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Mobile Health Application of Screening and Early Intervention for Prediabetic Patient at Primary Health Cares Setting

22 de julio de 2021 actualizado por: Yaltafit Abror Jeem, Gadjah Mada University

Development Mobile Health Application of Screening and Early Intervention for Prediabetic Patient at Primary Health Cares Setting: Protocol of a Pilot Study

Background: Preventing type-2 diabetes mellitus begins with early screening and intervention of prediabetic participants. Until now, prediabetes screening and early intervention have not been optimal. The rapid advancement of technology, as well as its increased use, may provide an opportunity to improve the quality and cost of healthcare services. It is quite practicable to investigate and implement a valid, practical and easy-to-use mobile health application for participants and health staffs in screening and early intervention of prediabetes participants at primary health cares setting. This protocol aimed to identify and develop a valid, practical, and easy-to-use mobile health application for screening and early intervention of prediabetes participants at primary health cares.

Methods: This protocol was prepared in accordance with the Standard Protocol Items: Recommendations for Interventional Trials 2013 statement. This is a mixed-methods study with sequential exploratory approach. This project will begin with in-depth interview to gather qualitative information regarding mobile health application necessity for prediabetes participants at the primary health cares. The impact of the usage will be studied quantitatively using randomized controlled trial. Prediabetic participants and primary health cares staffs at Yogyakarta province will be the research subjects. The collected findings will be examined based on the type of the data.

Discussion: The proposed research aimed to obtain information and trial results regarding mobile health application usage for prediabetes participants screening and early intervention at primary health cares setting.

Descripción general del estudio

Estado

Reclutamiento

Descripción detallada

The goal of this study is to create a mobile health application for prediabetes patients that included screening and early intervention in Primary Health Cares (PHCs) setting. More specifically, the objectives are as follows:

  1. To portray regular prediabetes screening and early intervention practice in PHCs.
  2. To assess prediabetes screening and early intervention data necessity for mobile health application model at PHCs.
  3. To assess the feasibility of mobile health application usage for screening and early intervention of prediabetes patients at PHCs.
  4. To assess internal and external factors that influence the intention-to-use, easiness, and usefulness of mobile health applications for prediabetes patients and health staff.
  5. To assess the impact of early intervention using mobile health applications on prediabetes patients.

Tipo de estudio

Intervencionista

Inscripción (Anticipado)

350

Fase

  • No aplica

Contactos y Ubicaciones

Esta sección proporciona los datos de contacto de quienes realizan el estudio e información sobre dónde se lleva a cabo este estudio.

Estudio Contacto

Copia de seguridad de contactos de estudio

Ubicaciones de estudio

    • Yogyakarta
      • Sleman, Yogyakarta, Indonesia, 55571
        • Reclutamiento
        • Kalasan PHC
        • Contacto:

Criterios de participación

Los investigadores buscan personas que se ajusten a una determinada descripción, denominada criterio de elegibilidad. Algunos ejemplos de estos criterios son el estado de salud general de una persona o tratamientos previos.

Criterio de elegibilidad

Edades elegibles para estudiar

20 años a 60 años (Adulto)

Acepta Voluntarios Saludables

No

Géneros elegibles para el estudio

Todos

Descripción

Inclusion Criteria:

  • diagnosed as the prediabetic state using American Diabetes Association (ADA) criteria
  • have no previous diagnosis of type 2 diabetes or history of taking anti-hyperglycemic drugs
  • have access to and able to use a personal smartphone
  • willing to undertake study activities and written informed consent

Exclusion Criteria:

  • severe medical condition
  • disability to perform physical activity

Plan de estudios

Esta sección proporciona detalles del plan de estudio, incluido cómo está diseñado el estudio y qué mide el estudio.

¿Cómo está diseñado el estudio?

Detalles de diseño

  • Propósito principal: Poner en pantalla
  • Asignación: Aleatorizado
  • Modelo Intervencionista: Asignación paralela
  • Enmascaramiento: Doble

Armas e Intervenciones

Grupo de participantes/brazo
Intervención / Tratamiento
Experimental: mHealth apps
The participants in this arm will receive information regarding mobile health applications used for screening and early intervention of the prediabetic states.
Mobile health application intervention including screening and early intervention such as diet and physical activity suggestion
Comparador activo: Standard care
The participant in this arm will receive regular practice or standard care of screening and early intervention of prediabetic state.
Regular practice for screening and early intervention for prediabetes patient in primary health cares setting

¿Qué mide el estudio?

Medidas de resultado primarias

Medida de resultado
Medida Descripción
Periodo de tiempo
Body weight mean change from baseline
Periodo de tiempo: at baseline and after intervention at 12-weeks
Participants' body weight measured by scales using kilograms (kg) measurement unit
at baseline and after intervention at 12-weeks
Waist circumference mean change from baseline
Periodo de tiempo: at baseline and after intervention at 12-weeks
Participants' waist circumference measured using measuring tape in centimeter (cm) measurement unit
at baseline and after intervention at 12-weeks
Fasting blood glucose mean change from baseline
Periodo de tiempo: at baseline and after intervention at 12-weeks
Participants' fasting blood glucose measured from vein blood in milligram per deciliter (mg/dL) measurement unit
at baseline and after intervention at 12-weeks
Hemoglobin A1c mean change from baseline
Periodo de tiempo: at baseline and after intervention at 12-weeks
Participants' Hemoglobin A1c measured from vein blood in percent
at baseline and after intervention at 12-weeks
Oral glucose tolerance test mean change from baseline
Periodo de tiempo: at baseline and after intervention at 12-weeks
Participants' oral glucose tolerance test measured from vein blood in milligram per deciliter (mg/dL) measurement unit
at baseline and after intervention at 12-weeks

Medidas de resultado secundarias

Medida de resultado
Medida Descripción
Periodo de tiempo
Area under the curve of screening instrument compared to American Diabetes Association criteria
Periodo de tiempo: immediately after the intervention begin
screening accuracy of the instrument reported using graph
immediately after the intervention begin
Sensitivity value of screening instrument compared to American Diabetes Association criteria
Periodo de tiempo: immediately after the intervention begin
Sensitivity value of the instrument calculated using formula derived from 2x2 tables of diagnostic test
immediately after the intervention begin
Specificity value of screening instrument compared to American Diabetes Association criteria
Periodo de tiempo: immediately after the intervention begin
Specificity value of the instrument calculated using formula derived from 2x2 tables of diagnostic test
immediately after the intervention begin
Positive predictive value of screening instrument compared to American Diabetes Association criteria
Periodo de tiempo: immediately after the intervention begin
Positive predictive value of the instrument calculated using formula derived from 2x2 tables of diagnostic test
immediately after the intervention begin
Negative predictive value of screening instrument compared to American Diabetes Association criteria
Periodo de tiempo: immediately after the intervention begin
Negative predictive value of the instrument calculated using formula derived from 2x2 tables of diagnostic test
immediately after the intervention begin
Accuracy value of screening instrument compared to American Diabetes Association criteria
Periodo de tiempo: immediately after the intervention begin
Accuracy predictive value of the instrument calculated using formula derived from 2x2 tables of diagnostic test
immediately after the intervention begin
Likelihood ratio of screening instrument compared to American Diabetes Association criteria
Periodo de tiempo: immediately after the intervention begin
Likelihood ratio of the instrument calculated using formula derived from 2x2 tables of diagnostic test
immediately after the intervention begin

Otras medidas de resultado

Medida de resultado
Medida Descripción
Periodo de tiempo
Participant's acceptance of mobile health application
Periodo de tiempo: after intervention at 12-weeks
evaluation of participant's acceptance to the device using Mobile Health Application Acceptance Questioner adapted from previous study
after intervention at 12-weeks

Colaboradores e Investigadores

Aquí es donde encontrará personas y organizaciones involucradas en este estudio.

Patrocinador

Investigadores

  • Investigador principal: Yaltafit A Jeem, Gadjah Mada University

Fechas de registro del estudio

Estas fechas rastrean el progreso del registro del estudio y los envíos de resultados resumidos a ClinicalTrials.gov. Los registros del estudio y los resultados informados son revisados ​​por la Biblioteca Nacional de Medicina (NLM) para asegurarse de que cumplan con los estándares de control de calidad específicos antes de publicarlos en el sitio web público.

Fechas importantes del estudio

Inicio del estudio (Actual)

25 de mayo de 2021

Finalización primaria (Anticipado)

1 de octubre de 2021

Finalización del estudio (Anticipado)

1 de noviembre de 2021

Fechas de registro del estudio

Enviado por primera vez

20 de junio de 2021

Primero enviado que cumplió con los criterios de control de calidad

22 de julio de 2021

Publicado por primera vez (Actual)

28 de julio de 2021

Actualizaciones de registros de estudio

Última actualización publicada (Actual)

28 de julio de 2021

Última actualización enviada que cumplió con los criterios de control de calidad

22 de julio de 2021

Última verificación

1 de julio de 2021

Más información

Términos relacionados con este estudio

Plan de datos de participantes individuales (IPD)

¿Planea compartir datos de participantes individuales (IPD)?

NO

Información sobre medicamentos y dispositivos, documentos del estudio

Estudia un producto farmacéutico regulado por la FDA de EE. UU.

No

Estudia un producto de dispositivo regulado por la FDA de EE. UU.

No

Esta información se obtuvo directamente del sitio web clinicaltrials.gov sin cambios. Si tiene alguna solicitud para cambiar, eliminar o actualizar los detalles de su estudio, comuníquese con register@clinicaltrials.gov. Tan pronto como se implemente un cambio en clinicaltrials.gov, también se actualizará automáticamente en nuestro sitio web. .

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