- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT04564586
Developing and Testing a Technology-Based Translation of the DPP to Address Prediabetes in a Primary Care Setting (DPPFit)
Developing and Testing a Technology-Based Translation of the Diabetes Prevention Program for Adult Primary Care Patients At-Risk of Developing Type 2 Diabetes Mellitus
Study Overview
Status
Intervention / Treatment
Detailed Description
DPPFit is an HLI designed to translate the effective strategies of the National Diabetes Prevention Program (N-DPP) into a tool for use in a primary care setting. The 16-week intervention follows the order of the 16 sessions that make up the core components of the traditional DPP. The novelty in this application is the intervention delivery, in addition to the use of technology to supplement resource and time intensive DPP behavioral strategies. The entire intervention is delivered through automated text messages (SMS/MMS). For any given week, the daily text messages for that week reflect the core session of the DPP (i.e DPPFit Week 1 texts correspond to DPP Session 1). In addition to the automated daily messages, participants are issued a Fitbit and assisted in setting up the Fitbit App on their smart phones. The Fitbit App is considered a standalone mHealth App. The fitness tracker and companion App allow participants to set goals and track food and physical activity. The content of the text messaging is almost entirely from the N-DPP participant notebook (2012). Exceptions to this are a series of prompts to cue participant to use the Fitbit and/or Fitbit App to support the session. These include topics about setting goals in the Fitbit App, how to track food using the App, or how to connect with friends and do challenges on Fitbit.
To be sustainable and feasible in a primary care setting, remote delivery of intervention materials and components is a necessary part of any evidence-based tool to address diabetes prevention. This automated, remote dissemination, technology-based application of the N-DPP components means that intervention delivery and protocol are feasible methods to address diabetes prevention in light of the ongoing Covid-19 health crisis.
Study Type
Enrollment (Actual)
Phase
- Not Applicable
Contacts and Locations
Study Locations
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Georgia
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Augusta, Georgia, United States, 30912
- Augusta University - General Internal Medicine Clinic
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Participation Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Genders Eligible for Study
Description
Inclusion Criteria:
- Non-institutionalized adult patients
- Ages 18 - 55 years
- Diagnosed as prediabetes or with HbA1c% values between 5.7-6.4%.
Exclusion Criteria:
- Prior bariatric surgery
- Participation in weight loss program or current weight loss medication.
- History of T1DM or T2DM diagnosis
- Use of medications to treat glucose intolerance, including biguanides and sulfonylureas.
- History of infarction, angina, coronary artery bypass graft surgery, coronary angioplasty, congestive heart failure, or any condition that significantly limits their exercise such as peripheral arterial disease.
- BMI (kg/m²)< 18.5
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Prevention
- Allocation: N/A
- Interventional Model: Single Group Assignment
- Masking: None (Open Label)
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
---|---|
Other: Enhanced Intervention Group (EIG)
The Enhanced Intervention Group was a subgroup of the participants that were invited for voluntary weekly meet-n-greet sessions in the Primary Care Clinic.
These sessions were information and not educational sessions for the intervention.
The entire EIG concept was to test a social component of participants by providing an informal opportunity for a DPPFit social group.
The group sessions were terminated after only 5 weeks as a result of the Covid-19 pandemic.
They were the only component of the DPPFit study that were face-to-face.
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Participants issued Fitbit Device and set up Fitbit App.
They are then enrolled in the automated text messaging platform.
Day 1 of the intervention begins the Monday after consent.
All consented participants receive the full intervention.
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What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Weight Loss
Time Frame: 12 Months
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Weight Loss by % of change and total weight change (kg)
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12 Months
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Physical Activity
Time Frame: 6 months
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Physical activity days/week, change > 10% of PA, Kcal/week
|
6 months
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Inactivity
Time Frame: 6 months
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Change in Sedentary Time, Mins/day
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6 months
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Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Health Related Quality of Life
Time Frame: 6 months
|
MOS SF-20 / MOS Social Support Scale
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6 months
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Hemoglobin A1c
Time Frame: 12 months
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Change in % of HbA1c at 1 year follow-up
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12 months
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Collaborators and Investigators
Sponsor
Investigators
- Principal Investigator: Jessica L Stewart, MPH, Augusta University
Publications and helpful links
Study record dates
Study Major Dates
Study Start (Actual)
Primary Completion (Anticipated)
Study Completion (Anticipated)
Study Registration Dates
First Submitted
First Submitted That Met QC Criteria
First Posted (Actual)
Study Record Updates
Last Update Posted (Actual)
Last Update Submitted That Met QC Criteria
Last Verified
More Information
Terms related to this study
Keywords
Additional Relevant MeSH Terms
Other Study ID Numbers
- IRB#1193356
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
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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