and encrypted (AES-256 GCM).
- Conditions
- Hypertension, Diabetes Mellitus, Type 2, Obesity
- Being tested
- SOFIA application
- Keywords
- Mobile Health, Artificial Intelligence, Self-Management, Medication Adherence, Chronic Disease
- Medical subject headings
- Hypertension, Diabetes Mellitus, Type 2, Obesity, Medication Adherence, Chronic Disease
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
SOFIA applicationBehavioural
AI-assisted health application accessible on any device with a web browser (smartphone, tablet, or computer), comprising: (1) gamified lifestyle challenges; (2) health data entry and personal tracking; (3) medication tracking via pochettes-doses data matrix scanning; (4) an AI conversational assistant providing general, evidence-based health information. A complement to, not a replacement for, usual medical care.
| Study group | Role | What they receive |
|---|---|---|
| SOFIA application | Experimental | Participants with a self-reported diagnosis of hypertension using the SOFIA application. Receives: Behavioral: SOFIA application |
What is being measured
The primary outcome is the main question the study is designed to answer.
User Retention: Proportion of Participants With Sustained Inactivity (Attrition)
Attrition (proportion of participants), with sustained inactivity defined as no session for 90 consecutive days. Success criterion: attrition <20%.
Measured: From registration up to 13 months
Acceptability: French System Usability Scale (F-SUS) Score
Marginal mean French System Usability Scale (F-SUS; 10 items) score across administrations. Score 0-100; higher scores indicate better usability. Success criterion: >68.
Measured: Approximately every 90 days from registration, up to 13 months
Secondary outcomes (13)
Satisfaction and Perceived Utility: Item Scores
Item-level distributions across administrations (two study-specific items: overall satisfaction and perceived utility; 5-point Likert scale, 1-5; higher scores indicate greater satisfaction or perceived utility).
Measured: Approximately every 90 days from registration, up to 13 months
Willingness to Recommend: Net Promoter Score (NPS)
Net Promoter Score (NPS; 1 item, 0-10 per respondent; higher scores indicate greater willingness to recommend). NPS = percentage of promoters minus percentage of detractors; range -100 to +100, higher is better.
Measured: Approximately every 90 days from registration, up to 13 months
Physical Activity: IPAQ-SF Score (MET-minutes/week)
Score trajectory across administrations (International Physical Activity Questionnaire - Short Form, IPAQ-SF; 7 items). Total physical activity in MET-minutes/week; minimum 0, no fixed maximum; higher values indicate more physical activity.
Measured: Approximately every 180 days from registration, up to 13 months
Sleep Quality: Pittsburgh Sleep Quality Index (PSQI) Global Score
Score trajectory across administrations (Pittsburgh Sleep Quality Index, PSQI). Global score 0-21; higher scores indicate worse sleep quality.
Measured: Approximately every 180 days from registration, up to 13 months
Well-Being: WHO-5 Well-Being Index Score
Score trajectory across administrations (World Health Organization Well-Being Index, WHO-5; 5 items). Raw score 0-25; higher scores indicate better well-being.
Measured: Approximately every 90 days from registration, up to 13 months
Self-Rated Health (SRH) Score
Score trajectory across administrations (Self-Rated Health, SRH; 1 item). Score 1-5 (1 = excellent, 5 = poor); higher scores indicate worse self-rated health.
Measured: Approximately every 90 days from registration, up to 13 months
Perceived Stress: Perceived Stress Scale (PSS-4) Score
Score trajectory across administrations (Perceived Stress Scale, 4-item version, PSS-4). Score 0-16; higher scores indicate greater perceived stress.
Measured: Approximately every 90 days from registration, up to 13 months
Quality of Life: Global Quality of Life Scale Score
Score trajectory across administrations (Global Quality of Life Scale; 1 item). Score 0-100; higher scores indicate better quality of life.
Measured: Approximately every 90 days from registration, up to 13 months
Self-Efficacy for Chronic Disease Management: SEM-CD 6 Score
Score trajectory across administrations (Self-Efficacy for Managing Chronic Disease 6-Item Scale, SEM-CD 6). Mean score 1-10; higher scores indicate greater self-efficacy.
Measured: Approximately every 180 days from registration, up to 13 months
Condition-Specific Health Knowledge: Percentage of Correct Answers (Condition Subgroups)
Change in percentage of correct answers on a health knowledge quiz (0-100%; higher values indicate better knowledge).
Measured: At registration and approximately 6 months after registration
Medication Tracking: Data Matrix Scan Confirmation Rate (Pochettes-Doses Users)
Data matrix scan confirmation rate (proportion).
Measured: Continuously from registration, up to 13 months
Medication-Tracking Gaps: Proportion of Missed or Mistimed Scan Events (Condition Subgroups)
Proportion of missed or mistimed scan events among actively engaged pochettes-doses users.
Measured: Continuously from registration, up to 13 months
Self-Reported Medication Adherence: Visual Analogue Scale (VAS) Score (Condition Subgroups)
Score trajectory across administrations (medication adherence visual analogue scale, VAS; 1 item). Score 0-100; higher scores indicate better adherence.
Measured: Approximately every 90 days from registration, up to 13 months
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted4 Nov 2026
- Study startNov 2026 (estimated)
- Primary completionDec 2027 (estimated)
- Study completionDec 2027 (estimated)
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Other trials for HypertensionStudies of the same condition, open and under way.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
More details
For doctors and researchers: how the study is designed, who runs it, and its registry IDs.
Study design
- Study type
- Interventional
- Phase
- Phase N/A
- Primary purpose
- Health services research
- Allocation
- Not applicable
- Intervention model
- Single group
- Masking
- None (open label)
- Enrolment
- 1,600 participants (estimated)
Sponsor and investigators
- Lead sponsor
- Fondation Net-Care.ch
- Sponsor type
- University, hospital or other
- Collaborators
- University of Geneva, Switzerland, University Hospital, Geneva, Haute École de Gestion de Genève (HEG-GE)
- Responsible party
- Sponsor
- Investigators
- Mayssam Nehme, MD, Principal investigator, Geneva University Hospitals (HUG)Idris Guessous, MD, PhD, Principal investigator, Geneva University Hospitals (HUG)
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT07916753
- Sponsor's protocol ID
- SOFIA-001
- Other IDs
- BASEC 2026-01192
- Acronym
- SOFIA
- Status last verified
- Nov 2026
- First submitted
- 29 Oct 2026
- Last updated
- 6 Nov 2026
- Results posted
- No
- Data monitoring committee
- No
- FDA-regulated drug
- No
- FDA-regulated device
- No
- Individual data sharing
- No: Participants may optionally consent to the reuse of their coded data in other research projects, subject to ethics committee approval. The scope of data, sharing modalities, and data transfer agreements have yet to be defined.
Study at a glance
From the registry record, last updated by the sponsor on 6 Nov 2026. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- SOFIA: Evaluation of the Use and Acceptability of an AI-Assisted Health Application for Individuals Living With a Chronic Condition
- ClinicalTrials.gov ID
- NCT07916753
- Acronym / sponsor ID
- SOFIA / SOFIA-001
- Conditions
- Hypertension, Diabetes Mellitus, Type 2, Obesity
- Keywords
- Mobile Health, Artificial Intelligence, Self-Management, Medication Adherence, Chronic Disease
- Study type
- Interventional
- Recruitment status
- Not yet recruiting
- Enrolment
- 1,600 participants (estimated)
- Lead sponsor
- Fondation Net-Care.chUniversity, hospital or other
- Collaborators
- University of Geneva, Switzerland, University Hospital, Geneva, Haute École de Gestion de Genève (HEG-GE)
- Study start
- Nov 2026 (estimated)
- Primary completion
- Dec 2027 (estimated)
- Study completion
- Dec 2027 (estimated)
- First posted
- 4 Nov 2026 (actual)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
The SOFIA study evaluates a web-based health application for people living with one or more chronic conditions. The study aims to find out whether the SOFIA application is useful, easy to use, and used over time by participants.
The SOFIA application offers tools to support the day-to-day management of health: lifestyle challenges, health data entry and personal tracking (e.g., blood pressure, weight), medication tracking for people using pochettes-doses (pharmacy-prepared unit-dose packets), and an AI conversational assistant providing general health information. The application does not make diagnoses, give personalized medical advice, or recommend treatment. It complements usual medical care but does not replace it.
The study first enrolls people with hypertension, then, subject to ethics committee approval, people with type 2 diabetes and obesity.
Participation takes place entirely online, through the SOFIA application, accessible from a web browser (smartphone, tablet, or computer). There are no in-person visits. Participants use the application freely, at their own pace, until the end of the study. Short questionnaires (most take 1 to 3 minutes) are offered in the application during the study, and a final questionnaire (about 20 minutes) at the end.
Detailed description
Regulatory classification: Other Clinical Trial according to the Swiss Ordinance on Clinical Trials (ClinO, Chapter 4), Risk Category A.
Deployment model: All application users are study participants; the digital informed consent also serves as the terms of use. Enrolment is rolling from application launch and opens by condition as its content is integrated, starting with hypertension.
Data collection: Usage data (sessions, feature use, AI interactions, scan events) are collected server-side. Validated instruments are delivered individually within the application on a rotating micro-assessment schedule, with a final assessment administering all instruments simultaneously.
Safety: Adverse events can be reported at any time within the application. An urgency classifier triggers the display of emergency numbers (144 / 143) when needed.
Statistical analysis: Acceptability is tested formally (one-sided α = 0.025, mixed-effects model). Retention is evaluated descriptively, with Kaplan-Meier analysis as supportive analysis. Secondary endpoints are analyzed with mixed-effects models or generalized estimating equations. Sensitivity analyses include multiple imputation, a per-protocol set, and tipping-point analyses. Sex-disaggregated analyses are planned across all endpoints.
Data protection: Data are coded, hosted in Switzerland, and encrypted (AES-256 GCM).
Study design
- Primary purpose
- Health services research
- Allocation
- Not applicable
- Intervention model
- Single group
- Masking
- None (open label)
- Number of arms
- 1
| Arm | Type | Receives |
|---|---|---|
| SOFIA application | Experimental | Behavioral: SOFIA applicationParticipants with a self-reported diagnosis of hypertension using the SOFIA application. |
Who may qualify
- Ages
- 18 years and older
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (7 listed)
- Aged 18 years or older
- Resident or worker in the canton of Geneva
- Access to a device with a web browser and internet connection (smartphone, tablet, or computer)
- Ability to read and understand French sufficiently to use the application and complete study questionnaires
- Willing and able to comply with the study procedures
Key exclusion criteria (3 listed)
- Current participation in another interventional clinical trial
- Inability to provide digital informed consent
- Participation in the SOFIA beta testing program
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| SOFIA applicationAI-assisted health application accessible on any device with a web browser (smartphone, tablet, or computer), comprising: (1) gamified lifestyle challenges; (2) health data entry and personal tracking; (3) medication tracking via pochettes-doses data matrix scanning; (4) an AI conversational assistant providing general, evidence-based health information. A complement to, not a replacement for, usual medical care. | Behavioural | SOFIA application |
Primary outcome
User Retention: Proportion of Participants With Sustained Inactivity (Attrition)
Time frame: From registration up to 13 months
Attrition (proportion of participants), with sustained inactivity defined as no session for 90 consecutive days. Success criterion: attrition <20%.
Acceptability: French System Usability Scale (F-SUS) Score
Time frame: Approximately every 90 days from registration, up to 13 months
Marginal mean French System Usability Scale (F-SUS; 10 items) score across administrations. Score 0-100; higher scores indicate better usability. Success criterion: >68.
13 secondary outcomes
Satisfaction and Perceived Utility: Item Scores
Time frame: Approximately every 90 days from registration, up to 13 months
Willingness to Recommend: Net Promoter Score (NPS)
Time frame: Approximately every 90 days from registration, up to 13 months
Physical Activity: IPAQ-SF Score (MET-minutes/week)
Time frame: Approximately every 180 days from registration, up to 13 months
Sleep Quality: Pittsburgh Sleep Quality Index (PSQI) Global Score
Time frame: Approximately every 180 days from registration, up to 13 months
Well-Being: WHO-5 Well-Being Index Score
Time frame: Approximately every 90 days from registration, up to 13 months
Self-Rated Health (SRH) Score
Time frame: Approximately every 90 days from registration, up to 13 months
Perceived Stress: Perceived Stress Scale (PSS-4) Score
Time frame: Approximately every 90 days from registration, up to 13 months
Quality of Life: Global Quality of Life Scale Score
Time frame: Approximately every 90 days from registration, up to 13 months
Self-Efficacy for Chronic Disease Management: SEM-CD 6 Score
Time frame: Approximately every 180 days from registration, up to 13 months
Condition-Specific Health Knowledge: Percentage of Correct Answers (Condition Subgroups)
Time frame: At registration and approximately 6 months after registration
Medication Tracking: Data Matrix Scan Confirmation Rate (Pochettes-Doses Users)
Time frame: Continuously from registration, up to 13 months
Medication-Tracking Gaps: Proportion of Missed or Mistimed Scan Events (Condition Subgroups)
Time frame: Continuously from registration, up to 13 months
Self-Reported Medication Adherence: Visual Analogue Scale (VAS) Score (Condition Subgroups)
Time frame: Approximately every 90 days from registration, up to 13 months
Results and safety
This study is still under way. Results are not available in the source record yet.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 6 Nov 2026.
- Study websiteLink provided by the sponsor.
- Individual participant dataSharing planned: No. Participants may optionally consent to the reuse of their coded data in other research projects, subject to ethics committee approval. The scope of data, sharing modalities, and data transfer agreements have yet to be defined.
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part.
Mayssam Nehme, MD principal investigator
Geneva University Hospitals (HUG)
Idris Guessous, MD, PhD principal investigator
Geneva University Hospitals (HUG)
1 site in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A study testing SOFIA application in people with Hypertension and Diabetes Mellitus, Type 2, run by Fondation Net-Care.ch at 1 site in Switzerland.
The full registered description is in the About this study section and the official record.
Who may be eligible to take part?
The sponsor lists 7 inclusion and 3 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.
Is this clinical trial currently recruiting?
The record says: opening soon, as of the sponsor's last update on 6 Nov 2026. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 1 site in Switzerland. Whether a site is taking part right now should be confirmed with that site. See every site.
What are the possible benefits and risks?
They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.
Are results available for this study?
This study is still under way. Results are not available in the source record yet.
How can a doctor refer a patient or contact the research team?
The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
User Retention: Proportion of Participants With Sustained Inactivity (Attrition) (time frame: From registration up to 13 months). The study lists 2 primary outcomes in all. It is what the study was designed to measure, not a finding.
Where can I read the original study information?
Does a listing mean the treatment is approved or proven to work?
No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.
How often is this information updated?
AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 6 Nov 2026.