- 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 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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Change in Mental Well-being (DASS-21)
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 Quality of Life (KIDSCREEN-10)
Zeitfenster: Baseline and Day 90
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The KIDSCREEN-10 Index is a validated measure of health-related quality of life in children and adolescents.
Raw scores are converted to a standardized T-score with a mean of 50 and a standard deviation of 10.
Higher scores indicate better health-related quality of life and a better outcome.
The outcome measure is the change in KIDSCREEN-10 Index score from baseline to Day 90.
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Baseline and Day 90
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Sekundäre Ergebnismessungen
Ergebnis Maßnahme |
Maßnahmenbeschreibung |
Zeitfenster |
|---|---|---|
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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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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 Hypoglycemia Awareness (T1D Cohorts)
Zeitfenster: Baseline and Day 90
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Change in Clarke Hypoglycemia Awareness Scale score.
The Clarke Hypoglycemia Awareness Scale is an 8-item questionnaire used to assess impaired awareness of hypoglycemia in individuals with diabetes.
Total scores range from 0 to 7, with higher scores indicating worse hypoglycemia awareness (greater impairment in recognizing hypoglycemic episodes).
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Baseline and Day 90
|
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Change in diabetes-related well-being (Diabetes cohort)
Zeitfenster: Baseline and Day 90
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The INSPIRE Questionnaire for Parents of Youth with Type 1 Diabetes assesses parent perceptions of positive psychological and behavioral outcomes associated with diabetes management technologies and care.
Scores are transformed to a 0 to 100 scale, with higher scores indicating more positive perceptions and experiences and a better outcome.
The outcome measure is the change in total 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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