Efficacy Study of Interactive Web Application for Problem Solving in Diabetes Management

Completed · Not applicable

Conditions studied: Diabetes Mellitus

In brief

The main hypothesis of this research is that use of an informatics intervention for problem-solving in diabetes management, Mobile Diabetes Detective (MoDD), by individuals with type 2 diabetes will lead to positive improvements on a number of primary and secondary outcomes related to their health and their management of diabetes. The primary outcomes are a reduction in individuals' glycolated hemoglobin (HbA1c), improvement in their problem-solving abilities, and self-care behaviors. Secondary outcomes include a reduction in individuals' fasting blood glucose (BG); improvement in individuals' self-efficacy, and in emotional aspect of living with diabetes. We hypothesize that primary and secondary outcome effects will be sustained at three months and twelve months. Exploratory outcomes include a decrease in individuals' Cardiovascular Risk (Body Mass Index, Blood Pressure, Total, low-density lipoprotein (LDL) and high-density lipoprotein (HDL) Cholesterol levels, and Framingham Cardiovascular Risk Score). We also hypothesize that improvements in clinical outcomes (HbA1c, fasting BG and Cardiovascular Risk) will be mediated by the improvements in problem-solving abilities and self-efficacy.

Key facts

Study ID

NCT02021591

Run by

Columbia University

People needed

248

Starts

2013-12-30

Expected to finish

2017-03-31

Last updated by the study team

2026-03-02

Who can join

Age: 18 and older, up to 65. Sex: any. Healthy volunteers: not accepted.

You may qualify if…

• Age 18-65 years
• A diagnosis of Type 2 Diabetes with HbA1c ≥ 8.0. A patient of the health center for at least 6 months
• Has participated in at least one diabetes education session at the participating site in the last 6 months
• Proficient in either English or Spanish
• Must own a basic cell phone

You may not qualify if…

• Pregnancy
• Presence of serious illness (e.g. cancer diagnosis with active treatment, advanced stage heart failure, multiple sclerosis)
• Presence of cognitive impairment
• Plans for leaving the community health center (CHC) in the next 12 months
• Does not have a computer and/or Internet access

Where it is running

• Clinical Directors Network — New York, New York, United States

Full record on ClinicalTrials.gov

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