Trial Outcomes & Findings for Multicomponent Telecare Model for Supporting Prediabetes Patients (NCT NCT01671293)

NCT ID: NCT01671293

Last Updated: 2015-06-30

Results Overview

Patient's weight wil be measured in kilograms using scales.

Recruitment status

COMPLETED

Study phase

NA

Target enrollment

70 participants

Primary outcome timeframe

baseline and post intervention (6 -9 months after the first phone counseling session)

Results posted on

2015-06-30

Participant Flow

Participant milestones

Participant milestones
Measure
Multicomponent Remote Care Model
Multicomponent remote care model: A remote intervention based on counseling (telephone-based) was implemented. This counseling intervention is the core of the multi-component model, which also includes counseling through text messages, the purveyance of educational material, and self-monitoring equipment (pedometer and measuring tape to check waist circumference). The phone counseling was made by professionals working at health centers who have been trained to apply theories on behavioral change and decision-making. A Mean of 5 phone counseling calls were done by participant. Messages were sent weekly and are related to the topics referred to in phone counseling sessions. The educational material and equipment -respectively- sought to provide additional information and foster the habit of self-monitoring progress and/or reversions in the change process.
Usual Care
Usual care from health centers consisting of medical indication of physical activity and healthy eating recommendations, as well as referral to Dietitian if appropriate, an invitation to participate in educational activities at health centers and periodic inspection appointments.
Overall Study
STARTED
36
34
Overall Study
COMPLETED
33
32
Overall Study
NOT COMPLETED
3
2

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

Multicomponent Telecare Model for Supporting Prediabetes Patients

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Multicomponent Remote Care Model
n=36 Participants
Multicomponent remote care model: A remote intervention based on counseling (telephone-based) was implemented. This counseling intervention is the core of the multi-component model, which also includes counseling through text messages, the purveyance of educational material, and self-monitoring equipment (pedometer and measuring tape to check waist circumference). The phone counseling was made by professionals working at health centers who have been trained to apply theories on behavioral change and decision-making. A Mean of 5 phone counseling calls were done by participant. Messages were sent weekly and are related to the topics referred to in phone counseling sessions. The educational material and equipment -respectively- sought to provide additional information and foster the habit of self-monitoring progress and/or reversions in the change process.
Usual Care
n=34 Participants
Usual care from health centers consisting of medical indication of physical activity and healthy eating recommendations, as well as referral to Dietitian if appropriate, an invitation to participate in educational activities at health centers and periodic inspection appointments.
Total
n=70 Participants
Total of all reporting groups
Age, Continuous
50.78 years
STANDARD_DEVIATION 8.46 • n=5 Participants
54.88 years
STANDARD_DEVIATION 8.59 • n=7 Participants
52.77 years
STANDARD_DEVIATION 8.71 • n=5 Participants
Sex: Female, Male
Female
26 Participants
n=5 Participants
20 Participants
n=7 Participants
46 Participants
n=5 Participants
Sex: Female, Male
Male
10 Participants
n=5 Participants
14 Participants
n=7 Participants
24 Participants
n=5 Participants
Region of Enrollment
Chile
36 participants
n=5 Participants
34 participants
n=7 Participants
70 participants
n=5 Participants

PRIMARY outcome

Timeframe: baseline and post intervention (6 -9 months after the first phone counseling session)

Patient's weight wil be measured in kilograms using scales.

Outcome measures

Outcome measures
Measure
Multicomponent Remote Care Model
n=33 Participants
Multicomponent remote care model: A remote intervention based on counseling (telephone-based) was implemented. This counseling intervention is the core of the multi-component model, which also includes counseling through text messages, the purveyance of educational material, and self-monitoring equipment (pedometer and measuring tape to check waist circumference). The phone counseling was made by professionals working at health centers who have been trained to apply theories on behavioral change and decision-making. A Mean of 5 phone counseling calls were done by participant. Messages were sent weekly and are related to the topics referred to in phone counseling sessions. The educational material and equipment -respectively- sought to provide additional information and foster the habit of self-monitoring progress and/or reversions in the change process.
Usual Care
n=32 Participants
Usual care from health centers consisting of medical indication of physical activity and healthy eating recommendations, as well as referral to Dietitian if appropriate, an invitation to participate in educational activities at health centers and periodic inspection appointments.
Change From Baseline in Weight Parameter
-.58 kilograms
Standard Deviation 2.98
-.18 kilograms
Standard Deviation 2.47

SECONDARY outcome

Timeframe: baseline and post intervention (6 -9 months after the first phone counseling session)

The level of physical activity reported by participants is measured using the Rapid Assessment Physical Activity Scale (RAPA; Tolpolski et al., 2006), in its version adapted for Chile. This instrument is made up by 9 dichotomous questions, which point to a physical activity level corresponding to the following categories: sedentary, under-active, under-active regular-light activities, under-active regular, and active, depending on the frequency and intensity of the physical activity done. The instrument adaptation process of the instrument is conducted as part of the present study.

Outcome measures

Outcome data not reported

SECONDARY outcome

Timeframe: baseline and post intervention (6 -9 months after the first phone counseling session)

Fasting Glucose will be measured through a blood sample. The samples will be processed by the Municipal Laboratory (Laboratorio Comunal), following the standard procedures established by their protocols: Method:Colorimetric - Hexokinase / Glucose 6-phosphate-DH. UV. Equipment: Siemens Dimension RXL. Normal Range: 70-100 mg/dL.

Outcome measures

Outcome data not reported

SECONDARY outcome

Timeframe: baseline and post intervention (6 -9 months after the first phone counseling session)

It will be measured through a blood sample. The samples will be processed by the Municipal Laboratory (Laboratorio Comunal), following the standard procedures established by their protocols: Method:Colorimetric - GPO/PAP blank glycerol. Equipment: Siemens Dimension RXL. Normal Range: ≤ 150 mg/dL.

Outcome measures

Outcome data not reported

SECONDARY outcome

Timeframe: baseline and post intervention (6 -9 months after the first phone counseling session)

It will be measured through a blood sample. The samples will be processed by the Municipal Laboratory (Laboratorio Comunal), following the standard procedures established by their protocols: Method: Colorimetric - CHOD/PAP.Equipment: Siemens Dimension RXL. Normal Range: ≤ 200 mg/dL

Outcome measures

Outcome data not reported

SECONDARY outcome

Timeframe: baseline and post intervention (6 -9 months after the first phone counseling session)

The dietary practices reported by the participants will be measured with an instrument designed with this purpose in mind as part of the present study. The instrument is constituted by 17 items aimed at measuring the frequency of healthy and unhealthy eating. It was constructed on the basis of items present in the Diabetes Self Care Activities Measure (Toobert, Hampson, \& Glasgow, 2000) and of others created by the Stanford Patient Education Research Center. Some of these items were used to measure dietary practices in Chilean populations diagnosed with Diabetes Mellitus (Lange et al., 2010)

Outcome measures

Outcome data not reported

SECONDARY outcome

Timeframe: baseline and post intervention (6 -9 months after the first phone counseling session)

A self-report questionnaire was developed to measure patients' knowledge about prediabetes, the risk factors for its appearance, and its treatment (or management). Is is made up by 18 items in which the person must say whether the statement presented is true or false. In addition, the instrument measures the subjective perception of the risk of developing diabetes (one item).

Outcome measures

Outcome data not reported

SECONDARY outcome

Timeframe: baseline and post intervention (6 -9 months after the first phone counseling session)

Participants' waist circumference will be measured in centimeters using a measuring tape. The circumference will be measured at the highest part of the iliac crest (The Canadian Physical Activity, Fitness and Lifestyle approach, 2010)

Outcome measures

Outcome data not reported

Adverse Events

Multicomponent Remote Care Model

Serious events: 0 serious events
Other events: 2 other events
Deaths: 0 deaths

Usual Care

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

Serious adverse events

Adverse event data not reported

Other adverse events

Other adverse events
Measure
Multicomponent Remote Care Model
n=36 participants at risk
Multicomponent remote care model: A remote intervention based on counseling (telephone-based) was implemented. This counseling intervention is the core of the multi-component model, which also includes counseling through text messages, the purveyance of educational material, and self-monitoring equipment (pedometer and measuring tape to check waist circumference). The phone counseling was made by professionals working at health centers who have been trained to apply theories on behavioral change and decision-making. A Mean of 5 phone counseling calls were done by participant. Messages were sent weekly and are related to the topics referred to in phone counseling sessions. The educational material and equipment -respectively- sought to provide additional information and foster the habit of self-monitoring progress and/or reversions in the change process.
Usual Care
n=34 participants at risk
Usual care from health centers consisting of medical indication of physical activity and healthy eating recommendations, as well as referral to Dietitian if appropriate, an invitation to participate in educational activities at health centers and periodic inspection appointments.
Musculoskeletal and connective tissue disorders
falls
5.6%
2/36 • During the intervention time frame
0.00%
0/34 • During the intervention time frame

Additional Information

J. Carola Pérez Ewert

Universidad del Desarrollo

Phone: 5623279875

Results disclosure agreements

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