A Study to Evaluate the Efficacy of Diabetes Management Based on Ubiquitous Healthcare System
- Conditions
- Diabetes Mellitus
- Interventions
- Other: Tailored mobile coaching messages
- Registration Number
- NCT03033407
- Lead Sponsor
- Kangbuk Samsung Hospital
- Brief Summary
The aim of this study is to investigate whether adding tailored mobile coaching system to present community primary care for diabetes management would result in better glycemic control and other diabetes-related outcomes in adult patients with type 2 diabetes, compared with maintaining usual diabetes management only.
- Detailed Description
The incidence and prevalence of type 2 diabetes is increasing rapidly worldwide. Considering the fact that complications of diabetes result in greater expenditure and reduced productivity is a socioeconomic concern, adequate glycemic control is important not only as individual health problem but also as challenge to healthcare systems worldwide. To support patients' behavior change efforts, including healthy lifestyle choices, disease self-management, and prevention of diabetes complication, multifaceted professional interventions are needed. Ubiquitous healthcare based on information and communication technology is one of these approaches.
The aim of this study is to investigate whether adding tailored mobile coaching system to present community primary care for diabetes management would result in better glycemic control and other diabetes-related outcomes in adult patients with type 2 diabetes, compared with maintaining usual diabetes management only.
Recruitment & Eligibility
- Status
- COMPLETED
- Sex
- All
- Target Recruitment
- 148
- Korean policyholders with type 2 diabetes;
- Aged ≥ 19 years;
- Smartphone users;
- Glycated hemoglobin (HbA1c) ≥ 6.5% within 3 months.
- Currently had serious concomitant disease other than diabetes;
- Had admission histories due to malignancy, myocardial infarction, cerebral infarction, or organ transplantation;
- Pregnant or had plan for pregnancy within 6 months;
- Planned for attending other clinical;
- Illiteracy.
Study & Design
- Study Type
- INTERVENTIONAL
- Study Design
- CROSSOVER
- Arm && Interventions
Group Intervention Description Intervention-Maintenance group Tailored mobile coaching messages Intervention was adding 'Tailored mobile coaching messages' onto conventional diabetes management. This study was divided into two phases. In six-month phase 1 study, the participants in I-M group received tailored mobile coaching. And during the second half six-month phase 2 study, they could receive only regular information messages without individualized coaching. Control-Intervention group Tailored mobile coaching messages Intervention was adding 'Tailored mobile coaching messages' onto conventional diabetes management. In six-month phase 1 study, the participants in Control-Intervention group maintained usual care for diabetes. During the second half six-month phase 2 study, they received tailored mobile coaching.
- Primary Outcome Measures
Name Time Method glycated hemoglobin levels at 6 months
- Secondary Outcome Measures
Name Time Method change in blood pressure within each group between baseline and 6 months change in low-density lipoprotein cholesterol within each group between baseline and 6 months change in triglyceride within each group between baseline and 6 months change in body mass index within each group between baseline and 6 months change in high-density lipoprotein cholesterol within each group between baseline and 6 months change in glycated hemoglobin levels within each group between baseline and 6 months