Model Driven Diabetes Care (MDDC)
Data Driven Feedback as a Method to Improve Glycaemic Control in Type 1 Diabetes
研究概览
详细说明
All patients will be given access to a mobile phone with the diabetes diary known as the Few Touch Application (FTA) installed. They may use either their own compatible Android handsets, or provided handsets. The study uses a delayed start design. Participants are randomized into two groups, who get access to the module "Diastat" after 4 and 12 weeks post-enrollment respectively. Each group uses the FTA with Diastat for 8 weeks post-intervention (i.e. access to Diastat).
Diastat is a module within FTA that provides data-driven feedback to the patients using their own data. This module is based on the data recorded in a previous trial [1]. Three submodules are part of Diastat; Periodicity detection and visualization, multiscale trend detection based on the c-SiZer algorithm [2], and situation matching for insulin dosage [3].
- Skrøvseth SO et al, Diabetes Technol Ther (2012)
- Skrøvseth SO et al, PLoS ONE (2012)
- Skrøvseth SO et al, Accepted for Advanced Technologies and Treatments for Diabetes, Paris, France, 2013.
研究类型
注册 (实际的)
阶段
- 不适用
联系人和位置
学习地点
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Tromsø、挪威、9038
- University Hopital of North Norway
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参与标准
资格标准
适合学习的年龄
接受健康志愿者
有资格学习的性别
描述
Inclusion Criteria:
- Confirmed diagnosis with Diabetes Mellitus type 1 for at least one year.
- Age over 18 years
- Has basic familiarity with mobile phones, and uses mobile phone on a daily basis.
Exclusion Criteria:
- Severe complications due to their diabetes.
- Unable to understand or conform to the guidelines when presented with the phone's software.
学习计划
研究是如何设计的?
设计细节
- 主要用途:支持治疗
- 分配:随机化
- 介入模型:并行分配
- 屏蔽:无(打开标签)
武器和干预
参与者组/臂 |
干预/治疗 |
|---|---|
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有源比较器:Delayed Diastat
Mobile phone application Few Touch Application (FTA) in the regular version, with Diastat turned on in week 12 post-enrollment.
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Users get access to the regular version of the Few Touch Application for Type 1 Diabetes.
其他名称:
Users get the Few Touch Application with Diastat module activated.
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实验性的:Diastat
Few Touch Application with Diastat module turned on in week 4 post-enrollment.
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Users get access to the regular version of the Few Touch Application for Type 1 Diabetes.
其他名称:
Users get the Few Touch Application with Diastat module activated.
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研究衡量的是什么?
主要结果指标
结果测量 |
措施说明 |
大体时间 |
|---|---|---|
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Change in the Frequency of Hyper- and Hypo-glycemic Events From Baseline to Week 8-12.
大体时间:Up to 12 weeks post-enrollment
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The number of self-measured blood glucose values < 4 mmol/L (72 mg/dL) or > 15 mmol/L (270 mg/dL) will be recorded during baseline (first 4 weeks post-enrollment/start of study) and during weeks 8-12 post-enrollment for all participants.
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Up to 12 weeks post-enrollment
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次要结果测量
结果测量 |
措施说明 |
大体时间 |
|---|---|---|
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Change in HbA1c
大体时间:up to 20 weeks post-enrollment
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HbA1c will be measured at the start of the study (week 1 post-enrollment) and during the last week of intervention (week 12 for the intervention group and week 20 for the active comparator group).
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up to 20 weeks post-enrollment
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其他结果措施
结果测量 |
措施说明 |
大体时间 |
|---|---|---|
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Usability
大体时间:up to 20 weeks post-enrollment
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System Usability Scale (SUS) will be applied to assess usability of the approach and recorded during the last week of intervention (week 12 for the intervention group and week 20 for the active comparator group).
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up to 20 weeks post-enrollment
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Empowerment
大体时间:Up to 12 weeks post-enrollment.
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Diabetes Empowerment Scale-Short Form (DES-SF) will be used to assess empowerment at the start of the study (week 1 post-enrollment) and during week 12 of intervention.
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Up to 12 weeks post-enrollment.
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合作者和调查者
调查人员
- 首席研究员:Stein Olav Skrøvseth, PhD、University Hospital of North Norway
出版物和有用的链接
一般刊物
- Skrovseth SO, Arsand E, Godtliebsen F, Hartvigsen G. Mobile phone-based pattern recognition and data analysis for patients with type 1 diabetes. Diabetes Technol Ther. 2012 Dec;14(12):1098-104. doi: 10.1089/dia.2012.0160. Epub 2012 Oct 4.
- Skrovseth SO, Arsand E, Godtliebsen F, Joakimsen RM. Model driven mobile care for patients with type 1 diabetes. Stud Health Technol Inform. 2012;180:1045-9.
- Arsand E, Froisland DH, Skrovseth SO, Chomutare T, Tatara N, Hartvigsen G, Tufano JT. Mobile health applications to assist patients with diabetes: lessons learned and design implications. J Diabetes Sci Technol. 2012 Sep 1;6(5):1197-206. doi: 10.1177/193229681200600525.
- Skrovseth SO, Bellika JG, Godtliebsen F. Causality in scale space as an approach to change detection. PLoS One. 2012;7(12):e52253. doi: 10.1371/journal.pone.0052253. Epub 2012 Dec 27.
- Skrovseth SO, Arsand E, Godtliebsen F, Joakimsen RM. Model-driven diabetes care: study protocol for a randomized controlled trial. Trials. 2013 May 14;14:139. doi: 10.1186/1745-6215-14-139.
- Skrovseth SO, Arsand E, Godtliebsen F, Joakimsen RM. Data-Driven Personalized Feedback to Patients with Type 1 Diabetes: A Randomized Trial. Diabetes Technol Ther. 2015 Jul;17(7):482-9. doi: 10.1089/dia.2014.0276. Epub 2015 Mar 9.
研究记录日期
研究主要日期
学习开始
初级完成 (实际的)
研究完成 (实际的)
研究注册日期
首次提交
首先提交符合 QC 标准的
首次发布 (估计)
研究记录更新
最后更新发布 (估计)
上次提交的符合 QC 标准的更新
最后验证
更多信息
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