Increasing Use of Continuous Glucose Monitors in Publicly-insured Youth With Type 1 Diabetes

April 16, 2020 updated by: Darrell M Wilson, Stanford University

Improving Adherence to Continuous Glucose Monitors in Publicly-insured Youth With Type 1 Diabetes

To use an enhanced continuous glucose monitor (CGM) experience, including an automated CGM-electronic health record (EHR) data integration system, proactive interventions, and gamification techniques, to increase CGM use among publicly-insured youth with type 1 diabetes (T1D).

Study Overview

Status

Terminated

Conditions

Intervention / Treatment

Detailed Description

The investigators will use an automated data integration system to monitor hours per week the CGM is worn and target interventions/troubleshooting techniques as needed. The investigators will use gamification techniques (i.e. ability to gain points and achieve small rewards) to help encourage CGM use and potentially improve glycemic control in this at-risk population.

Study Type

Interventional

Enrollment (Actual)

4

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

  • United States
    • California
      • Stanford, California, United States, 94305
        • Stanford Children's

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

13 years to 19 years (Child, Adult)

Accepts Healthy Volunteers

No

Genders Eligible for Study

All

Description

Inclusion Criteria:

  • type 1 diabetes for more than 6 months
  • on insulin pump or multiple daily injections without plans to change modality in next 6 months
  • insured by CCS or Medi-Cal
  • receiving care at Lucile Packard Children's Hospital or Stanford Children's Health outpatient clinics
  • English or Spanish-speaking

Exclusion Criteria:

  • major illness or condition that may alter glucose control or ability to complete the study including pregnancy, cystic fibrosis, cancer, liver disease, history of transplant, or hemoglobinopathy
  • current oral glucocorticoid use
  • prior use of a CGM system
  • hemoglobin A1C <7.5% or >12%
  • no wireless internet access

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: Other
  • Allocation: Randomized
  • Interventional Model: Parallel Assignment
  • Masking: None (Open Label)

Arms and Interventions

Participant Group / Arm
Intervention / Treatment
Experimental: Gamification
Use of continuous glucose monitor (Dexcom G5) with proactive intervention and incentives for time in use.
Behavioral: gamification
incentives/rewards and contact between standard visits
Behavioral: Use of Dexcom G5
Dexcom G5 continuous glucose monitor
Active Comparator: Standard care
Use of continuous glucose monitor (Dexcom G5) per usual care.
Behavioral: Use of Dexcom G5
Dexcom G5 continuous glucose monitor

What is the study measuring?

Primary Outcome Measures

Outcome Measure
Measure Description
Time Frame
CGM use
Time Frame: baseline to 6 months
amount of time per week CGM is used
baseline to 6 months

Secondary Outcome Measures

Outcome Measure
Measure Description
Time Frame
Hgb A1c
Time Frame: baseline to 6 months
glycemic control as measured by Hgb A1c
baseline to 6 months

Collaborators and Investigators

This is where you will find people and organizations involved with this study.

Sponsor

Stanford University

Investigators

  • Principal Investigator: Maria Chang, MD, Stanford University

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)

May 7, 2018

Primary Completion (Actual)

May 1, 2019

Study Completion (Actual)

June 1, 2019

Study Registration Dates

First Submitted

September 25, 2017

First Submitted That Met QC Criteria

September 25, 2017

First Posted (Actual)

September 29, 2017

Study Record Updates

Last Update Posted (Actual)

April 20, 2020

Last Update Submitted That Met QC Criteria

April 16, 2020

Last Verified

April 1, 2020

More Information

Terms related to this study

Additional Relevant MeSH Terms

Other Study ID Numbers

  • IRB-36423

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

product manufactured in and exported from the U.S.

Yes

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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