- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT03012074
Episodic to Real-Time Care in Diabetes Self-Management
July 1, 2020 updated by: Duke University
From Episodic to Real-Time Care in Diabetes Self-Management
This study will use mobile health technologies to provide everyday data to help patients and their care providers better understand illness dynamics and develop adaptive approaches to improve health outcomes in diabetes.
Specifically, the study will identify strategies to help patients adapt using multiple types of self-generated diabetes-related data and help providers guide patients to better self-manage in real-time, when guidance is needed most.
Study Overview
Status
Completed
Conditions
Intervention / Treatment
Detailed Description
The investigators will conduct a mixed-methods exploratory designed study and recruit 60 adult patients (age ≥ 18) with type 2 diabetes who will track relevant clinical data over 6 months.
Participants will be asked to use a wireless glucose monitor, a cellular body scale, and a wrist-worn accelerometer, and respond to short bi-weekly text message-based surveys on medication adherence for 6 months.
Data generated from the devices will be plotted as trajectories that will allow us to conduct trajectory analyses and identify missing data points and trends leading to attrition, in order to assess the feasibility of having patients engage in this type of self-monitoring for 6 months.
A subset of 20 patients will be interviewed via telephone at the end of their 6 month self-monitoring period to discuss their adaptive challenges and successes over the study period.
The investigators will present the trajectories of their data during patient interviews using a visual that we will e-mail or postal mail, depending on patient preference.
This will facilitate discussion of the challenges participants face in self-management and adaptive practices participants use.
Following the 6 months of self-monitoring, we will conduct interviews with health care providers in which the investigators will present the data trajectories and explore ways to achieve continual communication and address real-time challenges with diabetes self-management.
Study Type
Interventional
Enrollment (Actual)
60
Phase
- Not Applicable
Contacts and Locations
This section provides the contact details for those conducting the study, and information on where this study is being conducted.
Study Locations
-
-
North Carolina
-
Durham, North Carolina, United States, 27710
- Duke University School of Nursing
-
-
Participation Criteria
Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.
Eligibility Criteria
Ages Eligible for Study
18 years and older (Adult, Older Adult)
Accepts Healthy Volunteers
No
Genders Eligible for Study
All
Description
Inclusion Criteria:
- ≥18 years old
- able to speak and read English
- diagnosed with type 2 diabetes mellitus
- told by their primary care provider to monitor their blood sugar daily
- owning and using a smart phone
- capable of giving informed consent
- with no pre-existing severe medical condition(s) that would interfere with study participation (e.g., renal failure, severe orthopedic conditions or joint replacement scheduled within 6 months, paralysis, or cancer)
Exclusion Criteria:
- active dementia or psychiatric illness
- reside in a nursing home
- participating in another self-management study
Study Plan
This section provides details of the study plan, including how the study is designed and what the study is measuring.
How is the study designed?
Design Details
- Primary Purpose: Supportive Care
- Allocation: N/A
- Interventional Model: Single Group Assignment
- Masking: None (Open Label)
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
---|---|
Experimental: Patients with Type II Diabetes
|
Patients with Type 2 Diabetes
|
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Time Frame |
---|---|
Number of participants with type II diabetes who adhere to using mobile technologies to self-monitor multiple types of diabetes-related data
Time Frame: 6 months
|
6 months
|
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Explore the adaptive challenges of patients self-managing diabetes, using monthly interviews over 6 months.
Time Frame: 6 months
|
6 months
|
|
Explore the successes of patients self-managing diabetes, using monthly interviews over 6 months.
Time Frame: 6 months
|
6 months
|
|
Change in daily blood glucose levels in patients with diabetes over a 6 month period
Time Frame: 6 months
|
Data generated from the phone-tethered glucose monitor and plotted as a trajectory over a 6 month period
|
6 months
|
Change in daily weight in patients with diabetes over a 6 month period
Time Frame: 6 months
|
Data generated from the cellular body scale and plotted as a trajectory over a 6 month period
|
6 months
|
Change in daily physical activity in patients with diabetes over a 6 month period
Time Frame: 6 months
|
Data generated from the wrist-worn accelerometer and plotted as a trajectory over a 6 month period
|
6 months
|
Medication adherence Survey
Time Frame: 6 months
|
bi-weekly text message-based surveys on medication adherence over a 6 month period.
|
6 months
|
Other Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Explore health care providers' perspectives on using real-time data, by conducting one-time, individual interviews over a 2 month period.
Time Frame: 2 months
|
Explore ways to achieve continual communication that addresses real-time challenges with diabetes self-management while presenting data trajectories during provider interviews.
|
2 months
|
Collaborators and Investigators
This is where you will find people and organizations involved with this study.
Sponsor
Investigators
- Principal Investigator: Ryan J Shaw, PhD, RN, Duke University School of Nursing
Study record dates
These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.
Study Major Dates
Study Start (Actual)
March 2, 2017
Primary Completion (Actual)
May 1, 2018
Study Completion (Actual)
May 30, 2020
Study Registration Dates
First Submitted
December 21, 2016
First Submitted That Met QC Criteria
January 4, 2017
First Posted (Estimate)
January 6, 2017
Study Record Updates
Last Update Posted (Actual)
July 2, 2020
Last Update Submitted That Met QC Criteria
July 1, 2020
Last Verified
January 1, 2020
More Information
Terms related to this study
Additional Relevant MeSH Terms
Other Study ID Numbers
- Pro00071569
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
NO
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
No
Studies a U.S. FDA-regulated device product
No
This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.
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