Trial Outcomes & Findings for Iterative Beta Testing of Videos for the DIPPer Academy (NCT NCT03385265)

NCT ID: NCT03385265

Last Updated: 2022-03-11

Results Overview

Measure of hemoglobin A1c (HbA1c).

Recruitment status

COMPLETED

Study phase

NA

Target enrollment

62 participants

Primary outcome timeframe

absolute value Post-treatment (Week 33)

Results posted on

2022-03-11

Participant Flow

recruited in clinic or by telephone.

pre-assignment all parents completed baseline assessment measures

Participant milestones

Participant milestones
Measure
DIPPer Academy- Parents
Parents randomized to this group will participate in the DIPPer Academy curriculum via the internet.
Standard of Care Control- Parents
Standard of Care: Parents in the standard of care control group will be instructed to manage their child's T1D as recommended by their diabetes team.
DIPPer Academy- Children
Parents randomized to this group will participate in DIPPer Academy via the internet. We collect Child HbA1c levels. Children do not receive treatment.
Standard of Care- Children
Standard of Care: Parents in the standard of care control group will be instructed to manage their child's T1D as recommended by their diabetes team. We collect Child HbA1c levels.
Overall Study
STARTED
20
11
20
11
Overall Study
COMPLETED
15
9
15
9
Overall Study
NOT COMPLETED
5
2
5
2

Reasons for withdrawal

Reasons for withdrawal
Measure
DIPPer Academy- Parents
Parents randomized to this group will participate in the DIPPer Academy curriculum via the internet.
Standard of Care Control- Parents
Standard of Care: Parents in the standard of care control group will be instructed to manage their child's T1D as recommended by their diabetes team.
DIPPer Academy- Children
Parents randomized to this group will participate in DIPPer Academy via the internet. We collect Child HbA1c levels. Children do not receive treatment.
Standard of Care- Children
Standard of Care: Parents in the standard of care control group will be instructed to manage their child's T1D as recommended by their diabetes team. We collect Child HbA1c levels.
Overall Study
Withdrawal by Subject
5
2
5
2

Baseline Characteristics

Iterative Beta Testing of Videos for the DIPPer Academy

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
DIPPer Academy- Parents
n=20 Participants
Parents randomized to this group will participate in the DIPPer Academy curriculum. DIPPer Academy: The DIPPer Academy curricula will build on treatment models guided by the Health Beliefs Model (HBM) and Social Cognitive Theory (SCT). The curricula includes video microlectures, personalize progress reports, and other features delivered via the internet.
Standard of Care Control- Parents
n=11 Participants
Standard of Care: Parents in the standard of care control group will be instructed to manage their child's T1D as recommended by their diabetes team.
DIPPer Academy- Children
n=20 Participants
Parents randomized to this group will participate in the DIPPer Academy curriculum. We collect children's HbA1c level. DIPPer Academy: The DIPPer Academy curricula will build on treatment models guided by the Health Beliefs Model (HBM) and Social Cognitive Theory (SCT). The curricula includes video microlectures, personalize progress reports, and other features delivered via the internet. Children do not receive treatment.
Standard of Care Control- Children
n=11 Participants
Standard of Care: Parents in the standard of care control group will be instructed to manage their child's T1D as recommended by their diabetes team. We collect children's HbA1c level.
Total
n=62 Participants
Total of all reporting groups
Age, Categorical
<=18 years
0 Participants
n=5 Participants
0 Participants
n=7 Participants
20 Participants
n=5 Participants
11 Participants
n=4 Participants
31 Participants
n=21 Participants
Age, Categorical
Between 18 and 65 years
20 Participants
n=5 Participants
11 Participants
n=7 Participants
0 Participants
n=5 Participants
0 Participants
n=4 Participants
31 Participants
n=21 Participants
Age, Categorical
>=65 years
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
0 Participants
n=4 Participants
0 Participants
n=21 Participants
Age, Continuous
36.25 years
STANDARD_DEVIATION 4.82 • n=5 Participants
32.64 years
STANDARD_DEVIATION 5.98 • n=7 Participants
4.98 years
STANDARD_DEVIATION .89 • n=5 Participants
4.42 years
STANDARD_DEVIATION .89 • n=4 Participants
19.87 years
STANDARD_DEVIATION 15.70 • n=21 Participants
Sex: Female, Male
Female
19 Participants
n=5 Participants
11 Participants
n=7 Participants
9 Participants
n=5 Participants
4 Participants
n=4 Participants
43 Participants
n=21 Participants
Sex: Female, Male
Male
1 Participants
n=5 Participants
0 Participants
n=7 Participants
11 Participants
n=5 Participants
7 Participants
n=4 Participants
19 Participants
n=21 Participants
Ethnicity (NIH/OMB)
Hispanic or Latino
0 Participants
n=5 Participants
1 Participants
n=7 Participants
0 Participants
n=5 Participants
1 Participants
n=4 Participants
2 Participants
n=21 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
20 Participants
n=5 Participants
10 Participants
n=7 Participants
20 Participants
n=5 Participants
10 Participants
n=4 Participants
60 Participants
n=21 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
0 Participants
n=4 Participants
0 Participants
n=21 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
0 Participants
n=4 Participants
0 Participants
n=21 Participants
Race (NIH/OMB)
Asian
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
0 Participants
n=4 Participants
0 Participants
n=21 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
0 Participants
n=4 Participants
0 Participants
n=21 Participants
Race (NIH/OMB)
Black or African American
1 Participants
n=5 Participants
0 Participants
n=7 Participants
1 Participants
n=5 Participants
0 Participants
n=4 Participants
2 Participants
n=21 Participants
Race (NIH/OMB)
White
17 Participants
n=5 Participants
11 Participants
n=7 Participants
17 Participants
n=5 Participants
11 Participants
n=4 Participants
56 Participants
n=21 Participants
Race (NIH/OMB)
More than one race
2 Participants
n=5 Participants
0 Participants
n=7 Participants
2 Participants
n=5 Participants
0 Participants
n=4 Participants
4 Participants
n=21 Participants
Race (NIH/OMB)
Unknown or Not Reported
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
0 Participants
n=4 Participants
0 Participants
n=21 Participants

PRIMARY outcome

Timeframe: absolute value Post-treatment (Week 33)

Population: lost to follow-up n=5 parents in DIPPer group and n=2 parents in standard care at 33 weeks; parents withdrew themselves

Measure of hemoglobin A1c (HbA1c).

Outcome measures

Outcome measures
Measure
DIPPer Academy
n=15 Participants
Parents randomized to this group will participate in the DIPPer Academy curriculum. DIPPer Academy: The DIPPer Academy curricula will build on treatment models guided by the Health Beliefs Model (HBM) and Social Cognitive Theory (SCT). The curricula includes video microlectures, personalize progress reports, and other features delivered via the internet.
Standard of Care Control
n=9 Participants
Standard of Care: Parents in the standard of care control group will be instructed to manage their child's T1D as recommended by their diabetes team.
Child Glycemic Control
7.56 percentage of glycated hemoglobin cells
Standard Deviation 1.17
8.14 percentage of glycated hemoglobin cells
Standard Deviation 0.73

PRIMARY outcome

Timeframe: absolute value Post-treatment (Week 33)

Population: lost to follow-up n=5 parents in DIPPer group and n=2 parents in standard care at 33 weeks; parents withdrew themselves.

Center for Epidemiological Studies-Depression Scale Revised (CES-D); higher scores suggest worse outcome. Range 0-60.

Outcome measures

Outcome measures
Measure
DIPPer Academy
n=15 Participants
Parents randomized to this group will participate in the DIPPer Academy curriculum. DIPPer Academy: The DIPPer Academy curricula will build on treatment models guided by the Health Beliefs Model (HBM) and Social Cognitive Theory (SCT). The curricula includes video microlectures, personalize progress reports, and other features delivered via the internet.
Standard of Care Control
n=9 Participants
Standard of Care: Parents in the standard of care control group will be instructed to manage their child's T1D as recommended by their diabetes team.
Parent Depressive Symptoms
10.0 units on a scale
Standard Deviation 9.35
7.33 units on a scale
Standard Deviation 8.28

PRIMARY outcome

Timeframe: Absolute value at Post-treatment (Week 33)

Population: lost to follow-up n=5 parents in DIPPer group and n=2 parents in standard care at 33 weeks; parents withdrew themselves.

Problem Areas in Diabetes Distress- Parent Report Questionnaire. Higher scores reflect worse outcome. Range 0-72

Outcome measures

Outcome measures
Measure
DIPPer Academy
n=15 Participants
Parents randomized to this group will participate in the DIPPer Academy curriculum. DIPPer Academy: The DIPPer Academy curricula will build on treatment models guided by the Health Beliefs Model (HBM) and Social Cognitive Theory (SCT). The curricula includes video microlectures, personalize progress reports, and other features delivered via the internet.
Standard of Care Control
n=9 Participants
Standard of Care: Parents in the standard of care control group will be instructed to manage their child's T1D as recommended by their diabetes team.
Parent Diabetes Distress
29.23 units on a scale
Standard Deviation 18.86
27.36 units on a scale
Standard Deviation 10.29

SECONDARY outcome

Timeframe: absolute value at Post-treatment (Week 33)

Population: lost to follow-up n=5 parents in DIPPer group and n=2 parents in standard care at 33 weeks; parents withdrew themselves.

Behavioral Pediatrics Feeding Assessment Scale. This is a 35 item scale. This subscale reflects the frequency of perceived mealtime behavior problems (possible range: 35-175). Higher scores represent a worse outcome.

Outcome measures

Outcome measures
Measure
DIPPer Academy
n=15 Participants
Parents randomized to this group will participate in the DIPPer Academy curriculum. DIPPer Academy: The DIPPer Academy curricula will build on treatment models guided by the Health Beliefs Model (HBM) and Social Cognitive Theory (SCT). The curricula includes video microlectures, personalize progress reports, and other features delivered via the internet.
Standard of Care Control
n=9 Participants
Standard of Care: Parents in the standard of care control group will be instructed to manage their child's T1D as recommended by their diabetes team.
Family Mealtime behaviors_Frequency
78.23 units on a scale
Standard Deviation 13.81
92.67 units on a scale
Standard Deviation 14.93

SECONDARY outcome

Timeframe: absolute value at Post-treatment (Week 33)

Population: lost to follow-up n=5 parents in DIPPer group and n=2 parents in standard care at 33 weeks; parents withdrew themselves.

Measured using the Hypoglycemia Fear Survey (HFS-PYC). This is a 26 item measure and higher values represent a worse outcome. Range: 26-130.

Outcome measures

Outcome measures
Measure
DIPPer Academy
n=15 Participants
Parents randomized to this group will participate in the DIPPer Academy curriculum. DIPPer Academy: The DIPPer Academy curricula will build on treatment models guided by the Health Beliefs Model (HBM) and Social Cognitive Theory (SCT). The curricula includes video microlectures, personalize progress reports, and other features delivered via the internet.
Standard of Care Control
n=9 Participants
Standard of Care: Parents in the standard of care control group will be instructed to manage their child's T1D as recommended by their diabetes team.
Parents' Hypoglycemia Fear
71.08 units on a scale
Standard Deviation 15.96
64.00 units on a scale
Standard Deviation 12.75

SECONDARY outcome

Timeframe: Absolute value at Post-treatment (Week 33)

Population: lost to follow-up n=5 families in DIPPer group and n=2 families in standard care at 33 weeks; families withdrew themselves.

Measured using the Pediatric Inventory for Parents. This is a 42 item measure. Measure is scored so that higher values represent a worse outcome. Range: 42-210

Outcome measures

Outcome measures
Measure
DIPPer Academy
n=15 Participants
Parents randomized to this group will participate in the DIPPer Academy curriculum. DIPPer Academy: The DIPPer Academy curricula will build on treatment models guided by the Health Beliefs Model (HBM) and Social Cognitive Theory (SCT). The curricula includes video microlectures, personalize progress reports, and other features delivered via the internet.
Standard of Care Control
n=9 Participants
Standard of Care: Parents in the standard of care control group will be instructed to manage their child's T1D as recommended by their diabetes team.
Parenting Stress- Frequency
95.77 units on a scale
Standard Deviation 32.78
90.44 units on a scale
Standard Deviation 27.55

SECONDARY outcome

Timeframe: Absolute value at Post-treatment (Week 33)

Population: lost to follow-up n=5 parents in DIPPer group and n=2 parents in standard care at 33 weeks; parents withdrew themselves.

Measured using the Parental Self-Efficacy Scale for Diabetes Management. This is an 8 item measure of self-efficacy. It has only a total score (items are summed for the total). Range 8-40. Higher scores represent a better outcome.

Outcome measures

Outcome measures
Measure
DIPPer Academy
n=15 Participants
Parents randomized to this group will participate in the DIPPer Academy curriculum. DIPPer Academy: The DIPPer Academy curricula will build on treatment models guided by the Health Beliefs Model (HBM) and Social Cognitive Theory (SCT). The curricula includes video microlectures, personalize progress reports, and other features delivered via the internet.
Standard of Care Control
n=9 Participants
Standard of Care: Parents in the standard of care control group will be instructed to manage their child's T1D as recommended by their diabetes team.
Parents' T1D Self-efficacy
34.62 units on a scale
Standard Deviation 3.91
33.67 units on a scale
Standard Deviation 3.54

SECONDARY outcome

Timeframe: Absolute value at Post-treatment (Week 33)

Population: lost to follow-up n=5 parents in DIPPer group and n=2 parents in standard care at 33 weeks; parents withdrew themselves.

Test of Diabetes Knowledge-5. This is a 41 item measure. There is general knowledge (0-29) and Problem solving (0-11). This is scored based on percent of items correct, so higher scores represent a better outcome.

Outcome measures

Outcome measures
Measure
DIPPer Academy
n=15 Participants
Parents randomized to this group will participate in the DIPPer Academy curriculum. DIPPer Academy: The DIPPer Academy curricula will build on treatment models guided by the Health Beliefs Model (HBM) and Social Cognitive Theory (SCT). The curricula includes video microlectures, personalize progress reports, and other features delivered via the internet.
Standard of Care Control
n=9 Participants
Standard of Care: Parents in the standard of care control group will be instructed to manage their child's T1D as recommended by their diabetes team.
Parent Knowledge of T1D
98.94 percentage of correct items
Standard Deviation 2.17
97.70 percentage of correct items
Standard Deviation 2.99

SECONDARY outcome

Timeframe: Absolute value at Post-treatment (Week 33)

Population: lost to follow-up n=5 parents in DIPPer group and n=2 parents in standard care at 33 weeks; parents withdrew themselves.

Measured using the Behavioral Pediatrics Feeding Assessment Scale. This is a 35 item scale. This subscale reflects the number of mealtime behaviors that parents identify as problematic (possible range: 0-35). Higher scores represent a worse outcome.

Outcome measures

Outcome measures
Measure
DIPPer Academy
n=15 Participants
Parents randomized to this group will participate in the DIPPer Academy curriculum. DIPPer Academy: The DIPPer Academy curricula will build on treatment models guided by the Health Beliefs Model (HBM) and Social Cognitive Theory (SCT). The curricula includes video microlectures, personalize progress reports, and other features delivered via the internet.
Standard of Care Control
n=9 Participants
Standard of Care: Parents in the standard of care control group will be instructed to manage their child's T1D as recommended by their diabetes team.
Behavioral Pediatric Feeding Assessment Scale_Problem
2.15 score on a scale
Standard Deviation 2.85
7.18 score on a scale
Standard Deviation 9.48

Adverse Events

DIPPer Academy- Parents

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

Standard of Care Control- Parents

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

DIPPer Academy- Children

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

Standard of Care Control- Children

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. Susana Patton

Nemours Children's Health

Phone: 904-697-2000

Results disclosure agreements

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