Type 2 Continuous Glucose Monitoring Academy
Randomized Control Trial Evaluating the Impact of Continuous Glucose Monitoring Academy Education Curriculum Versus Standard Care on Glycemic Outcomes for Youth With Type 2 Diabetes
The goal of this clinical trial is to evaluate the Impact of Continuous Glucose Monitoring Academy Education Curriculum Versus Standard Care on Glycemic Outcomes for Youth With Type 2 Diabetes (T2D):
- The first aim is to determine how feasible it is to adapt the Continuous Glucose Monitoring Academy curriculum to teach youth with T2D glucose management strategies.
- The second aim is to evaluate the effects of the Continuous Glucose Monitoring Academy metrics.
- The third aim is to explore the relationships between these metrics with diabetes distress, diabetes family responsibilities, and process metrics.
Participants will join for a total of four weeks of education, followed by a six-month clinical review. They will have access to an online workbook and videos, and will participate in virtual sessions with a diabetes educator who will cover glucose management strategies in-depth. Participants will wear their preferred Continuous Glucose Monitoring system (Dexcom or FreeStyle Libre) provided via insurance and inserted at the baseline visit.
Study Overview
Status
Status
Conditions
Conditions
Intervention / Treatment
Intervention / Treatment
Study Type
Study Type
Enrollment (Estimated)
Enrollment
Phase
Phase
- Not Applicable
Contacts and Locations
Study Contact
Study Contact
- Name: Rebecca Barber
- Phone Number: 3233611359
- Email: rbarber@chla.usc.edu
Study Contact Backup
- Name: Natalia Garban
- Phone Number: 3233611359
- Email: ngarban@chla.usc.edu
Study Locations
-
-
California
-
Los Angeles, California, United States, 90027
- Recruiting
- Children's Hospital Los Angeles
-
Contact:
- Natalia Garban
- Email: ngarban@chla.usc.edu
-
Principal Investigator:
- Rebecca Barber, PhD, RN
-
-
Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
- Child
- Adult
Accepts Healthy Volunteers
Description
Inclusion Criteria:
- Current age of 8-21 years;
- T2D diagnosis;
- Able to speak, read, and write English or Spanish
Exclusion Criteria:
a. Known history of medical adhesive allergies;
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: None (Open Label)
Number of Arms
Arms and Interventions
Participant Group / ArmParticipant Group / Arm |
Intervention / TreatmentIntervention / Treatment |
|---|---|
|
Placebo Comparator: Control
Receives standard of care, regular education in the clinic.
|
Standard of care receives general education about diabetes.
Other Names:
|
|
Experimental: Continuous Glucose Monitoring Academy
Receive an interactive workbook with problem-based learning scenarios and video links about Continuous Glucose Monitoring and glucose management strategies (CGM Academy Program).
Participate in four in-depth online group sessions with diabetes care and education specialists complete questionnaires three times: at the time of study enrollment, week 4 and 6 months.
|
Standard of care receives general education about diabetes.
Other Names:
Educational materials as well as online sessions with diabetes educators.
|
What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Mean change in Time in Range (TIR) from baseline to 6 months
Time Frame: Baseline to 6 months
|
Change in % glucose TIR (70-180 mg/dL)
|
Baseline to 6 months
|
Secondary Outcome Measures
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Average number of diabetes educator hours used per study participant at week 4 & 6 months.
Time Frame: Week 4 and 6 months
|
Number of hours spent in diabetes education
|
Week 4 and 6 months
|
|
Mean change in Hemoglobin A1c (HbA1c) from baseline to 6 months
Time Frame: Baseline to 6 months
|
Change in Hemoglobin A1c
|
Baseline to 6 months
|
|
Mean change in CGM metrics measured by CGM readings
Time Frame: Week 4 & 6 months
|
% Glucose Time Below Range (<70mg/dL), % Glucose Time Above Range (>180mg/dL), % Glucose Variability (coefficient of variation, CV)
|
Week 4 & 6 months
|
|
Change in perceived diabetes distress at baseline, week 4 & 6 months
Time Frame: Baseline, Week 4 & 6 months
|
The Type 2 Diabetes Distress Assessment System (T2-DDAS) measures how much overall emotional distress is due to diabetes.
Respondents are given statements about diabetes-related issues and indicate on a 5-point Likert scale (0 = not a problem, 1 = minor problem, 2 = moderate problem, 3 = somewhat serious problem, 4 = serious problem) the degree to which the statements are a problem.
Increasing scores denote increased burden perceived.
|
Baseline, Week 4 & 6 months
|
|
Change in perceived diabetes family responsibility at baseline, week 4 & 6 months
Time Frame: Baseline, week 4 & 6 months
|
The Diabetes Family Responsibility Questionnaire (DFRQ) is a 14-item validated survey assessing parental and child involvement in various diabetes management tasks.
Youth and caregivers report on a 3-point scale (1=child, 2=equal, 3=parent) who is responsible for a given diabetes task.
Higher scores indicate more parental involvement in diabetes management.
|
Baseline, week 4 & 6 months
|
|
Mean change in perceived benefits of Continuous Glucose (CGM) Monitor use
Time Frame: Week 4 & 6 months
|
Name of questionnaire: Adolescent Benefits and Burdens of CGM Survey - BenCGM & BurCGM.
Participants answer each question on a scale of Strong Disagree, Disagree, Neutral, Agree, Strongly Agree.
|
Week 4 & 6 months
|
|
Mean change in perceived burden of Continuous Glucose Monitor (CGM) use
Time Frame: Week 4 & 6 months
|
Name of questionnaire: Adolescent Benefits and Burdens of CGM Survey - BenCGM & BurCGM.
Participants answer each question on a scale of Strong Disagree, Disagree, Neutral, Agree, Strongly Agree.
|
Week 4 & 6 months
|
Collaborators and Investigators
Sponsor
Sponsor
Collaborators
Collaborators
Investigators
Investigators
- Principal Investigator: Rebecca Barber, PhD, RN, Children's Hospital Los Angeles
Study record dates
Study Major Dates
Study Start (Actual)
Study Start
Primary Completion (Estimated)
Primary Completion
Study Completion (Estimated)
Study Completion
Study Registration Dates
First Submitted
First Submitted
First Submitted That Met QC Criteria
First Submitted That Met QC Criteria
First Posted (Actual)
First Posted
Study Record Updates
Last Update Posted (Actual)
Last Update Posted
Last Update Submitted That Met QC Criteria
Last Update Submitted That Met QC Criteria
Last Verified
Last Verified
More Information
Terms related to this study
Additional Relevant MeSH Terms
Other Study ID Numbers
Other Study ID Numbers
- CHLA-24-00199
- P50MD017344 (U.S. NIH Grant/Contract)
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
product manufactured in and exported from the U.S.
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