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

2021年7月22日 更新者: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.

研究概览

详细说明

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.

研究类型

介入性

注册 (预期的)

350

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。

学习联系方式

研究联系人备份

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

20年 至 60年 (成人)

接受健康志愿者

有资格学习的性别

全部

描述

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

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:放映
  • 分配:随机化
  • 介入模型:并行分配
  • 屏蔽:双倍的

武器和干预

参与者组/臂
干预/治疗
实验性的: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
有源比较器: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

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
Body weight mean change from baseline
大体时间: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
大体时间: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
大体时间: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
大体时间: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
大体时间: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

次要结果测量

结果测量
措施说明
大体时间
Area under the curve of screening instrument compared to American Diabetes Association criteria
大体时间: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
大体时间: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
大体时间: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
大体时间: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
大体时间: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
大体时间: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
大体时间: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

其他结果措施

结果测量
措施说明
大体时间
Participant's acceptance of mobile health application
大体时间: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

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。

调查人员

  • 首席研究员:Yaltafit A Jeem、Gadjah Mada University

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)

2021年5月25日

初级完成 (预期的)

2021年10月1日

研究完成 (预期的)

2021年11月1日

研究注册日期

首次提交

2021年6月20日

首先提交符合 QC 标准的

2021年7月22日

首次发布 (实际的)

2021年7月28日

研究记录更新

最后更新发布 (实际的)

2021年7月28日

上次提交的符合 QC 标准的更新

2021年7月22日

最后验证

2021年7月1日

更多信息

与本研究相关的术语

其他研究编号

  • KE/FK/1375/EC/2020

计划个人参与者数据 (IPD)

计划共享个人参与者数据 (IPD)?

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