此页面是自动翻译的，不保证翻译的准确性。请参阅 英文版 对于源文本。

Qatar Diabetes Mobile Application Trial (QDMAT)

2020年2月12日 更新者：Hamad Medical Corporation
Diabetes mobile technology is an emerging and rapidly expanding field that seeks to combine cutting edge behavioral insights with best practice in diabetes self management education to improve patient empowerment and deliver better patient outcomes.The question that arises is whether or not, diabetes mobile applications are effective in improving glycemic control, clinical outcomes, quality of life and overall patient satisfaction, in diabetic patients in Qatar. To answer this, we plan to enroll 90 diabetic patients into a custom-made diabetes app for Qatar (Droobi) (as intervention group) in comparison with 90 diabetic patients followed in the current standard care, matched in characteristics (as control group). We have the hypothesis that with utilization of the mobile application, patients will have improved glycemic control, improved self management and patient empowerment; together with improved patient-educator/doctor interaction.

研究概览

地位

未知

条件

干预/治疗

研究类型

介入性

注册 (预期的)

180

阶段

  • 不适用

联系人和位置

本节提供了进行研究的人员的详细联系信息，以及有关进行该研究的地点的信息。

学习地点

参与标准

研究人员寻找符合特定描述的人，称为资格标准。这些标准的一些例子是一个人的一般健康状况或先前的治疗。

资格标准

适合学习的年龄

18年 至 60年 (成人)

接受健康志愿者

不

有资格学习的性别

全部

描述

Inclusion Criteria:

  • • Adults with T2DM (more than 18 yrs of age and younger than 60) who are able to provide consent

    • Arabic speaking and non-arabic speaking T2DM patients, who can communicate in Arabic and or English language.
    • Uncontrolled diabetes with HbA1c more than or equal to 8.5%
    • T2DM on insulin with or without any other oral medication
    • Subject must have a smart phone (must be an iOS (Apple) phone user) and must be interested in using a smart phone app.
    • Subject must have no visual impairment.
    • Minimal level of literacy (able to read and write in english or arabic).
    • To be able to communicate via chat with the mobile app team through the app as evidenced by at least weekly use of any of the social media such as WhatsApp, Viber, Facebook Messenger etc
    • Subject must be willing to utilize a mobile application for diabetes control

Exclusion Criteria:

  • • Recent history (3 months) of stroke or Myocardial infarction.

    • Patients with proliferating retinopathy
    • Patients with an acute illness during the past 2 weeks.
    • Patients who plan to be away for more than 3 months.
    • Patients with CKD requiring dialysis.
    • Hypoglycemia unawareness.
    • More than one episode of severe hypoglycemia in the previous 6 months.
    • Female patients who are planning for pregnancy in the coming 6 months.

学习计划

本节提供研究计划的详细信息，包括研究的设计方式和研究的衡量标准。

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
有源比较器：Intervention arm

For the subjects using the app (intervention group): The mobile app team shall do the following:

  • Educate/train patients on app usage
  • Patients will be subscribed to the app and their profile on the app will be created
  • Subjects will log in their blood sugar readings and communicate with the mobile app team (educators and physician) via the app
  • Additionally patients will be placed on a diet and lifestyle plan as agreed upon by the patient and health care provider team, best suited towards the patient's needs
  • Throughout the study, patient will receive notifications and advice on how to follow diet and lifestyle changes
  • Throughout the study; patient interaction and app usage will be tracked
  • Patients will additionally be interviewed by the research team together with Droobi to capture app experience at 3 months and 6 months
设备：Droobi
A new mobile application, specifically built for the diabetes patients in Qatar with the help of local expertise.
其他：Standard of care
Standard of care including physicians, dietetics and diabetes educators support
安慰剂比较：Standard of care arm

For the subjects not using the app (the standard of care group):

  • At time 0, will be seen by the dietician and diabetes educators at HGH endocrine clinics as part of standards of care

  • The educators contact number and diabetes hotline number will be provided to the patients

    o The diabetes hotline number #16099 is a new service provided to diabetes patients at the national diabetes center to help communicate with the diabetes educators with questions relating to their diabetes management, medication adjustment such as dose titrations etc.

  • Appointments thereafter with the educator and/or dietician will be decided and scheduled according to the individual patient needs, with a minimum visit every 3 months during the study period
其他：Standard of care
Standard of care including physicians, dietetics and diabetes educators support

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
Difference in mean HbA1c
大体时间：6 months
Difference in mean HbA1C between the intervention arm and the standard care
6 months
Difference in mean HbA1c
大体时间：3 months
Difference in mean HbA1C between the intervention arm and the standard care
3 months

次要结果测量

结果测量
措施说明
大体时间
Subject perceptions of diabetes self management
大体时间：6 months
Within subject changes in perceptions of diabetes self-management as assessed by diabetes self-management questionnaire (DSMQ) scores subsection glucose management and overall rating. DSM-Q is a 16 item questionnaire to assess self-care activities associated with glycemic control. Four subscales, 'Glucose Management' (GM), 'Dietary Control' (DC), 'Physical Activity' (PA), and 'Health-Care Use' (HU), as well as a 'Sum Scale' (SS) as a global measure of self-care. Scale scores are calculated as sums of item scores and then transformed to a scale ranging from 0 to 10 (raw score / theoretical maximum score * 10. A transformed score of ten thus represents the highest self-rating of the assessed behavior
6 months
Change in subjects attitudes towards disease
大体时间：6 months
Within subject changes in attitudes towards disease assessed the proportion of subjects with diabetes distress scales (DDS) scores consistent with moderate or high distress.The DDS yields a total distress score plus 4 subscale (emotional burden,physical distress, regimen distress and interpersonal distress) scores each addressing a different kind of distress. A mean item score 2.0-2.9 is considered moderate distress and a mean score of more than or equal to 3 is considered high stress.
6 months
Changes in insulin doses
大体时间：6 months
Difference in number of recommended insulin dose adjustments per subject between intervention and usual care arm
6 months
Changes in reported hypoglycemia
大体时间：6 months
Difference in the number of reported hypoglycemic events per subject between the intervention and usual care arm.
6 months
Time to achieve normoglycemia
大体时间：6 months
Reduction in the time required to reach normoglycemia (in-range blood glucose readings) between the intervention and control groups.
6 months
Number of clinical interactions
大体时间：6 months
• Differences in the number of clinical interactions per subjects with healthcare providers through the mobile app and through usual means in the standard care
6 months
Missed clinical appointments
大体时间：6 months
Percent of missed clinical appointments in each arm.
6 months
Weight
大体时间：6 months
Changes in weight from baseline at 6 months
6 months
Blood Pressure
大体时间：6 months
Changes in blood pressure from baseline at 6 months
6 months
Lipids
大体时间：6 months
Changes in lipids from baseline at 6 months
6 months

其他结果措施

结果测量
措施说明
大体时间
Exploratory outcome
大体时间：6 months
Increased mobile application usability by the system usability scale (SUS) at 6 months. It consists of a 10 item questionnaire with five response options for respondents; from Strongly agree to Strongly disagree. The participant's scores for each question are converted to a new number, added together and then multiplied by 2.5 to convert the original scores of 0-40 to 0-100. An SUS score above a 68 would be considered above average and anything below 68 is below average, however the best way to interpret the results involves "normalizing" the scores to produce a percentile ranking
6 months
Exploratory outcome
大体时间：6 months
Increased mobile application acceptance by documentation of patients experiences with the mobile application
6 months
Exploratory outcome
大体时间：6 months
Reduction in hospital admissions
6 months

合作者和调查者

在这里您可以找到参与这项研究的人员和组织。

赞助

Hamad Medical Corporation

合作者

Qatar Computing Research Institute (QCRI)
Droobi Health

调查人员

  • 首席研究员：Noor N Suleiman, MD、Hamad Medical Corporation

出版物和有用的链接

负责输入研究信息的人员自愿提供这些出版物。这些可能与研究有关。

一般刊物

有用的网址

研究记录日期

这些日期跟踪向 ClinicalTrials.gov 提交研究记录和摘要结果的进度。研究记录和报告的结果由国家医学图书馆 (NLM) 审查，以确保它们在发布到公共网站之前符合特定的质量控制标准。

研究主要日期

学习开始 (实际的)

2019年8月22日

初级完成 (预期的)

2020年8月17日

研究完成 (预期的)

2020年12月31日

研究注册日期

首次提交

2019年6月11日

首先提交符合 QC 标准的

2019年6月23日

首次发布 (实际的)

2019年6月26日

研究记录更新

最后更新发布 (实际的)

2020年2月17日

上次提交的符合 QC 标准的更新

2020年2月12日

最后验证

2020年2月1日

更多信息

与本研究相关的术语

关键字

其他相关的 MeSH 术语

其他研究编号

  • 17292

计划个人参与者数据 (IPD)

计划共享个人参与者数据 (IPD)？

不

药物和器械信息、研究文件

研究美国 FDA 监管的药品

不

研究美国 FDA 监管的设备产品

不

此信息直接从 clinicaltrials.gov 网站检索，没有任何更改。如果您有任何更改、删除或更新研究详细信息的请求，请联系 register@clinicaltrials.gov. clinicaltrials.gov 上实施更改，我们的网站上也会自动更新.

2型糖尿病的临床试验

搜索类似试验

赞助者和合作者

医疗条件

药物干预

CROs by country

CROs in Saint Lucia

条件

罕见疾病

药物干预

膳食补充剂

赞助者/合作者

地点

3
订阅