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Not yet recruitingNCT07916753SOFIAUpdated Nov 4, 2026

Use and Acceptability of an AI-Assisted Health Application for Individuals Living With a Chronic Condition

An interventional study of SOFIA application in Hypertension, Diabetes Mellitus, Type 2 and Obesity, sponsored by Fondation Net-Care.ch. Not yet recruiting at 1 site in Switzerland. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2026-11-04.

Sponsored by Fondation Net-Care.ch · Not applicable, Interventional, and Health services research

Updated Nov 4, 2026Newly registeredGo to Updates ↓
Phase
Not applicable
Study type
Interventional
Enrollment
1,600
Allocation
Not applicable
Ages
18 Years and older
Sex
All
01

Study 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.

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.

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).

02

Conditions studied

  • Hypertension
  • Diabetes Mellitus, Type 2
  • Obesity

Keywords

  • Mobile Health
  • Artificial Intelligence
  • Self-Management
  • Medication Adherence
  • Chronic Disease
03

In context

Hypertension

6,845 studies on the registry are indexed under Hypertension; 976 are open to participants now.

This study's planned enrollment of 1,600 is above the median of 90 across 5,105 interventional studies indexed under Hypertension.

Browse Hypertension studies →

Lead sponsor

This is the only study on the registry with Fondation Net-Care.ch as lead sponsor.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
18 Years and older
Sexes eligible
All
Accepts healthy volunteers
No

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  • 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

Exclusion criteria

Exclusion Criteria:

  • Current participation in another interventional clinical trial
  • Inability to provide digital informed consent
  • Participation in the SOFIA beta testing program
05

Study design

Phase
Not applicable
Primary purpose
Health services research
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrollment
1,600 participants (estimated)

Study arms

  • Experimental
    SOFIA application

    Participants with a self-reported diagnosis of hypertension using the SOFIA application.

    Behavioral: SOFIA application

Interventions

  • BehavioralSOFIA application

    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.

06

What researchers measure

Primary outcomes

  1. 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%.

    Time frame: From registration up to 13 months

  2. Acceptability: French System Usability Scale (F-SUS) Score

    Marginal mean French System Usability Scale (F-SUS; 10 items, composite score 0-100) across administrations. Success criterion: \>68.

    Time frame: Approximately every 90 days from registration, up to 13 months

Secondary outcomes

  1. Satisfaction and Perceived Utility: Item Scores

    Item-level distributions across administrations (two custom items, 5-point Likert scale).

    Time frame: Approximately every 90 days from registration, up to 13 months

  2. Willingness to Recommend: Net Promoter Score (NPS)

    Net Promoter Score (NPS; 1 item, 0-10 per respondent; NPS -100 to +100).

    Time frame: Approximately every 90 days from registration, up to 13 months

  3. Physical Activity: IPAQ-SF Score (MET-minutes/week)

    Score trajectory across administrations (IPAQ-SF, 7 items; MET-minutes/week).

    Time frame: Approximately every 180 days from registration, up to 13 months

  4. Sleep Quality: Pittsburgh Sleep Quality Index (PSQI) Global Score

    Score trajectory across administrations (Pittsburgh Sleep Quality Index, PSQI; global score 0-21).

    Time frame: Approximately every 180 days from registration, up to 13 months

  5. Well-Being: WHO-5 Well-Being Index Score

    Score trajectory across administrations (WHO-5, 5 items; raw score 0-25).

    Time frame: Approximately every 90 days from registration, up to 13 months

  6. Self-Rated Health (SRH) Score

    Score trajectory across administrations (SRH, 1 item; 1-5).

    Time frame: Approximately every 90 days from registration, up to 13 months

  7. Perceived Stress: Perceived Stress Scale (PSS-4) Score

    Score trajectory across administrations (PSS-4, 4 items; 0-16).

    Time frame: Approximately every 90 days from registration, up to 13 months

  8. Quality of Life: Global Quality of Life Scale Score

    Score trajectory across administrations (global quality of life scale, 1 item; 0-100).

    Time frame: Approximately every 90 days from registration, up to 13 months

  9. Self-Efficacy for Chronic Disease Management: SEM-CD 6 Score

    Score trajectory across administrations (SEM-CD 6, 6 items; mean 1-10).

    Time frame: Approximately every 180 days from registration, up to 13 months

  10. Condition-Specific Health Knowledge: Percentage of Correct Answers (Condition Subgroups)

    Change in percentage of correct answers (health knowledge quiz).

    Time frame: At registration and approximately 6 months after registration

  11. Medication Tracking: Data Matrix Scan Confirmation Rate (Pochettes-Doses Users)

    Data matrix scan confirmation rate (proportion).

    Time frame: Continuously from registration, up to 13 months

  12. 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.

    Time frame: Continuously from registration, up to 13 months

  13. Self-Reported Medication Adherence: Visual Analogue Scale (VAS) Score (Condition Subgroups)

    Score trajectory across administrations (visual analogue scale, 1 item; 0-100).

    Time frame: Approximately every 90 days from registration, up to 13 months

07

Study locations

1 site
08

References and documents

Related links

Individual participant data

Plan to share: 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.

09

Timeline

1 registry update since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reachedSimilar studies: half by the dot; the band is the middle halfHalf of similar studies reached it by the dot; the band is the middle half, from a quarter to three quarters

Start is estimated for Nov 2026; primary completion for Dec 2027, 13 months later.

Of 1,349 non-industry interventional studies with no phase under Hypertension, half reached primary completion within 22 months of starting (the median), counting those still running; a quarter within 9 and three quarters within 42. This study's planned 13 months is below that.

Counting every sponsor, half of 1,443 studies reached it within 23 months; a quarter within 9 and three quarters within 43.

How these figures are worked out, and which studies are left out of them.

Registered
Oct 29, 2026
First posted
Nov 4, 2026
StartEst.
Nov 2026
Primary completionEst.
Dec 2027
CompletionEst.
Dec 2027
Last update
Nov 4, 2026
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
Registered
First appeared on the registry. No changes since
Nov 4, 2026
Show all 1 update
  1. Nov 4, 2026
    First appeared on the registry

From the registry record's own update history. This site started tracking changes on Sep 25, 2026; for anything earlier, see the record history on ClinicalTrials.gov ↗

10

Registry details

Key details

Study ID
NCT07916753
Lead sponsor
Fondation Net-Care.ch
Collaborators
University of Geneva, Switzerland, University Hospital, Geneva, Haute École de Gestion de Genève (HEG-GE)
Responsible party
Sponsor
First posted
Nov 4, 2026
Start date
Nov 2026 (estimated)
Primary completion
Dec 2027 (estimated)
Completion
Dec 2027 (estimated)
Last update
Nov 4, 2026

Study contacts

Mayssam Nehme, MD
principal investigator · Geneva University Hospitals (HUG)
Idris Guessous, MD, PhD
principal investigator · Geneva University Hospitals (HUG)

Oversight

Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is not yet recruiting, as verified in Oct 2026. You cannot join it, but the record below documents what was studied.

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