An Evaluation of Internet-based Carbohydrate Counting Education for Adolescents With Type 1 Diabetes

Not Applicable

Completed

• Conditions: Type 1 Diabetes Mellitus
• Interventions: Behavioral: Online Carbohydrate Counting Tutorial; Behavioral: In-person Carbohydrate Counting Class

• Registration Number: NCT02462785
• Lead Sponsor: The Hospital for Sick Children

Brief Summary

Helping individuals with diabetes to control their blood sugars through self-management is an important goal, and counting carbohydrates (CHO) remains a key part of diabetes education and management. There is very little research examining CHO counting education with adolescents who have type 1 diabetes (T1DM). The purpose of this pilot study is to evaluate a newly developed internet-based teaching module of CHO counting for adolescents, ages 12-17 years, with T1DM and who do not regularly CHO count and require instruction. A secondary aim is to assess feasibility for a future, larger-scale clinical trail. An effective web-based CHO counting tutorial could be used to strengthen current diabetes education programs and may serve as a basis for developing other teaching modules. Advantages of web-based teaching include convenience, increased accessibility, and the ability to review and reinforce teaching concepts through repetition. It may also encourage adolescents to take the initiative for their own diabetes care, beginning with a self-directed, active learning experience.

Detailed Description

Not available

Basic Information
|
Recruitment & Eligibility
|
Study & Design
|
Trial Locations

Study Timeline

• Study Start: 2014-07
• Study First Submitted: 2015-05-12
• Study First Submitted QC: 2015-06-03
• Study First Posted: 2015-06-04
• Primary Completion: 2016-04
• Study Completion: 2016-09
• Status Verified: 2017-11
• Last Update Submitted: 2017-11-13
• Last Update Posted: 2017-11-17

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 48

Inclusion Criteria

• Adolescents aged 12-17 years with a diagnosis of T1DM for more than 1 year
• Followed at the SickKids Diabetes Clinic
• Have access to a computer with Internet connection
• Able to communicate in English

Read More

Exclusion Criteria

• Patients with type 2 diabetes, medication-induced diabetes or other forms of non T1DM
• Patients with Celiac disease, due to differences in prescribed dietary regimen
• Patients who are unable to communicate in English
• No computer or internet access
• Patient with cognitive delay impeding their ability to learn CHO counting
• Patients who have attended a CHO counting class within the past 6 months
• Patients who do not eat the foods presented on the planned meal & snack trays

Read More

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Arm && Interventions

Group	Intervention	Description
Internet-Based Teaching	Online Carbohydrate Counting Tutorial	This group of adolescents will receive carbohydrate counting instruction through an online teaching tutorial.
In-Class Instruction	In-person Carbohydrate Counting Class	This group of adolescents will receive carbohydrate counting instruction through an in-person, in class session led by a registered dietician. This represents the usual standard of care at the Diabetes Clinic at The Hospital for Sick Children (SickKids).

Primary Outcome Measures

Name	Time	Method
Change in Carbohydrate Counting Accuracy Measured Using a Standardized Meal & Snack Tray Test at Baseline and 3-months Post-Education	Baseline; 3-months post-education	Test trays will comprise foods commonly consumed by adolescents (e.g., hamburger, grilled cheese sandwich). CHO counting accuracy using food trays will be checked against a computerized food analysis. Several tray combinations will be used with randomization to tray order within each group for both pre- and post- assessments.

Secondary Outcome Measures

Name	Time	Method
Change in Carbohydrate Counting Knowledge Tested Using the PedCarbQuiz (PCQ) at Baseline and 3-months Post-Education	Baseline; 3-months post-education	A 52 item assessment of carbohydrate and insulin dose calculating knowledge in youth with T1DM

Trial Locations

Locations (1)

The Hospital for Sick Children (SickKids); 🇨🇦 Toronto, Ontario, Canada