Diabetes Mellitus, Type 1
Conditions
Keywords
Diabetes type 1, Transition, Telemedicine, mHealth app, Youth, Self-management
Brief summary
A multicenter randomized controlled trial testing the app Young with Diabetes
Detailed description
Young people with diabetes type 1, their parents and health care providers have participated in developing the mHealth app Young with Diabetes. The aim of the app is to support young people to self-manage their diabetes type 1. A test group of 70 young people with diabetes type 1 test the app for 12 months as a supplement to standard care and the control group receives standard care only. At baseline and after 2, 7 and 12 months HbA1c, problem areas in diabetes, perceived competences in diabetes and health care climate are measured.
Interventions
DEVICEYoung with Diabetes - app
The mHealth app Young with Diabetes containes 8 main functions: 1. Contact your health care provider (ask questions, set the agenda for the next clinical visit) 2. My Department (hotline numbers, videos about the new adult department, pictures of my diabetes team) 3. Chatroom 4. Counting Carbohydrates (information and tips about carbs, introduction to apps to count carbs, quiz) 5. Knowledge-section (Text, links, tips and videos (animations and videoselfies) about What is diabetes?, Alcohol etc.) 6. Tips packages (Receive a tip about alcohol, drivers license etc.) 7. To parents (Text, links, tips and videoselfies to parents about what it is like to be young with diabetes and what they can do to support) 8. Reminder
Sponsors
Herlev Hospital
Steno Diabetes Center Copenhagen
Zealand University Hospital
Nordsjaellands Hospital
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
SUPPORTIVE_CARE
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
14 Years to 22 Years
Healthy volunteers
No
Inclusion criteria
* Type 1 Diabetes * 14 to 22 years old * followed at one of the six diabetes departments/centers 1. Pediatric and Adolescent Department, Nordsjællands Hospital, Hillerød 2. Department of Cardiology, Nephrology and Endocrinology, Nordsjællands Hospital, Hillerød 3. Pediatric and Adolescent Department, Herlev Hospital 4. Steno Diabetes Center, Gentofte 5. Pediatric Department, Roskilde Hospital 6. Department of Endocrinology, Køge Hospital * have an iOS or android smartphone * last measured HbA1c before sending out recruiting letters: 64 mmol/mol or more (if the last measured HbA1c is older than 6 months at time of baseline visit a new HbA1c is measured and has to be at least 64 mmol/mol before the participant kan be randomized) * mean of the three last measured HbA1c before sending out recruiting letters: 58 mmol/mol or more (if the third last HbA1c is older than 18 months at time of baseline visit a new HbA1c is measured and has to be at least 64 mmol/mol before the participant kan be randomized)
Exclusion criteria
* A psychical or psychiatric disorder that enables them to use the app * Participates in other diabetes interventions * Sees a psychologist or psychiatrist * Have participated in developing the app Young with Diabetes
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Glycemic control measured by HbA1c | Glycemic control is measured by HbA1c at 12 months |
Secondary
| Measure | Time frame |
|---|---|
| Problem areas in diabetes measured by PAID-20 | Problem areas in diabetes are measured by PAID-20 at 12 months |
| Perceived competences in diabetes measured by PCD-questionnaire | Perceived competences in diabetes are measured by PCD-questionnaire at 12 months |
| Health Care Climate measured by HCCQ-questionnaire | Health Care Climate is measured by HCCQ-questionnaire at 12 months |
Countries
Denmark
Outcome results
None listed