¿Can mySugr App Improve Knowledge and Self-management of People With Type 1 Diabetes Mellitus?

¿Puede Una aplicación móvil Mejorar el Conocimiento y la autogestión de Las Personas Con Diabetes Tipo 1? Evaluación clínica de la App mySugr

This project is based on the contribution that an app can offer for improving knowledge and self-management of people with type 1 diabetes.

The main objective of this study is to assess mySugr app as a tool for empowering people with type 1 diabetes.

The study population are type 1 diabetes people, aged more than 18 years old and with more than one year from diagnosis. They will be randomised to standard care or use of mySugr app and will be followed-up during 48 weeks.

Control group will attend 5 face-to-face visits (baseline, 3, 6, 9 and 12 months) with the possibility of telephone contact and hospital assistance if necessary. Intervention group will attend 3 face-to-face visits (baseline, 6 and 12 months) and 2 telematic visits (at 3 and 9 months) and will also have the possibility of telephone contact and hospital assistance if necessary.

Study Overview

Status

Completed

Study Type

Interventional

Enrollment (Actual)

28

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

      • Barcelona, Spain, 08025
        • Hospital de La Santa Creu i Sant Pau

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 to 80 years (ADULT, OLDER_ADULT)

Accepts Healthy Volunteers

No

Genders Eligible for Study

All

Description

Inclusion Criteria:

  • Patients over 18 years of age
  • People with type 1 diabetes (> 1 year diagnosis)
  • Treatment with insulin in basal-bolus regimen
  • Glucometer that connects automatically with the app
  • HbA1c 7-9%
  • Understanding of carbohydrate counting and concepts of ratio and factor of sensitivity
  • Have a smartphone or tablet

Exclusion Criteria:

  • Use at the time of randomization of another app for diabetes management
  • Use of continuous monitoring or flash glucose systems
  • Pregnancy
  • Any other disease or condition that may interfere with the completion of the protocol or completion of the 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: RANDOMIZED
  • Interventional Model: PARALLEL
  • Masking: NONE

Arms and Interventions

Participant Group / Arm
Intervention / Treatment
ACTIVE_COMPARATOR: Standard care
Usual follow-up of diabetes type 1 with face-to-face visits
Face-to-face visits
EXPERIMENTAL: mySugr app
Telemedical assistance with mySugr app
mySugr is a mobile medical app for diabetes management. It has been developed by Roche Diabetes Care and it has two versions, free and Pro. It allows to carry out the diary of diabetes, including the collection and analysis of data on glycaemia, food, physical activity or insulin dose. In addition, it is compatible with continuous glucose measurement systems. It has the possibility to add functionalities such as estimation of HbA1c levels, more detailed data analysis or integration with Google Fit type motion sensors, as well as a bolus calculator, reminders for measuring blood glucose or photo gallery in the Pro version, which is the one that will be provided to the patients for the study.

What is the study measuring?

Primary Outcome Measures

Outcome Measure
Measure Description
Time Frame
Empowerment
Time Frame: Baseline visit and month 12
Change from baseline score in the Diabetes Empowerment Scale-Short Form Spanish version (DES-SF-S) (8, worse to 40, better) at 12 months
Baseline visit and month 12

Secondary Outcome Measures

Outcome Measure
Measure Description
Time Frame
Adherence to glycemic monitoring
Time Frame: Baseline visit and month 3, 6, 9 and 12
Change from baseline frequency of glycemic monitoring (number of capillary blood glucose tests per day) at each follow-up visit
Baseline visit and month 3, 6, 9 and 12
Adherence to recommendations
Time Frame: Each follow-up visit (month 3, 6, 9 and 12)
Percentage of recommendations given by the medical team followed
Each follow-up visit (month 3, 6, 9 and 12)
Adherence to visits
Time Frame: Each follow-up visit (month 3, 6, 9 and 12)
Percentage of face-to-face visits and telematic visits attended
Each follow-up visit (month 3, 6, 9 and 12)
Adherence to the app
Time Frame: End of the study (month 12) and 3 months after
Percentage of patients who continue using the app after the end of the study
End of the study (month 12) and 3 months after
Daily management of diabetes
Time Frame: Baseline visit and month 12
Change from baseline score in the questionnaire that evaluates the number of tasks performed in relation to diabetes (ad hoc) at 12 months
Baseline visit and month 12
Quality of life related to diabetes
Time Frame: Baseline visit and month 12
Change from baseline score in the Spanish version of the Diabetes Quality Of Life questionnaire (EsDQOL) (satisfaction: 75, worse, to 15, better; impact: 85, worse, to 17, better; social and vocational concern: 45, worse, to 7, better; concern related to diabetes: 20, worse, to 4, better) at 12 months
Baseline visit and month 12
Self-efficacy
Time Frame: Baseline visit and month 12
Change from baseline score in the Diabetes Distress Scale Spanish version (DSS-S) (102, worse, to 17, better) at 12 months
Baseline visit and month 12
Glycemic control
Time Frame: Baseline visit and month 3, 6, 9 and 12
Change from baseline mean blood glucose (mg/dl), standard deviation, low and high blood glucose index at each follow-up visit
Baseline visit and month 3, 6, 9 and 12
Glycemic control
Time Frame: Baseline visit and month 6 and 12
Change from baseline HbA1c DCA (%) at 6 and 12 months
Baseline visit and month 6 and 12
Satisfaction with the app
Time Frame: End of the study (month 12)
Score in the satisfaction questionnaire in relation to the use of the platform (ad hoc)
End of the study (month 12)

Collaborators and Investigators

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

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)

April 9, 2019

Primary Completion (ACTUAL)

February 26, 2021

Study Completion (ACTUAL)

April 13, 2021

Study Registration Dates

First Submitted

January 22, 2019

First Submitted That Met QC Criteria

January 25, 2019

First Posted (ACTUAL)

January 28, 2019

Study Record Updates

Last Update Posted (ACTUAL)

September 21, 2021

Last Update Submitted That Met QC Criteria

September 18, 2021

Last Verified

September 1, 2021

More Information

Terms related to this study

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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