Twitter and Diabetes

Not Applicable

Completed

• Conditions: Diabetes; Cardiovascular Disease
• Interventions: Behavioral: Twitter Diabetes Intervention

• Registration Number: NCT02806700
• Lead Sponsor: University of Pennsylvania

Brief Summary

Twitter use is surprisingly well represented across broad demographic population segments and health-related messages. The promise of using Twitter is that its use is growing rapidly, it allows the investigators to view communications that were impossible to intercept before, and it potentially provides information faster and less expensively than collection from other media channels. Prior work also supports that social media interventions can improve health behavior change (e.g. weight loss, physical activity) and outcomes.The overarching goals of this proposal are to understand the uses and limitations of this communication channel to improve patients' ability to manage their CV health condition.

Detailed Description

Use Twitter to deliver high impact CV health related content to improve patient activation and disease management for diabetes.

Study Timeline

• Study Start: 2016-06
• Study First Submitted: 2016-06-16
• Study First Submitted QC: 2016-06-20
• Study First Posted: 2016-06-21
• Primary Completion: 2018-05
• Study Completion: 2018-08
• Results First Submitted: 2023-10-02
• Status Verified: 2024-10
• Results First Submitted QC: 2024-10-02
• Last Update Submitted: 2024-10-02
• Results First Posted: 2024-10-21
• Last Update Posted: 2024-10-21

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 628

Inclusion Criteria

• diabetes
• uses social media

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Exclusion Criteria

• <21 years of age
• pregnant

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Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Arm && Interventions

Group	Intervention	Description
Twitter Diabetes Intervention	Twitter Diabetes Intervention	This group will be identified as having diabetes from Twitter. This group will be contacted and asked to complete brief surveys. This group will be asked to use twitter for heart health ( e.g. tweeting, following, receiving tweets)

Primary Outcome Measures

Name	Time	Method
Change in Patient Activation Measure (PAM) Score From Baseline	baseline and 6 months	The Patient Activation Measure (PAM) is a validated and reliable tool that assesses a person's ability to manage their health, using a 100-point total score scale and four activation levels. The total score ranges from 0 to 100, with higher scores indicating better outcomes-specifically, higher scores represent better outcomes. The overall score is summed from individual items, reflecting the level of activation and self-management ability. The four levels are: Level 1 (Score: 0-47.0): Lowest activation, indicating disengagement and lack of confidence in managing health.; Level 2 (Score: 47.1-55.1): Some awareness of self-management but limited skills and confidence.; Level 3 (Score: 55.2-67.0): Actively trying to manage health but inconsistent success.; Level 4 (Score: 67.1-100): Highest activation, indicating confidence and proactive health management.

Secondary Outcome Measures

Name	Time	Method
Change in Systolic Blood Pressure From Baseline	baseline and 6 months	Initial systolic blood pressure (SBP) measurements were obtained from the electronic medical record (EMR). For the majority of patients, final blood pressure measurements (i.e., the 6-month measurement) were obtained in a five to eight month period after enrollment from a documented reading in the the EMR.; For patients who did not have a documented SBP reading in the health system during this time period, we requested that patients either meet our team in person for a manual reading or provide a photograph from their mobile phone of the screen showing their SBP reading from a home blood pressure cuff, pharmacy machine, or doctor's office from outside of our health system.

Trial Locations

Locations (1)

University of Pennsylvania; 🇺🇸 Philadelphia, Pennsylvania, United States