Advancing Diabetes Management in Adolescents Using Health Information Technology

NCT ID: NCT02115555

Last Updated: 2019-02-20

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

NA

Total Enrollment

129 participants

Study Classification

INTERVENTIONAL

Study Start Date

2014-05-31

Study Completion Date

2016-06-30

Brief Summary

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The study will compare three treatment strategies to look at the best clinical outcomes.

The investigator hypothesizes that the combined approach of a health information technology program plus a conflict-management contract will lead to the best outcomes.

Detailed Description

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This study will compare three strategies for enhancing adherence to diabetes care in our population. The study will look at which strategy results in the best short-term clinical outcomes for the population. Also, the study will look at patient satisfaction of contact with his/her health care team, quality of life, and family dynamics.

The three arms are:

1. HIT (health information technology) aided approach
2. Contracted conflict-management strategy
3. Combination of the HIT-aided approach and the contracted conflict management strategy

Conditions

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Type 1 Diabetes

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

HEALTH_SERVICES_RESEARCH

Blinding Strategy

NONE

Study Groups

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HIT-aided approach

Adolescents and their parents randomized to this arm will be oriented on a HIT system. The system transmits self monitoring blood glucose self monitoring blood glucose data to a secure web portal. The subject will receive messages from the HIT system on the meter based upon the Self Monitored Blood glucose tests.

Group Type EXPERIMENTAL

HIT-aided approach

Intervention Type BEHAVIORAL

Subjects randomized to this approach will be using the HIT-aided monitor.

Contracted conflict management system

Adolescent-parent pairs will meet with a health educator to establish a behavioral contract that will set patient-centered self-management goals for the adolescent.

Group Type EXPERIMENTAL

Contracted conflict management system

Intervention Type BEHAVIORAL

Subjects randomized to this arm will be using the behavioral contracted conflict management system.

HIT plus contracted conflict management

Adolescents and their parents randomized to this arm will be oriented on a HIT system. The system transmits self monitoring blood glucose data to a secure web portal. The subject will receive messages from the HIT system on the meter based upon the tests. In addition, adolescent-parent pairs will meet with a health educator to establish a behavioral contract that will set patient-centered self-management goals for the adolescent. This arm combines arms 1 and 2.

Group Type EXPERIMENTAL

HIT plus contracted conflict management

Intervention Type BEHAVIORAL

Subjects randomized to this arm will use both the HIT-aided approach and the behavioral contract conflict management system.

Interventions

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HIT-aided approach

Subjects randomized to this approach will be using the HIT-aided monitor.

Intervention Type BEHAVIORAL

Contracted conflict management system

Subjects randomized to this arm will be using the behavioral contracted conflict management system.

Intervention Type BEHAVIORAL

HIT plus contracted conflict management

Subjects randomized to this arm will use both the HIT-aided approach and the behavioral contract conflict management system.

Intervention Type BEHAVIORAL

Eligibility Criteria

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Inclusion Criteria

* Type 1 diabetes diagnosed for at least 6 months
* At least one or more parent/guardian who agrees to participate

Exclusion Criteria

* Other chronic diseases with the exception of well-controlled asthma or treated thyroid disease
Minimum Eligible Age

12 Years

Maximum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Indiana University

OTHER

Sponsor Role lead

Responsible Party

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Tamara S. Hannon

Associate Professor of Pediatrics

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Tamara Hannon, MD

Role: PRINCIPAL_INVESTIGATOR

Indiana University School of Medicine

Locations

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Riley Children's Specialties

Carmel, Indiana, United States

Site Status

Riley Children's Hospital

Indianapolis, Indiana, United States

Site Status

Countries

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United States

Other Identifiers

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IRB-04, IRB00000219

Identifier Type: -

Identifier Source: org_study_id

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