None listed
Conditions
Brief summary
Young adult onset type 2 diabetes (YT2DM) is an aggressive condition with a rapid progression to diabetes complications. Expert bodies have recommended that YT2DM patients be reviewed every three to six months for assessment of blood glucose control and cardiovascular risk factors. Significant barriers have been identified in the delivery of care for YT2DM patients. The Australian Centre for Behavioural Research in Diabetes has recommended increased support from health care providers and greater engagement in self-care which does not place a significant extra burden on YT2DM patients. A previous survey of our clinic population revealed a high level of mobile phone ownership. Consequently, implementation of an SMS-based intervention to facilitate engagement in the YT2DM cohort would appear to be an ideal strategy to trial. It is hypothesized that by improving engagement in the YT2DM cohort (through a personalised and supportive SMS program), attendance at clinical follow up appointments will improve. This will facilitate an improved approach to diabetes management and the development of a therapeutic relationship between patients and their health care team.
Interventions
Participants will be randomised using a computerised system in a ratio of 1:1 into one of two intervention strategies described below (Intervention Strategy A and Intervention Strategy B). Participants will progress through the twelve month study period and undergo quarterly study assessments.
Treatment Strategies
Intervention Strategy B – SMS-based
• Current Standard of Care System PLUS
• An initial eight-week, twice weekly SMS relating to diabetes management (including general diabetes inf
Participants will be randomised using a computerised system in a ratio of 1:1 into one of two intervention strategies described below (Intervention Strategy A and Intervention Strategy B). Participants will progress through the twelve month study period and undergo quarterly study assessments. Treatment Strategies Intervention Strategy B – SMS-based • Current Standard of Care System PLUS • An initial eight-week, twice weekly SMS relating to diabetes management (including general diabetes information and reminders about diabetes-specific self-care measures) • Monthly “check-in” text messages from the study team after the initial eight-week SMS program. Similarly to the initial eight-week, twice weekly SMS component of the program these "check-in" text messages will include general diabetes information and reminders about diabetes-specific self-care measures. • An option for patients to send a question via SMS to a study co-ordinator between clinic visits and receive a reply within 72 h • A personalised appointment reminder SMS before the next appointment
Sponsors
Royal Prince Alfred Hospital
Study design
Allocation
Randomised controlled trial
Intervention model
Parallel
Primary purpose
Educational / counselling / training
Masking
Open (masking not used)
Eligibility
Sex/Gender
All
Age
18 Years to 40 Years
Healthy volunteers
No
Inclusion criteria
1. Type 2 diabetes (HbA1c >6.5% or positive oral glucose tolerance test) 2. 18-40 years of age at time of study entry 3. Access to a mobile telephone
Exclusion criteria
1. Type 1 diabetes 2. Age >40 years
Outcome results
None listed