Improving Adherence to Continuous Glucose Monitors in Publicly-insured Youth With Type 1 Diabetes
试验速览
- 阶段
- 不适用
- 状态
- 终止
- 入组人数
- 4
- 试验地点
- 1
- 主要终点
- CGM use
研究概览
简要总结
To use an enhanced continuous glucose monitor (CGM) experience, including an automated CGM-electronic health record (EHR) data integration system, proactive interventions, and gamification techniques, to increase CGM use among publicly-insured youth with type 1 diabetes (T1D).
详细描述
The investigators will use an automated data integration system to monitor hours per week the CGM is worn and target interventions/troubleshooting techniques as needed. The investigators will use gamification techniques (i.e. ability to gain points and achieve small rewards) to help encourage CGM use and potentially improve glycemic control in this at-risk population.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Other
- 盲法
- None
入排标准
- 年龄范围
- 13 Years 至 19 Years（Child, Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •type 1 diabetes for more than 6 months
- •on insulin pump or multiple daily injections without plans to change modality in next 6 months
- •insured by CCS or Medi-Cal
- •receiving care at Lucile Packard Children's Hospital or Stanford Children's Health outpatient clinics
- •English or Spanish-speaking
排除标准
- •major illness or condition that may alter glucose control or ability to complete the study including pregnancy, cystic fibrosis, cancer, liver disease, history of transplant, or hemoglobinopathy
- •current oral glucocorticoid use
- •prior use of a CGM system
- •hemoglobin A1C <7.5% or >12%
- •no wireless internet access
研究组 & 干预措施
Gamification
Use of continuous glucose monitor (Dexcom G5) with proactive intervention and incentives for time in use.
干预措施: gamification (Behavioral)
Gamification
Use of continuous glucose monitor (Dexcom G5) with proactive intervention and incentives for time in use.
干预措施: Use of Dexcom G5 (Behavioral)
Standard care
Use of continuous glucose monitor (Dexcom G5) per usual care.
干预措施: Use of Dexcom G5 (Behavioral)
结局指标
主要结局
CGM use
时间窗: baseline to 6 months
amount of time per week CGM is used
次要结局
- Hgb A1c(baseline to 6 months)
研究者
Darrell M Wilson
Professor of Pediatrics
Stanford University