Trial Outcomes & Findings for The Effectiveness of Intervention on Insulin Injection (NCT NCT03324451)

NCT ID: NCT03324451

Last Updated: 2020-09-16

Results Overview

Collected from blood test to assess the Glycosylated hemoglobin (HbA1c) levels

Recruitment status

COMPLETED

Study phase

NA

Target enrollment

151 participants

Primary outcome timeframe

At baseline and 12 months after the intervention

Results posted on

2020-09-16

Participant Flow

Participant milestones

Participant milestones
Measure
Intervention Arm
The arm that receives "TTM Intervention for Insulin Initiation." The intervention contains two parts: (1) individual intervention; (2) insulin injection follow-up management TTM Intervention for Insulin Initiation: The intervention contains two parts: (1) individual intervention; (2) insulin injection follow-up management. Different intervention strategies are applied to patients according to their stages of change.
Control Arm
The arm that receives usual care from the hospital that hosts the control arm. Participants in the control arm receives regular patient education. Usual care: Regular patient education on insulin injection at the control arm hospital.
Overall Study
STARTED
97
54
Overall Study
COMPLETED
65
41
Overall Study
NOT COMPLETED
32
13

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

some participants were lost

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Intervention Arm
n=97 Participants
The arm that receives "TTM Intervention for Insulin Initiation." The intervention contains three parts: (1) individual intervention; (2) insulin injection follow-up management TTM Intervention for Insulin Initiation: The intervention contains two parts: (1) individual intervention; (2) insulin injection follow-up management. Different intervention strategies are applied to patients according to their stages of change.
Control Arm
n=54 Participants
The arm that receives usual care from the hospital that hosts the control arm. Participants in the control arm receives regular patient education. Usual care: Regular patient education on insulin injection at the control arm hospital.
Total
n=151 Participants
Total of all reporting groups
Age, Categorical
<=18 years
0 Participants
n=65 Participants • some participants were lost
0 Participants
n=41 Participants • some participants were lost
0 Participants
n=106 Participants • some participants were lost
Age, Categorical
Between 18 and 65 years
38 Participants
n=65 Participants • some participants were lost
25 Participants
n=41 Participants • some participants were lost
63 Participants
n=106 Participants • some participants were lost
Age, Categorical
>=65 years
27 Participants
n=65 Participants • some participants were lost
16 Participants
n=41 Participants • some participants were lost
43 Participants
n=106 Participants • some participants were lost
Age, Continuous
60.91 years
STANDARD_DEVIATION 14.30 • n=65 Participants • some participants were lost follow-up
60.02 years
STANDARD_DEVIATION 11.49 • n=41 Participants • some participants were lost follow-up
60.57 years
STANDARD_DEVIATION 13.24 • n=106 Participants • some participants were lost follow-up
Sex: Female, Male
Female
30 Participants
n=65 Participants • some participants were lost follow-up
23 Participants
n=41 Participants • some participants were lost follow-up
53 Participants
n=106 Participants • some participants were lost follow-up
Sex: Female, Male
Male
35 Participants
n=65 Participants • some participants were lost follow-up
18 Participants
n=41 Participants • some participants were lost follow-up
53 Participants
n=106 Participants • some participants were lost follow-up
Race and Ethnicity Not Collected
0 Participants
Race and Ethnicity were not collected from any participant.
Region of Enrollment
Taiwan
97 Participants
n=97 Participants
54 Participants
n=54 Participants
151 Participants
n=151 Participants

PRIMARY outcome

Timeframe: At baseline and 12 months after the intervention

Collected from blood test to assess the Glycosylated hemoglobin (HbA1c) levels

Outcome measures

Outcome measures
Measure
Intervention Arm
n=65 Participants
The arm that receives "TTM Intervention for Insulin Initiation." The intervention contains two parts: (1) individual intervention; (2) insulin injection follow-up management TTM Intervention for Insulin Initiation: The intervention contains two parts: (1) individual intervention; (2) insulin injection follow-up management. Different intervention strategies are applied to patients according to their stages of change.
Control Arm
n=41 Participants
The arm that receives usual care from the hospital that hosts the control arm. Participants in the control arm receives regular patient education. Usual care: Regular patient education on insulin injection at the control arm hospital.
Change in Glycosylated Hemoglobin (HbA1c) Levels
-1.47 percent of glycosylated Hb
Standard Deviation 2.23
-2.00 percent of glycosylated Hb
Standard Deviation 2.29

SECONDARY outcome

Timeframe: At baseline and 12 months after the intervention

A 13-item Chinese version of the Diabetes Empowerment Process Scale was used to assess the perceived level of empowerment by healthcare providers in participants. Each item was rated on a 5-point scale with scores ranging from 0 (strongly disagree) to 4 (strongly agree). The total score range from 13 to 65. A higher score indicated higher perceived patient empowerment.

Outcome measures

Outcome measures
Measure
Intervention Arm
n=65 Participants
The arm that receives "TTM Intervention for Insulin Initiation." The intervention contains two parts: (1) individual intervention; (2) insulin injection follow-up management TTM Intervention for Insulin Initiation: The intervention contains two parts: (1) individual intervention; (2) insulin injection follow-up management. Different intervention strategies are applied to patients according to their stages of change.
Control Arm
n=41 Participants
The arm that receives usual care from the hospital that hosts the control arm. Participants in the control arm receives regular patient education. Usual care: Regular patient education on insulin injection at the control arm hospital.
Change in Diabetes Empowerment Process
0.52 score on a scale
Standard Deviation 12.13
-2.13 score on a scale
Standard Deviation 10.99

SECONDARY outcome

Timeframe: At baseline and 12 months after the intervention

An 8-item Chinese version of the short-form Problem Areas in Diabetes Scale was used to assess the levels of diabetes distress in participants. The response of each item was rated from 0 (not a problem) to 4 (serious problem). The total score ranged from 8 to 32. A higher score represented severer diabetes distress.

Outcome measures

Outcome measures
Measure
Intervention Arm
n=65 Participants
The arm that receives "TTM Intervention for Insulin Initiation." The intervention contains two parts: (1) individual intervention; (2) insulin injection follow-up management TTM Intervention for Insulin Initiation: The intervention contains two parts: (1) individual intervention; (2) insulin injection follow-up management. Different intervention strategies are applied to patients according to their stages of change.
Control Arm
n=41 Participants
The arm that receives usual care from the hospital that hosts the control arm. Participants in the control arm receives regular patient education. Usual care: Regular patient education on insulin injection at the control arm hospital.
Change in Diabetes Distress
-2.91 score on a scale
Standard Deviation 8.16
-3.63 score on a scale
Standard Deviation 6.76

SECONDARY outcome

Timeframe: At baseline and 12 months after the intervention

A 15-item Diabetes-Specific Quality-of-Life Scale was used to assess the subjective appraisal of participants in their perceived degree to which their current health-related aspects in life were affected by emotional suffering, social functioning, adherence to treatment regimen, and diabetic-specific symptoms. Each item was rated from "very much" (0 point) to "not at all" (4 points). The total score ranged from 0 to 60. A higher score indicated better quality of life.

Outcome measures

Outcome measures
Measure
Intervention Arm
n=65 Participants
The arm that receives "TTM Intervention for Insulin Initiation." The intervention contains two parts: (1) individual intervention; (2) insulin injection follow-up management TTM Intervention for Insulin Initiation: The intervention contains two parts: (1) individual intervention; (2) insulin injection follow-up management. Different intervention strategies are applied to patients according to their stages of change.
Control Arm
n=41 Participants
The arm that receives usual care from the hospital that hosts the control arm. Participants in the control arm receives regular patient education. Usual care: Regular patient education on insulin injection at the control arm hospital.
Change in Quality of Life
2.6 score on a scale
Standard Deviation 7.51
5.45 score on a scale
Standard Deviation 10.86

SECONDARY outcome

Timeframe: At baseline and 12 months after the intervention

Physiological parameter which will be collected from body weight scale and height scale, and will be converted to body mass index (weight (kg)/ height(m) 2

Outcome measures

Outcome measures
Measure
Intervention Arm
n=65 Participants
The arm that receives "TTM Intervention for Insulin Initiation." The intervention contains two parts: (1) individual intervention; (2) insulin injection follow-up management TTM Intervention for Insulin Initiation: The intervention contains two parts: (1) individual intervention; (2) insulin injection follow-up management. Different intervention strategies are applied to patients according to their stages of change.
Control Arm
n=41 Participants
The arm that receives usual care from the hospital that hosts the control arm. Participants in the control arm receives regular patient education. Usual care: Regular patient education on insulin injection at the control arm hospital.
Change in Body Mass Index
1.06 Kg/m^2
Standard Deviation 1.61
0.85 Kg/m^2
Standard Deviation 1.81

Adverse Events

TTA Intervention

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

Control Arm

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

Ruey-Hsia Wang

College of Nursing,Kaohsiung Medical University

Phone: 886-3-3121101

Results disclosure agreements

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