- ICH GCP
- US-Register für klinische Studien
- Klinische 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
Studienübersicht
Status
Bedingungen
Intervention / Behandlung
Detaillierte Beschreibung
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.
Studientyp
Einschreibung (Geschätzt)
Phase
- Unzutreffend
Kontakte und Standorte
Studienkontakt
- Name: Luis Fernández Luque, PhD
- Telefonnummer: +1 (831) 345-5357
- E-Mail: luis@adherahealth.com
Studienorte
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Seville, Spanien
- Rekrutierung
- Adhera Health (Virtual Participation)
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Kontakt:
- Sara Belón
- Telefonnummer: +1 (831) 345-5357
- E-Mail: studies@adherahealth.com
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Teilnahmekriterien
Zulassungskriterien
Studienberechtigtes Alter
- Erwachsene
- Älterer Erwachsener
Akzeptiert gesunde Freiwillige
Beschreibung
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.
Studienplan
Wie ist die Studie aufgebaut?
Designdetails
- Hauptzweck: Unterstützende Pflege
- Zuteilung: N / A
- Interventionsmodell: Einzelgruppenzuweisung
- Maskierung: Keine (Offenes Etikett)
Waffen und Interventionen
Teilnehmergruppe / Arm |
Intervention / Behandlung |
|---|---|
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Experimental: 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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Was misst die Studie?
Primäre Ergebnismessungen
Ergebnis Maßnahme |
Maßnahmenbeschreibung |
Zeitfenster |
|---|---|---|
|
Feasibility of the ACDP-O Intervention
Zeitfenster: 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
Zeitfenster: 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
Zeitfenster: 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)
Zeitfenster: 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
Zeitfenster: 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)
Zeitfenster: 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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Sekundäre Ergebnismessungen
Ergebnis Maßnahme |
Maßnahmenbeschreibung |
Zeitfenster |
|---|---|---|
|
Change in Glycemic Control (T1D Cohorts)
Zeitfenster: 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)
Zeitfenster: 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)
Zeitfenster: 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)
Zeitfenster: 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
Zeitfenster: 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)
Zeitfenster: 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)
Zeitfenster: 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)
Zeitfenster: 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)
Zeitfenster: 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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Mitarbeiter und Ermittler
Sponsor
Studienaufzeichnungsdaten
Haupttermine studieren
Studienbeginn (Tatsächlich)
Primärer Abschluss (Tatsächlich)
Studienabschluss (Geschätzt)
Studienanmeldedaten
Zuerst eingereicht
Zuerst eingereicht, das die QC-Kriterien erfüllt hat
Zuerst gepostet (Tatsächlich)
Studienaufzeichnungsaktualisierungen
Letztes Update gepostet (Tatsächlich)
Letztes eingereichtes Update, das die QC-Kriterien erfüllt
Zuletzt verifiziert
Mehr Informationen
Begriffe im Zusammenhang mit dieser Studie
Schlüsselwörter
Zusätzliche relevante MeSH-Bedingungen
- Erkrankungen des endokrinen Systems
- Pathologische Prozesse
- Ernährungsstörungen
- Stoffwechselerkrankungen
- Überernährung
- Körpergewicht
- Autoimmunerkrankungen
- Erkrankungen des Immunsystems
- Verhaltenssymptome
- Erkrankungen der Atemwege
- Lungenkrankheit
- Störungen des Glukosestoffwechsels
- Diabetes Mellitus
- Bronchialerkrankungen
- Lungenerkrankungen, obstruktive
- Überempfindlichkeit der Atemwege
- Überempfindlichkeit, sofort
- Überempfindlichkeit
- Stress, Psychisch
- Pathologische Zustände, Anzeichen und Symptome
- Verhalten
- Ernährungs- und Stoffwechselerkrankungen
- Anzeichen und Symptome
- Persönliche Zufriedenheit
- Belastung der Pflegekraft
- Übergewicht
- Fettleibigkeit
- Asthma
- Erkrankung
- Diabetes mellitus, Typ 1
- Adipositas bei Kindern
- Geistiges Wohlergehen
Andere Studien-ID-Nummern
- DASH-Obesity
Arzneimittel- und Geräteinformationen, Studienunterlagen
Studiert ein von der US-amerikanischen FDA reguliertes Arzneimittelprodukt
Studiert ein von der US-amerikanischen FDA reguliertes Geräteprodukt
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