Trial Outcomes & Findings for Medium-term Health Coaching and Life-long Monitoring in Diabetes Mellitus (NCT NCT01580098)

NCT ID: NCT01580098

Last Updated: 2015-09-23

Results Overview

The Short Form (36) Health Survey is a 36-item, patient-reported survey of patient health. The SF-36 is a measure of health status. Mearurement at the beginning and after 12 months, Scales from 0 to 100, higher values represent a better outcome; Data are mean scores (SD); differences between groups after 12 month were compared by using Mann-Whitney-U-tests.

Recruitment status

COMPLETED

Study phase

NA

Target enrollment

193 participants

Primary outcome timeframe

12 months

Results posted on

2015-09-23

Participant Flow

Participant milestones

Participant milestones
Measure
Control Group
treatment as usual
Self-monitoring for Patients With Diabetes Mellitus Type 2
Patients are self-monitoring and submitting their vital parameters. Self-monitoring for patients with Diabetes mellitus type 2: Patients are submitting their vital parameters via a Web Portal or automatic devices to the hospital.
Nurse-monitoring for Patients With Diabetes Mellitus Type 2
nurse-monitoring for patients with Diabetes Mellitus Nurses are entering vital parameters of the patient with mobile devices
Overall Study
STARTED
76
114
3
Overall Study
COMPLETED
61
101
0
Overall Study
NOT COMPLETED
15
13
3

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

Medium-term Health Coaching and Life-long Monitoring in Diabetes Mellitus

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Control Group
n=76 Participants
treatment as usual
Self-monitoring and Nurse Monitoring Diabetes Mellitus Type 2
n=117 Participants
Patients are self-monitoring and submitting their vital parameters. Self-monitoring for patients with Diabetes mellitus type 2: Patients are submitting their vital parameters via a Web Portal or automatic devices to the hospital. Nurses are measuring and entering the vital parameters of the patients. Nurse-monitoring for patients with Diabetes mellitus type 2: Nurses are submitting the vital parameters of the patient via mobile device. No patients using the mobile nursing finished the study, so in the final statistical analysis they were not analysed as separate arm. Due to low enrollement in the Nurse Monitoring arm, it is combined in this module.
Total
n=193 Participants
Total of all reporting groups
Age, Continuous
63.38 years
STANDARD_DEVIATION 11.13 • n=5 Participants
60.35 years
STANDARD_DEVIATION 11.68 • n=7 Participants
61.54 years
STANDARD_DEVIATION 11.46 • n=5 Participants
Sex: Female, Male
Female
31 Participants
n=5 Participants
55 Participants
n=7 Participants
86 Participants
n=5 Participants
Sex: Female, Male
Male
45 Participants
n=5 Participants
62 Participants
n=7 Participants
107 Participants
n=5 Participants
Region of Enrollment
Austria
76 participants
n=5 Participants
117 participants
n=7 Participants
193 participants
n=5 Participants

PRIMARY outcome

Timeframe: 12 months

Population: No patients of the Nurse-Monitoring Group finished the study, as a consequence no SF36 after 12 months were delivered, so a calculation and evaluation for this group could not be conducted.

The Short Form (36) Health Survey is a 36-item, patient-reported survey of patient health. The SF-36 is a measure of health status. Mearurement at the beginning and after 12 months, Scales from 0 to 100, higher values represent a better outcome; Data are mean scores (SD); differences between groups after 12 month were compared by using Mann-Whitney-U-tests.

Outcome measures

Outcome measures
Measure
Control Group
n=61 Participants
treatment as usual
Self-monitoring and Nurse Monitoring Diabetes Mellitus Type 2
n=101 Participants
Patients are self-monitoring and submitting their vital parameters. Self-monitoring for patients with Diabetes mellitus type 2: Patients are submitting their vital parameters via a Web Portal or automatic devices to the hospital. Nurses are measuring and entering the vital parameters of the patients. Nurse-monitoring for patients with Diabetes mellitus type 2: Nurses are submitting the vital parameters of the patient via mobile device. No patients using the mobile nursing finished the study, so in the final statistical analysis they were not analysed as separate arm. Due to low enrollement in the Nurse Monitoring arm, it is combined in this module.
Health Related Quality of Life as Measured by the Short Form 36 Version 2 Questionnaire
Physical Functioning 0-100 Score baseline
69.2 units on a scale (General health score)
Standard Deviation 25.8
72.5 units on a scale (General health score)
Standard Deviation 25.2
Health Related Quality of Life as Measured by the Short Form 36 Version 2 Questionnaire
Physical Functioning 0-100 Score
74.9 units on a scale (General health score)
Standard Deviation 24.1
77.1 units on a scale (General health score)
Standard Deviation 22.3
Health Related Quality of Life as Measured by the Short Form 36 Version 2 Questionnaire
Role Physical 0-100 Score baseline
58.5 units on a scale (General health score)
Standard Deviation 29.5
63.8 units on a scale (General health score)
Standard Deviation 24.3
Health Related Quality of Life as Measured by the Short Form 36 Version 2 Questionnaire
Role Physical 0-100 Score
68.3 units on a scale (General health score)
Standard Deviation 29.3
72.5 units on a scale (General health score)
Standard Deviation 25.1
Health Related Quality of Life as Measured by the Short Form 36 Version 2 Questionnaire
Bodily Pain 0-100 Score baseline
59.8 units on a scale (General health score)
Standard Deviation 33.6
62.2 units on a scale (General health score)
Standard Deviation 31.0
Health Related Quality of Life as Measured by the Short Form 36 Version 2 Questionnaire
Bodily Pain 0-100 Score
66.7 units on a scale (General health score)
Standard Deviation 30.9
66.5 units on a scale (General health score)
Standard Deviation 30.0
Health Related Quality of Life as Measured by the Short Form 36 Version 2 Questionnaire
General Health 0-100 Score baseline
62.6 units on a scale (General health score)
Standard Deviation 19.3
62.2 units on a scale (General health score)
Standard Deviation 16.6
Health Related Quality of Life as Measured by the Short Form 36 Version 2 Questionnaire
General Health 0-100 Score
67.9 units on a scale (General health score)
Standard Deviation 17.9
69.4 units on a scale (General health score)
Standard Deviation 18.8
Health Related Quality of Life as Measured by the Short Form 36 Version 2 Questionnaire
Vitality 0-100 Score baseline
56.3 units on a scale (General health score)
Standard Deviation 25.7
58.4 units on a scale (General health score)
Standard Deviation 62.5
Health Related Quality of Life as Measured by the Short Form 36 Version 2 Questionnaire
Vitality 0-100 Score
61.6 units on a scale (General health score)
Standard Deviation 23.6
63.2 units on a scale (General health score)
Standard Deviation 19.1
Health Related Quality of Life as Measured by the Short Form 36 Version 2 Questionnaire
Social Functioning 0-100 Score baseline
80.1 units on a scale (General health score)
Standard Deviation 23.1
81.3 units on a scale (General health score)
Standard Deviation 22.1
Health Related Quality of Life as Measured by the Short Form 36 Version 2 Questionnaire
Social Functioning 0-100 Score
86.7 units on a scale (General health score)
Standard Deviation 18.8
81.3 units on a scale (General health score)
Standard Deviation 26.6
Health Related Quality of Life as Measured by the Short Form 36 Version 2 Questionnaire
Role Emotional 0-100 Score baseline
67.5 units on a scale (General health score)
Standard Deviation 28.2
70.7 units on a scale (General health score)
Standard Deviation 24.5
Health Related Quality of Life as Measured by the Short Form 36 Version 2 Questionnaire
Role Emotional 0-100 Score
77.7 units on a scale (General health score)
Standard Deviation 28.4
78.7 units on a scale (General health score)
Standard Deviation 25.3
Health Related Quality of Life as Measured by the Short Form 36 Version 2 Questionnaire
Mental Health 0-100 Score baseline
72.2 units on a scale (General health score)
Standard Deviation 21.7
72.1 units on a scale (General health score)
Standard Deviation 18.8
Health Related Quality of Life as Measured by the Short Form 36 Version 2 Questionnaire
Mental Health 0-100 Score
76.1 units on a scale (General health score)
Standard Deviation 19.6
72.6 units on a scale (General health score)
Standard Deviation 20.1
Health Related Quality of Life as Measured by the Short Form 36 Version 2 Questionnaire
PCS Physical Component Score baseline
43.7 units on a scale (General health score)
Standard Deviation 10.4
45.1 units on a scale (General health score)
Standard Deviation 9.9
Health Related Quality of Life as Measured by the Short Form 36 Version 2 Questionnaire
PCS Physical Component Score
46.3 units on a scale (General health score)
Standard Deviation 9.6
47.9 units on a scale (General health score)
Standard Deviation 9.5
Health Related Quality of Life as Measured by the Short Form 36 Version 2 Questionnaire
MCS Mental Component Score baseline
47.2 units on a scale (General health score)
Standard Deviation 11.9
47.9 units on a scale (General health score)
Standard Deviation 11.7
Health Related Quality of Life as Measured by the Short Form 36 Version 2 Questionnaire
MCS Mental Component Score
50.6 units on a scale (General health score)
Standard Deviation 11.9
49.1 units on a scale (General health score)
Standard Deviation 11.6

PRIMARY outcome

Timeframe: 12 months

Population: No patients of the Nurse-Monitoring Group finished the study, as a consequence no HbA1c after 12 months were delivered, so a calculation and evaluation for this group could not be conducted.

HbA1c was taken at the beginning of the study and after 12 months.

Outcome measures

Outcome measures
Measure
Control Group
n=61 Participants
treatment as usual
Self-monitoring and Nurse Monitoring Diabetes Mellitus Type 2
n=101 Participants
Patients are self-monitoring and submitting their vital parameters. Self-monitoring for patients with Diabetes mellitus type 2: Patients are submitting their vital parameters via a Web Portal or automatic devices to the hospital. Nurses are measuring and entering the vital parameters of the patients. Nurse-monitoring for patients with Diabetes mellitus type 2: Nurses are submitting the vital parameters of the patient via mobile device. No patients using the mobile nursing finished the study, so in the final statistical analysis they were not analysed as separate arm. Due to low enrollement in the Nurse Monitoring arm, it is combined in this module.
HbA1c
HbA1c values: first examination
8.1 HbA1c [%]
Standard Deviation 1.2
8.7 HbA1c [%]
Standard Deviation 1.9
HbA1c
HbA1c values after 12 months
7.5 HbA1c [%]
Standard Deviation 1.1
7.5 HbA1c [%]
Standard Deviation 1.5

SECONDARY outcome

Timeframe: 12 months

Population: Not all Participants delivered data, reliable data was used. No patients of the Nurse-Monitoring Group finished the study, as a consequence no blood pressure after 12 months were delivered, so a calculation and evaluation for this group could not be conducted.

Outcome measures

Outcome measures
Measure
Control Group
n=54 Participants
treatment as usual
Self-monitoring and Nurse Monitoring Diabetes Mellitus Type 2
n=77 Participants
Patients are self-monitoring and submitting their vital parameters. Self-monitoring for patients with Diabetes mellitus type 2: Patients are submitting their vital parameters via a Web Portal or automatic devices to the hospital. Nurses are measuring and entering the vital parameters of the patients. Nurse-monitoring for patients with Diabetes mellitus type 2: Nurses are submitting the vital parameters of the patient via mobile device. No patients using the mobile nursing finished the study, so in the final statistical analysis they were not analysed as separate arm. Due to low enrollement in the Nurse Monitoring arm, it is combined in this module.
Blood Pressure
diastolic baseline
86.7 mmHg
Standard Deviation 12.9
88.9 mmHg
Standard Deviation 12.6
Blood Pressure
systolic baseline
150.4 mmHg
Standard Deviation 21.3
153.7 mmHg
Standard Deviation 23.1
Blood Pressure
diastolic after 12 months
85.2 mmHg
Standard Deviation 13.0
84.8 mmHg
Standard Deviation 12.6
Blood Pressure
systolic after 12 months
149.3 mmHg
Standard Deviation 21.1
148.7 mmHg
Standard Deviation 23.6

SECONDARY outcome

Timeframe: 12 months

Population: Not all Participants delivered reliable data; Measurements at the beginning of the trial and after 12 months; No patients of the Nurse-Monitoring Group finished the study, as a consequence no blood lipids after 12 months were delivered, so a calculation and evaluation for this group could not be conducted.

Outcome measures

Outcome measures
Measure
Control Group
n=56 Participants
treatment as usual
Self-monitoring and Nurse Monitoring Diabetes Mellitus Type 2
n=81 Participants
Patients are self-monitoring and submitting their vital parameters. Self-monitoring for patients with Diabetes mellitus type 2: Patients are submitting their vital parameters via a Web Portal or automatic devices to the hospital. Nurses are measuring and entering the vital parameters of the patients. Nurse-monitoring for patients with Diabetes mellitus type 2: Nurses are submitting the vital parameters of the patient via mobile device. No patients using the mobile nursing finished the study, so in the final statistical analysis they were not analysed as separate arm. Due to low enrollement in the Nurse Monitoring arm, it is combined in this module.
Blood Lipids
LDL Cholesterol after 12 months
104.3 mg/dL
Standard Deviation 38.7
107.6 mg/dL
Standard Deviation 44.2
Blood Lipids
LDL Cholesterol baseline
107.5 mg/dL
Standard Deviation 36.3
112.1 mg/dL
Standard Deviation 42.5
Blood Lipids
Cholesterol after 12 months
185.2 mg/dL
Standard Deviation 41.6
186.1 mg/dL
Standard Deviation 51.3
Blood Lipids
Cholesterol after baseline
186.8 mg/dL
Standard Deviation 37.8
197.6 mg/dL
Standard Deviation 53.1
Blood Lipids
HDL-cholesterol after 12 months
51.3 mg/dL
Standard Deviation 17.6
48.1 mg/dL
Standard Deviation 16.9
Blood Lipids
HDL-cholesterol baseline
48.2 mg/dL
Standard Deviation 16.8
47.1 mg/dL
Standard Deviation 12.6

SECONDARY outcome

Timeframe: 12 months

Population: baseline demographic characteristics; No patients of the Nurse-Monitoring Group finished the study, as a consequence no Body weight after 12 months were delivered, so a calculation and evaluation for this group could not be conducted.

Outcome measures

Outcome measures
Measure
Control Group
n=61 Participants
treatment as usual
Self-monitoring and Nurse Monitoring Diabetes Mellitus Type 2
n=101 Participants
Patients are self-monitoring and submitting their vital parameters. Self-monitoring for patients with Diabetes mellitus type 2: Patients are submitting their vital parameters via a Web Portal or automatic devices to the hospital. Nurses are measuring and entering the vital parameters of the patients. Nurse-monitoring for patients with Diabetes mellitus type 2: Nurses are submitting the vital parameters of the patient via mobile device. No patients using the mobile nursing finished the study, so in the final statistical analysis they were not analysed as separate arm. Due to low enrollement in the Nurse Monitoring arm, it is combined in this module.
Body Weight
body weight baseline
90.2 kilograms
Standard Deviation 19.0
90.74 kilograms
Standard Deviation 20.0
Body Weight
body weight after 12 months
91.22 kilograms
Standard Deviation 19.32
91.64 kilograms
Standard Deviation 19.94

SECONDARY outcome

Timeframe: 12 months

Population: No data about medical changes could be analysed at the end of the study, no data were collected.

Insulin, Change? -\> Yes/No

Outcome measures

Outcome data not reported

SECONDARY outcome

Timeframe: 12 months

Population: No data about the presence of diabetic complications could be analysed at the end of the study, no data was collected for this secondary outcome.

Outcome measures

Outcome data not reported

SECONDARY outcome

Timeframe: 12 months

The number of inpatient stays comparing intervention and control group was conducted.

Outcome measures

Outcome measures
Measure
Control Group
n=76 Participants
treatment as usual
Self-monitoring and Nurse Monitoring Diabetes Mellitus Type 2
n=117 Participants
Patients are self-monitoring and submitting their vital parameters. Self-monitoring for patients with Diabetes mellitus type 2: Patients are submitting their vital parameters via a Web Portal or automatic devices to the hospital. Nurses are measuring and entering the vital parameters of the patients. Nurse-monitoring for patients with Diabetes mellitus type 2: Nurses are submitting the vital parameters of the patient via mobile device. No patients using the mobile nursing finished the study, so in the final statistical analysis they were not analysed as separate arm. Due to low enrollement in the Nurse Monitoring arm, it is combined in this module.
Number of Hospitalisations
0.33 number of inpatient stays
Standard Deviation 0.63
0.38 number of inpatient stays
Standard Deviation 0.71

Adverse Events

Control Group

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

Self-monitoring and Nurse Monitoring Diabetes Mellitus Type 2

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

Serious adverse events

Adverse event data not reported

Other adverse events

Adverse event data not reported

Additional Information

Dr. Hannes Steinberger

Landeskrankenanstalten-Betriebsgesellschaft

Phone: +4346355212 50303

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place