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Mobile Health to Enhance Exercise in Type 2 Diabetes (MOTIVATET2D)

26. april 2021 opdateret af: Jonathan Little, University of British Columbia

Mobile Health Biometrics to Enhance Exercise and Physical Activity Adherence in Type 2 Diabetes: A Pilot Randomized Trial

Being physically active and exercising is important for the treatment of Type 2 diabetes as it helps control blood sugar and improve physical function. Lots of people find it hard to be physically active and sticking with exercise is difficult for most people. In this project we will investigate two strategies to support people with Type 2 diabetes to increase and then maintain a physically active lifestyle, which includes exercising regularly. Participants in one group (Exercise Counselling) will complete a 6-month structured exercise and physical activity programme supported by regular (virtual) contact with an exercise specialist. Participants in the second group (Mobile health technology (mHealth)) will receive the same 6-month exercise and physical activity programme supported by an exercise specialist, but participants in this group will also receive a fitness watch that links to a mobile phone application (App). The fitness watch and mobile App will allow the exercise specialist to provide greater support and feedback throughout the programme.

Studieoversigt

Undersøgelsestype

Interventionel

Tilmelding (Forventet)

120

Fase

  • Ikke anvendelig

Kontakter og lokationer

Dette afsnit indeholder kontaktoplysninger for dem, der udfører undersøgelsen, og oplysninger om, hvor denne undersøgelse udføres.

Studiekontakt

Undersøgelse Kontakt Backup

Studiesteder

    • British Columbia
      • Kelowna, British Columbia, Canada, V1V1V7
        • Rekruttering
        • University of British Columbia
        • Kontakt:
          • Jonathan Low

Deltagelseskriterier

Forskere leder efter personer, der passer til en bestemt beskrivelse, kaldet berettigelseskriterier. Nogle eksempler på disse kriterier er en persons generelle helbredstilstand eller tidligere behandlinger.

Berettigelseskriterier

Aldre berettiget til at studere

40 år til 75 år (Voksen, Ældre voksen)

Tager imod sunde frivillige

Ingen

Køn, der er berettiget til at studere

Alle

Beskrivelse

Inclusion Criteria:

  • Diagnosed with T2D within the previous 5-24 months
  • Male or Female
  • Aged 40-75
  • Treat diabetes with only Metformin or lifestyle modifications (diet and exercise)
  • For those prescribed Metformin: have used a stable dose for 3-months or more

Exclusion Criteria:

  • Aged under 40 or over 75
  • Glycated hemoglobin level (HbA1c) more than 10% (>86mmol/mol)
  • Blood pressure higher than 160/110 mmHg
  • Treat diabetes with an antidiabetic drug other than Metformin (Sulfonylureas, Thiazolidinedione, dipeptidylpeptidase-4 inhibitors, sodium glucose co-transporter 2 inhibitors, glucagon-like peptide-1 receptor agonist, Acarbose, meglitinides)
  • Prescription of Insulin
  • Unstable angina (frequent chest pain)
  • Myocardial infarction (heart attack) within the previous 3 months
  • Transient ischemic attack (TIA) within the previous 6 months
  • Heart failure ≥class 2
  • Arrhythmia
  • Inability to increase activity
  • Pregnancy or planning to become pregnant
  • Less than 6 months post childbirth or stopped breastfeeding less than 1 month ago
  • Not owning a smartphone/ or having no data plan or access to WiFi
  • currently meeting the recommended exercise guidelines (150 min of moderate intensity exercise per week).

Studieplan

Dette afsnit indeholder detaljer om studieplanen, herunder hvordan undersøgelsen er designet, og hvad undersøgelsen måler.

Hvordan er undersøgelsen tilrettelagt?

Design detaljer

  • Primært formål: Behandling
  • Tildeling: Randomiseret
  • Interventionel model: Parallel tildeling
  • Maskning: Ingen (Åben etiket)

Våben og indgreb

Deltagergruppe / Arm
Intervention / Behandling
Eksperimentel: mHealth Technology
Participants in this group (Mobile health technology (mHealth)) will receive the same 6-month exercise and physical activity programme supported by an exercise specialist, but participants in this group will also receive a fitness watch that links to a mobile phone application (App).
A 6 month exercise and physical activity programme supported by an exercise specialist
A fitness watch that links to a mobile phone application (App) which enables the exercise specialist to provide greater support and feedback throughout the programme
Andre navne:
  • Polar Watch
  • Polar Flow
Aktiv komparator: Exercise Counselling
Participants in this group (Exercise Counselling) will complete a 6-month structured exercise and physical activity programme supported by regular contact with an exercise specialist.
A 6 month exercise and physical activity programme supported by an exercise specialist

Hvad måler undersøgelsen?

Primære resultatmål

Resultatmål
Foranstaltningsbeskrivelse
Tidsramme
Determine the number of adults with newly diagnosed T2D that are eligible to participate in the trial
Tidsramme: 0-12 months

Information will be collected on:

- The number of patients approached and reasons for not joining the study

0-12 months
The number of these adults with newly diagnosed T2D who would be willing to take part in this trial
Tidsramme: 0-12 months

Information will be collected on:

- The number of patients who actually enroll

0-12 months
The characteristics of these adults with newly diagnosed T2D who are willing to take part in the trial
Tidsramme: 0-12 months

Information will be collected on:

- Patient gender, age, and how patients are currently treating their T2D

0-12 months
The number and percentage of participants retained at 12-months.
Tidsramme: 0-12 months

Information will be collected on:

- Number and percentage of patients attending at 12-month follow up and reasons for drop-out.

0-12 months

Sekundære resultatmål

Resultatmål
Foranstaltningsbeskrivelse
Tidsramme
Adherence to exercise
Tidsramme: 0 months, 0-6 months, 0-12 months
Adherence to structured exercise assessed through monthly exercise questionnaire (GLTEQ)
0 months, 0-6 months, 0-12 months
Change in glycaemic control
Tidsramme: 0 months, 0-6 months, 0-12 months
Glycated hemoglobin (HbA1c), flash glucose monitoring
0 months, 0-6 months, 0-12 months
Change in body composition
Tidsramme: 0 months, 0-6 months, 0-12 months
Height (meters) and weight (kilograms) will be aggregated to arrive at one reported BMI value (kg/m^2)
0 months, 0-6 months, 0-12 months
Change in weight
Tidsramme: 0 months, 0-6 months, 0-12 months
Weight (kilograms)
0 months, 0-6 months, 0-12 months
Change in waist circumference
Tidsramme: 0 months, 0-6 months, 0-12 months
Waist circumference (centimeters)
0 months, 0-6 months, 0-12 months
Change in blood pressure
Tidsramme: 0 months, 0-6 months, 0-12 months
Blood pressure taken with a cuff
0 months, 0-6 months, 0-12 months
Change in blood lipids
Tidsramme: 0 months, 0-6 months, 0-12 months
Total cholesterol, high-density lipoprotein, triglycerides, low-density lipoprotein
0 months, 0-6 months, 0-12 months
Diabetes related quality of life
Tidsramme: 0 months, 0-6 months, 0-12 months
SF-12 Health Survey and Diabetes Treatment Satisfaction Questionnaire used to assess diabetes related quality of life
0 months, 0-6 months, 0-12 months
Behavioural regulation in exercise
Tidsramme: 0 months, 0-6 months, 0-12 months
Assessed using the Behavioural Regulation in Exercise Questionnaire
0 months, 0-6 months, 0-12 months
Patient rapport with counsellor
Tidsramme: 0 months, 0-6 months, 0-12 months
Assessed using the Patient Rapport with Counsellor Questionnaire
0 months, 0-6 months, 0-12 months

Andre resultatmål

Resultatmål
Foranstaltningsbeskrivelse
Tidsramme
Acceptability and feasibility of the wearable intervention to patients
Tidsramme: 0-6 months, 0-12 months
Post-intervention patient questionnaire that will assess the acceptability of the wearable intervention and exposure to other wearable technologies
0-6 months, 0-12 months
Acceptability and feasibility of patients continuing the intervention on their own
Tidsramme: 0-6 months, 0-12 months
Follow-up patient questionnaire investigating anticipated barriers and facilitators to continuing the intervention
0-6 months, 0-12 months
Pilot methods for collecting outcome measures
Tidsramme: Approx. 1 month after baseline
Early acceptability questionnaire investigating the acceptability of the measurement instruments and their ease of use.
Approx. 1 month after baseline
Ensure that our plans for recruitment, randomisation, treatment, and follow-up are acceptable to patients
Tidsramme: 0-12 months
Post intervention patient questionnaire investigating the acceptability of the recruitment and randomisation process and the measurement instruments
0-12 months
Determine availability and completeness of economic data
Tidsramme: 0 months, 0-6 months, 0-12 months
5-level EQ-5D Questionnaire
0 months, 0-6 months, 0-12 months
Determine healthcare usage
Tidsramme: 0 months, 0-6 months, 0-12 months
Questionnaire assessing healthcare usage in the last 12 weeks
0 months, 0-6 months, 0-12 months

Samarbejdspartnere og efterforskere

Det er her, du vil finde personer og organisationer, der er involveret i denne undersøgelse.

Publikationer og nyttige links

Den person, der er ansvarlig for at indtaste oplysninger om undersøgelsen, leverer frivilligt disse publikationer. Disse kan handle om alt relateret til undersøgelsen.

Datoer for undersøgelser

Disse datoer sporer fremskridtene for indsendelser af undersøgelsesrekord og resumeresultater til ClinicalTrials.gov. Studieregistreringer og rapporterede resultater gennemgås af National Library of Medicine (NLM) for at sikre, at de opfylder specifikke kvalitetskontrolstandarder, før de offentliggøres på den offentlige hjemmeside.

Studer store datoer

Studiestart (Faktiske)

1. februar 2021

Primær færdiggørelse (Forventet)

1. december 2022

Studieafslutning (Forventet)

1. maj 2023

Datoer for studieregistrering

Først indsendt

19. november 2020

Først indsendt, der opfyldte QC-kriterier

26. november 2020

Først opslået (Faktiske)

4. december 2020

Opdateringer af undersøgelsesjournaler

Sidste opdatering sendt (Faktiske)

28. april 2021

Sidste opdatering indsendt, der opfyldte kvalitetskontrolkriterier

26. april 2021

Sidst verificeret

1. april 2021

Mere information

Begreber relateret til denne undersøgelse

Andre undersøgelses-id-numre

  • H20-01936
  • 20/SS/0101 (Anden identifikator: South East Scotland Research Ethics Committee)

Plan for individuelle deltagerdata (IPD)

Planlægger du at dele individuelle deltagerdata (IPD)?

JA

IPD-planbeskrivelse

Pseudonymised data from this study will be made available for sharing with other investigators, after publication of the study's key papers. Data will be shared through the LJMU Data Repository (http://opendata.ljmu.ac.uk/). This is a secure institutional data repository, which is searchable on the www, it is managed by Library Services. A DOI will be generated for datasets as they are deposited to the repository. Data will be stored in this repository for a minimum of 10 years or for 10 years from the last date of access.

IPD-delingstidsramme

Data will be stored in this repository for a minimum of 10 years or for 10 years from the last date of access.

IPD-delingsadgangskriterier

Data will be shared through the LJMU Data Repository (http://opendata.ljmu.ac.uk/). This is a secure institutional data repository, which is searchable on the www, it is managed by Library Services. A DOI will be generated for datasets as they are deposited to the repository.

Lægemiddel- og udstyrsoplysninger, undersøgelsesdokumenter

Studerer et amerikansk FDA-reguleret lægemiddelprodukt

Ingen

Studerer et amerikansk FDA-reguleret enhedsprodukt

Ingen

Disse oplysninger blev hentet direkte fra webstedet clinicaltrials.gov uden ændringer. Hvis du har nogen anmodninger om at ændre, fjerne eller opdatere dine undersøgelsesoplysninger, bedes du kontakte register@clinicaltrials.gov. Så snart en ændring er implementeret på clinicaltrials.gov, vil denne også blive opdateret automatisk på vores hjemmeside .

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