- ICH GCP
- Registr klinických studií v USA
- Klinická studie NCT07638345
DASH-Obesity: Explainable AI for Family-Centric Personalized Weight Control in Adolescents and Young Adults With Obesity and Chronic Conditions (DASH-Obesity)
US-based Clinical Sub-study of DASH-Obesity: Explainable AI for Family-Centric Transdiagnostic Personalized Weight Control Across Multiple Conditions
Přehled studie
Postavení
Podmínky
Intervence / Léčba
Detailní popis
The DASH-Obesity clinical sub-study investigates the feasibility, acceptability, and preliminary effectiveness of the Adhera Caring Digital Program for Obesity (ACDP-O) among families of adolescents and young adults affected by overweight/obesity and chronic conditions.
The intervention utilizes a mobile digital health platform that integrates educational content, behavioral support, psychometric monitoring, wearable-generated digital biomarkers, and explainable AI-based analytics. Participants include adolescents and young adults with overweight/obesity and type 1 diabetes, overweight/obesity and asthma, and a comparison cohort of participants with type 1 diabetes and normal weight.
The study follows a prospective, single-arm, pre-post basket trial design. Participants will complete baseline assessments, engage with the intervention for 90 days, and complete post-intervention and follow-up assessments. Outcomes include feasibility, acceptability, mental well-being, quality of life, caregiver burden, usability, engagement, and disease-specific clinical measures.
Typ studie
Zápis (Odhadovaný)
Fáze
- Nelze použít
Kontakty a umístění
Studijní kontakt
- Jméno: Luis Fernández Luque, PhD
- Telefonní číslo: +1 (831) 345-5357
- E-mail: luis@adherahealth.com
Studijní místa
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Seville, Španělsko
- Nábor
- Adhera Health (Virtual Participation)
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Kontakt:
- Sara Belón
- Telefonní číslo: +1 (831) 345-5357
- E-mail: studies@adherahealth.com
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-
Kritéria účasti
Kritéria způsobilosti
Věk způsobilý ke studiu
- Dospělý
- Starší dospělý
Přijímá zdravé dobrovolníky
Popis
Inclusion Criteria:
- Adult caregiver (aged 18 years or older) of an adolescent or young adult aged 12 to 21 years diagnosed with Type 1 Diabetes (T1D) or asthma.
- The caregiver is actively involved in the management of the adolescent's or young adult's condition.
- The adolescent or young adult must meet one of the following criteria:
- T1D and normal weight (BMI between the 10th and 85th percentile), or
- T1D and overweight/obesity (BMI ≥85th percentile), or
- Asthma and overweight/obesity (BMI ≥85th percentile).
- Willingness to participate in the Adhera Caring Digital Program-Obesity (ACDP-O).
- Access to a smartphone or internet-enabled device compatible with the study application.
- Willingness to provide self-reported information regarding the adolescent's or young adult's health status, including disease-related and anthropometric measures.
- For caregivers of participants with T1D, willingness to share continuous glucose monitoring (CGM) information.
Exclusion Criteria:
- Severe psychiatric or cognitive conditions that would interfere with participation in the digital intervention.
- Current participation in another obesity- or chronic disease-related digital health intervention study.
- Inability or unwillingness to comply with study procedures.
- Refusal or inability to provide informed consent.
Studijní plán
Jak je studie koncipována?
Detaily designu
- Primární účel: Podpůrná péče
- Přidělení: N/A
- Intervenční model: Přiřazení jedné skupiny
- Maskování: Žádné (otevřený štítek)
Zbraně a zásahy
Skupina účastníků / Arm |
Intervence / Léčba |
|---|---|
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Experimentální: Experimental: Adhera Caring Digital Program-Obesity (ACDP-O)
Participants receive the Adhera Caring Digital Program-Obesity (ACDP-O), a family-centered digital health intervention delivered through a mobile application for 3 months.
The intervention includes personalized educational content, psychometric assessments, wearable-device integration, remote monitoring, behavioral support, and explainable AI-driven feedback to support weight management, mental well-being, and quality of life among adolescents and young adults with type 1 diabetes or asthma and their caregivers.
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The Adhera Caring Digital Program-Obesity (ACDP-O) is a mobile-based digital health intervention that provides personalized educational content, cognitive behavioral approach-based support, psychometric monitoring, wearable-device integration, remote monitoring, and explainable artificial intelligence tools.
The intervention is designed to support weight management, healthy lifestyle behaviors, mental well-being, quality of life, and family engagement in adolescents and young adults with obesity and chronic conditions
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Co je měření studie?
Primární výstupní opatření
Měření výsledku |
Popis opatření |
Časové okno |
|---|---|---|
|
Feasibility of the ACDP-O Intervention
Časové okno: Baseline to Day 90
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Participant completion rate of the 3-month digital intervention.
Feasibility will be assessed as the proportion of enrolled participants who complete the intervention and final study assessments.
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Baseline to Day 90
|
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Acceptability of the ACDP-O Intervention
Časové okno: Day 90
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Participant and caregiver satisfaction with the intervention.
Acceptability will be assessed using post-intervention satisfaction surveys based on a 5-point Likert scale.
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Day 90
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Change in Mental Well-being
Časové okno: Baseline and Day 90
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Change in Depression Anxiety Stress Scales (DASS-21) scores.
The DASS-21 is a 21-item self-report questionnaire assessing symptoms of depression, anxiety, and stress.
Total scores range from 0 to 63, with higher scores indicating greater psychological distress.
The outcome is the change from baseline to Day 90.
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Baseline and Day 90
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Change in Quality of Life (PedsQL)
Časové okno: Baseline and Day 90
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Change in Pediatric Quality of Life Inventory (PedsQL) Total Score The PedsQL assesses health-related quality of life across physical, emotional, social, and school functioning domains.
Scores are transformed to a 0-100 scale, with higher scores indicating better quality of life.
The outcome is the change from baseline to Day 90.
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Baseline and Day 90
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Change in Family Well-being
Časové okno: Baseline and Day 90
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Change in Computer Adaptive Testing (CAT)-based family well-being scores.
Family well-being assessed through adaptive psychometric assessments derived from validated mental health questionnaires.
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Baseline and Day 90
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Change in Quality of Life (Distress)
Časové okno: Baseline and Day 90
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Change in Distress Thermometer Score The Distress Thermometer is a single-item measure of psychological distress scored from 0 (no distress) to 10 (extreme distress).
Higher scores indicate greater distress.
The outcome is the change from baseline to Day 90.
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Baseline and Day 90
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Sekundární výstupní opatření
Měření výsledku |
Popis opatření |
Časové okno |
|---|---|---|
|
Change in Glycemic Control (T1D Cohorts)
Časové okno: Baseline and Day 90
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Change in self-reported HbA1c.
Difference between baseline and post-intervention HbA1c values among participants with Type 1 Diabetes.
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Baseline and Day 90
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Change in Hypoglycemia Awareness (T1D Cohorts)
Časové okno: Baseline and Day 90
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Change in Clarke Hypoglycemia Awareness Scale score.
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Baseline and Day 90
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Change in Asthma Control (Asthma Cohort)
Časové okno: Baseline and Day 90
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Change in Asthma Control Questionnaire (ACQ) score.
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Baseline and Day 90
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Change in Caregiver Burden (PAID)
Časové okno: Baseline and Day 90
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Change in Problem Areas in Diabetes (PAID) Score The PAID questionnaire evaluates diabetes-related emotional distress.
Scores range from 0 to 100, with higher scores indicating greater emotional burden.
The outcome is the change from baseline to Day 90.
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Baseline and Day 90
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Participant Engagement
Časové okno: Day 1 to Day 90
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Frequency of application use and intervention adherence.
Measured through platform usage logs and completion of assigned activities.
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Day 1 to Day 90
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Change in Caregiver Burden (PIP)
Časové okno: Baseline and Day 90
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Change in Pediatric Inventory for Parents (PIP) Total Score The PIP assesses parenting stress associated with caring for a child with a chronic illness.
Higher scores indicate greater parenting stress.
The outcome is the change in total score from baseline to Day 90.
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Baseline and Day 90
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Change in Caregiver Burden (HFS)
Časové okno: Baseline and Day 90
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Change in Hypoglycemia Fear Survey (HFS) Total Score The HFS measures fear and behavioral responses related to hypoglycemia.
Higher scores indicate greater fear of hypoglycemia.
The outcome is the change in total score from baseline to Day 90.
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Baseline and Day 90
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Change in Treatment Satisfaction (DTSQ)
Časové okno: Baseline and Day 90
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Change in Diabetes Treatment Satisfaction Questionnaire (DTSQ) Total Score The DTSQ evaluates satisfaction with diabetes treatment.
Higher scores indicate greater treatment satisfaction.
The outcome is the change in total score from baseline to Day 90.
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Baseline and Day 90
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Change in Sleep Quality (PSQI)
Časové okno: Baseline and Day 90
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Change in Pittsburgh Sleep Quality Index (PSQI) Global Score The PSQI assesses sleep quality during the previous month.
Global scores range from 0 to 21, with higher scores indicating poorer sleep quality.
The outcome is the change in global score from baseline to Day 90.
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Baseline and Day 90
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Spolupracovníci a vyšetřovatelé
Sponzor
Termíny studijních záznamů
Hlavní termíny studia
Začátek studia (Aktuální)
Primární dokončení (Aktuální)
Dokončení studie (Odhadovaný)
Termíny zápisu do studia
První předloženo
První předloženo, které splnilo kritéria kontroly kvality
První zveřejněno (Aktuální)
Aktualizace studijních záznamů
Poslední zveřejněná aktualizace (Aktuální)
Odeslaná poslední aktualizace, která splnila kritéria kontroly kvality
Naposledy ověřeno
Více informací
Termíny související s touto studií
Klíčová slova
Další relevantní podmínky MeSH
- Onemocnění endokrinního systému
- Patologické procesy
- Poruchy výživy
- Metabolické choroby
- Nadměrná výživa
- Tělesná hmotnost
- Autoimunitní onemocnění
- Onemocnění imunitního systému
- Symptomy chování
- Nemoci dýchacích cest
- Plicní onemocnění
- Poruchy metabolismu glukózy
- Diabetes Mellitus
- Bronchiální onemocnění
- Plicní onemocnění, obstrukční
- Respirační přecitlivělost
- Přecitlivělost, okamžitá
- Přecitlivělost
- Stres, psychologický
- Patologické stavy, příznaky a symptomy
- Chování
- Nutriční a metabolické nemoci
- Příznaky a symptomy
- Osobní spokojenost
- Zátěž pečovatele
- Nadváha
- Obezita
- Astma
- Choroba
- Diabetes mellitus, typ 1
- Dětská obezita
- Psychická pohoda
Další identifikační čísla studie
- DASH-Obesity
Informace o lécích a zařízeních, studijní dokumenty
Studuje lékový produkt regulovaný americkým FDA
Studuje produkt zařízení regulovaný americkým úřadem FDA
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