Advancing Diabetes Management in Adolescents Using Health Information Technology
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 129
- 试验地点
- 4
- 主要终点
- Glycemic Control using HBA1C
研究概览
简要总结
The study will compare three treatment strategies to look at the best clinical outcomes.
The investigator hypothesizes that the combined approach of a health information technology program plus a conflict-management contract will lead to the best outcomes.
详细描述
This study will compare three strategies for enhancing adherence to diabetes care in our population. The study will look at which strategy results in the best short-term clinical outcomes for the population. Also, the study will look at patient satisfaction of contact with his/her health care team, quality of life, and family dynamics.
The three arms are:
- HIT (health information technology) aided approach
- Contracted conflict-management strategy
- Combination of the HIT-aided approach and the contracted conflict management strategy
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Health Services Research
- 盲法
- None
入排标准
- 年龄范围
- 12 Years 至 18 Years（Child, Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Type 1 diabetes diagnosed for at least 6 months
- •At least one or more parent/guardian who agrees to participate
排除标准
- •Other chronic diseases with the exception of well-controlled asthma or treated thyroid disease
研究组 & 干预措施
HIT-aided approach
Adolescents and their parents randomized to this arm will be oriented on a HIT system. The system transmits self monitoring blood glucose self monitoring blood glucose data to a secure web portal. The subject will receive messages from the HIT system on the meter based upon the Self Monitored Blood glucose tests.
干预措施: HIT-aided approach (Behavioral)
Contracted conflict management system
Adolescent-parent pairs will meet with a health educator to establish a behavioral contract that will set patient-centered self-management goals for the adolescent.
干预措施: Contracted conflict management system (Behavioral)
HIT plus contracted conflict management
Adolescents and their parents randomized to this arm will be oriented on a HIT system. The system transmits self monitoring blood glucose data to a secure web portal. The subject will receive messages from the HIT system on the meter based upon the tests. In addition, adolescent-parent pairs will meet with a health educator to establish a behavioral contract that will set patient-centered self-management goals for the adolescent. This arm combines arms 1 and 2.
干预措施: HIT plus contracted conflict management (Behavioral)
结局指标
主要结局
Glycemic Control using HBA1C
时间窗: Baseline, 3 months, and 6 months
Change in Glycemic Control
次要结局
- Frequency of self monitoring blood glucose measurement(Baseline, 3 months, 6 months)
- Quality of Life(Baseline and 6 months)
- Family dynamics(Baseline and 6 months)
- Treatment Adherence Behaviors(Once per month for 6 months)
研究者
Tamara S. Hannon
Associate Professor of Pediatrics
Indiana University