Diabetes, Self-Control, Telemedicine
Conditions
Keywords
telecare, older adults, diabetes
Brief summary
The addition of proactive nurse consultations was useful to older adults with diabetes mellitus in facilitating their chronic disease self-management. However, the service is time and resource-intensive. With the support of advanced technology, mhealth App seems to be a convenient way to support patients in managing diabetes.
Detailed description
This study examines the effectiveness of mhealth App plus nurse consultations in promoting self-management behaviours for diabetic patients.
Interventions
BEHAVIORALJust-in-time intervention
The intervention group participants will receive just-in-time intervention from a developed app for healthy behavior reminder
BEHAVIORALActive control
The control group participants will receive six nursing consultations during the 3-month program period.
Sponsors
The Hong Kong Polytechnic University
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
HEALTH_SERVICES_RESEARCH
Masking
SINGLE (Outcomes Assessor)
Masking description
The research assistant, who will be responsible for data collection, will be masked for the group allocation during the whole process.
Intervention model description
Single-blinded, two-armed, randomized controlled trial.
Eligibility
Sex/Gender
ALL
Age
60 Years to No maximum
Healthy volunteers
No
Inclusion criteria
* With a confirmed DM diagnosis for one year or more than one year * Using governmental mhealth App * Living in an area with Internet coverage
Exclusion criteria
* Already engaged in other mHealth programmes * Physical and cognitive limitations
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Change in HbA1c | baseline, three-month, and six-month | Measured using the A1C Now device, with blood drawn from the subjects' finger |
| Diabetic self-management behaviour | baseline, three-month, and six-month | measured using the Summary of Diabetes Self-care. Total scores range from 0 to 42, with higher scores representing better self-management performance. Activities questionnaire |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Change in quality of life | baseline, three-month, and six-month | By using the Chinese version of the 12-item Short Form Health Survey. Total score ranges from 0 to 100, higher the better. version 2 |
| Change in medication adherence | baseline, three-month, and six-month | Measure this by using the Adherence to Refills and Medications Scale. Scores from 12 to 48, higher score better medication adherence. |
| Change in health service utilization | baseline, three-month, and six-month | Measure the total number of unscheduled visits to general out-patient departments, general practitioners, emergency departments, and hospitals, and the total frequency of health service attendance |
| Cost | three-month, and six-month | The cost of the app, including development of new features and maintenance costs, will be estimated from the provider and societal perspectives, including the subjects' travelling costs and time. An ingredient approach will be adopted to estimate the cost. |
| satisfaction with the JITAIs, as well as usability and technical problems | three-month | using semi-structured group interviews with the intervention group participants |
Countries
Hong Kong
Contacts
PRINCIPAL_INVESTIGATORArkers Wong, PhD
The Hong Kong Polytechnic University
PRINCIPAL_INVESTIGATORArkers NR Wong
The Hong Kong Polytechnic University
Outcome results
None listed