The Clinical and Economic Impacts of e-Heath on Diabetes (eHealthDM)
2012年5月8日 更新者：Dr. Danièle Pacaud
This project addresses the following Null Hypotheses:
- There will be no difference will be found in the use of the search engine and the information accessed among the three education modes.
- There will be no difference in education mode's effect on metabolic control, self-care management practices, and medical resource utilization.
- There will be no difference in the economic impact on the health care system based on differing education modes.
調査の概要
詳細な説明
In addition to the face-to-face education process currently used at the CHR, this project will develop two modes of eHealth education.
Education mode 1 (control) is comprised of participants educated using CHR's current traditional face-to-face delivery method, with printed materials and written log journals.
These participants will be trained to use the University's web portal if they elect to access internet-based diabetes information.
This allows for the tracking of the type and amounts of diabetes information accessed by participants.
Education mode 2 (static interface) participants will be educated using digitized forms of the traditional materials provided by CHR as well as an electronic log journal (e-journal) where participants will record their diabetes-related outcomes and behavioural information.
Education mode 2 will be assessed and approved by CHR.
Education mode 3 (dynamic interface) participants will be educated using the digitized traditional materials from education mode 2 as well as an enhanced dynamic e-journal (visualization of blood glucose and alerts).
In addition, this mode will provide informative disease-related internet sites and diabetes news and articles vetted by the medical team.
Participants and health professionals will then be able to electronically discuss the content and quality of this information (discussion board).
New sites and articles will be added on an ongoing basis.
Participants will also have access to a chat room that will encourage information sharing with other education mode 3 participants and health professionals at CHR. Education mode 3 will be assessed and approved by CHR.
研究の種類
介入
入学 (実際)
79
段階
- 適用できない
連絡先と場所
このセクションには、調査を実施する担当者の連絡先の詳細と、この調査が実施されている場所に関する情報が記載されています。
研究場所
-
-
Alberta
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Lethbridge、Alberta、カナダ
- Calgary Health Region's offices across southwestern Alberta
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参加基準
研究者は、適格基準と呼ばれる特定の説明に適合する人を探します。これらの基準のいくつかの例は、人の一般的な健康状態または以前の治療です。
適格基準
就学可能な年齢
18年歳以上 (大人、高齢者)
健康ボランティアの受け入れ
いいえ
受講資格のある性別
全て
説明
Inclusion Criteria:
- Aged 18 or older
- Literate
- Not participating in other clinical trials
- Diabetes diagnosed within the last three months
- Type 2 diabetes
- No medical conditions that could compromise metabolic control
- No linguistic, cognitive or psychosocial barriers that would hinder study completion
- Computer and internet literate
- Access to high-speed internet
Exclusion Criteria:
- Under the age of 18
- Not literate
- Participating in other clinical trials
- Diabetes diagnosed greater than three months ago
- Type 1 diabetes
- Gestational diabetes
- Additional medical conditions that could compromise metabolic control
- Linguistic, cognitive or psychosocial barriers that would hinder study completion
- Not computer and internet literate
- No access to high-speed internet
研究計画
このセクションでは、研究がどのように設計され、研究が何を測定しているかなど、研究計画の詳細を提供します。
研究はどのように設計されていますか？
デザインの詳細
- 主な目的：ヘルスサービス研究
- 割り当て：ランダム化
- 介入モデル：並列代入
- マスキング：なし（オープンラベル）
武器と介入
参加者グループ / アーム |
介入・治療 |
|---|---|
|
プラセボコンパレーター：Education mode 1 (control)
Education mode 1 (control) is comprised of participants educated using CHR's current traditional face-to-face delivery method, with printed materials and written log journals.
These participants will be trained to use the University's web portal if they elect to access internet-based diabetes information.
This allows for the tracking of the type and amounts of diabetes information accessed by participants.
|
In addition to the face-to-face education process currently used at the CHR, Education mode 1 (control), Education mode 2 (static interface) and Education mode 3 (dynamic interface) will be used.
|
|
アクティブコンパレータ：Education mode 2 (static interface)
Education mode 2 (static interface) participants will be educated using digitized forms of the traditional materials provided by CHR as well as an electronic log journal (e-journal) where participants will record their diabetes-related outcomes and behavioural information.
Education mode 2 will be assessed and approved by CHR.
|
In addition to the face-to-face education process currently used at the CHR, Education mode 1 (control), Education mode 2 (static interface) and Education mode 3 (dynamic interface) will be used.
|
|
アクティブコンパレータ：Education mode 3 (dynamic interface)
Education mode 3 (dynamic interface) participants will be educated using the digitized traditional materials from education mode 2 as well as an enhanced dynamic e-journal (visualization of blood glucose and alerts).
In addition, this mode will provide informative disease-related internet sites and diabetes news and articles vetted by the medical team.
Participants and health professionals will then be able to electronically discuss the content and quality of this information (discussion board).
New sites and articles will be added on an ongoing basis.
Participants will also have access to a chat room that will encourage information sharing with other education mode 3 participants and health professionals at CHR. Education mode 3 will be assessed and approved by CHR.
|
In addition to the face-to-face education process currently used at the CHR, Education mode 1 (control), Education mode 2 (static interface) and Education mode 3 (dynamic interface) will be used.
|
この研究は何を測定していますか？
主要な結果の測定
結果測定 |
メジャーの説明 |
時間枠 |
|---|---|---|
|
Changes in A1C
時間枠：baseline, 3, 6, 9, 12 months
|
A1C is a measure of metabolic control in diabetes.
For this study changes in A1C from baseline to 3, 6, 9 and 12 months were measured.
All A1C were measured in provincial laboratories using 6.1% as the upper limit of normal for individuals without diabetes.
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baseline, 3, 6, 9, 12 months
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二次結果の測定
結果測定 |
メジャーの説明 |
時間枠 |
|---|---|---|
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a reduction in the cost of delivering health information and education processes
時間枠：baseline and 12 months
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Secondary effects could include a change in the cost of delivering health information and education processes.
Potential changes to self-care management practices of people with type II diabetes could lead to a reduced utilization of the heath care system resulting in a positive economic impact.
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baseline and 12 months
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Changes in Diabetes Knowledge
時間枠：baseline, 3, 6, 9, 12 months
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Changes in diabetes knowledge from baseline to 3, 6, 9, and 12 months will be measured using a 23 item multiple choice questionnaire devolopped by Fitzgerald et al 1998.
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baseline, 3, 6, 9, 12 months
|
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Changes in Diabetes self-care activities
時間枠：Baseline, 3, 6, 9 and 12 months
|
Changes in diabetes self-care activities from base line to 3, 6, 9, and 12 months will be measured the diabetes self-care activities tool evaluated by Toobert at al (2000).
|
Baseline, 3, 6, 9 and 12 months
|
協力者と研究者
ここでは、この調査に関係する人々や組織を見つけることができます。
スポンサー
捜査官
- 主任研究者：Angela M Downey, PhD, CMA, FCMA、University of Lethbridge
- 主任研究者：Helen Kelley, PhD、University of Lethbridge
研究記録日
これらの日付は、ClinicalTrials.gov への研究記録と要約結果の提出の進捗状況を追跡します。研究記録と報告された結果は、国立医学図書館 (NLM) によって審査され、公開 Web サイトに掲載される前に、特定の品質管理基準を満たしていることが確認されます。
主要日程の研究
研究開始
2007年4月1日
一次修了 (実際)
2008年12月1日
研究の完了 (実際)
2009年12月1日
試験登録日
最初に提出
2011年3月3日
QC基準を満たした最初の提出物
2012年5月8日
最初の投稿 (見積もり)
2012年5月10日
学習記録の更新
投稿された最後の更新 (見積もり)
2012年5月10日
QC基準を満たした最後の更新が送信されました
2012年5月8日
最終確認日
2012年5月1日
詳しくは
この情報は、Web サイト clinicaltrials.gov から変更なしで直接取得したものです。研究の詳細を変更、削除、または更新するリクエストがある場合は、register@clinicaltrials.gov。 までご連絡ください。 clinicaltrials.gov に変更が加えられるとすぐに、ウェブサイトでも自動的に更新されます。
2型糖尿病の臨床試験
eHealth educationの臨床試験
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University of MiamiNational Institute on Drug Abuse (NIDA)完了
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State University of New York at BuffaloUniversity of Oregon積極的、募集していない
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Biocruces Bizkaia Health Research Instituteわからない
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University of SheffieldUniversity of Liverpool; University of Manchester; University of Melbourne積極的、募集していない
-
University of British ColumbiaThe Craig H. Neilsen Foundationまだ募集していません介護負担 | 脊髄損傷
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Washington University School of MedicineEpharmix, Inc.完了
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University of MiamiNational Institute of Mental Health (NIMH)募集