The Effect of 360 Video and MAPS on Enrollment in the DPP
NCT ID: NCT04746781
Last Updated: 2023-05-22
Study Results
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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COMPLETED
NA
818 participants
INTERVENTIONAL
2021-02-17
2022-12-15
Brief Summary
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Detailed Description
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Prior research has elucidated several reasons people do not enroll in the DPP. First, many people are not aware that they are at risk of developing T2DM, or that an efficacious program like the DPP exists. Second, the complications from T2DM are abstract, distal and difficult to imagine, which in turn leads to low motivation for risk-reducing behaviors. Finally, practical barriers limit DPP enrollment including cost, travel time, and scheduling. Prior research has tested rational appeals (such as provider-based education and referral) to enroll individuals in the DPP, with limited efficacy. In this project we will compare the effects of notification and education alone, notification and education plus mobile phone delivered videos (emotional appeal), and notification and education plus phone-based coaching utilizing a motivation and problem-solving approach. Our primary outcome will be enrollment and 1-month engagement in the DPP.
This three-armed randomized, clinical trial will be conducted within 2 health systems. Following an opt-out procedure offered to all eligible participants, participants will complete informed consent and a baseline survey. In the risk notification/education arm, we will send all participants a short message service (SMS) message with a link to a website that educates the public about their risk for developing T2DM and about the availability and efficacy of the DPP to address their risk. In the Mobile 360° Video intervention arm, after risk notification/education, participants will receive links to two 3-minute immersive Mobile 360° Videos (in which the viewer moves their phone to 'look around' the world of the video) on their smart phones. These videos are intended to influence affective and experiential perceptions of risk. The first video tells an emotional story of the negative effects on an individual's health and family life as they progress from prediabetes to T2DM and develop cardiovascular complications. The second video provides the viewer with a vicarious experience of the changes in vision that occur as diabetic retinopathy develops and worsens.
In the Motivation and Problem Solving (MAPS) arm, after risk notification/education, participants will be called by a health coach trained in counseling/coaching. The coach will guide them in setting health related goals and addressing any practical barriers to enrolling/engaging in the DPP, if that is consistent with their health goals.
Conditions
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Study Design
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RANDOMIZED
PARALLEL
PREVENTION
NONE
Study Groups
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Risk notification/education arm
We will send all participants a short message service (SMS) message with a link to a website that educates the public about their risk for developing T2DM and about the availability and efficacy of the DPP to address their risk
Risk notification/education
Sending participants (all of whom meet the diagnostic criteria for prediabetes) educational information about the condition.
Mobile 360° Video intervention arm
After risk notification and education, participants will receive links to two 3-minute immersive Mobile 360° Videos (in which the viewer moves their phone to 'look around' the world of the video) on their smart phones. These videos are intended to influence affective and experiential perceptions of risk. The first video tells an emotional story of the negative effects on an individual's health and family life as they progress from prediabetes to T2DM and develop cardiovascular complications. The second video provides the viewer with a vicarious experience of the changes in vision that occur as diabetic retinopathy develops and worsens.
Mobile 360° Video intervention
Using 360° Videos to educate participants about the effect of diabetes.
Risk notification/education
Sending participants (all of whom meet the diagnostic criteria for prediabetes) educational information about the condition.
Motivation and Problem Solving (MAPS) arm
After risk notification and education, participants will be called by a health coach trained in counseling/coaching. The coach will guide them in setting goals related to their health, and addressing any practical barriers to enrolling/engaging in the DPP if that is consistent with their health goals. Per their preference, participants will receive up to 5 phone calls from the health coach over a 4 week period.
Motivation and Problem Solving (MAPS)
Using Motivation and Problem Solving to help people enroll in the Diabetes Prevention Program.
Risk notification/education
Sending participants (all of whom meet the diagnostic criteria for prediabetes) educational information about the condition.
Interventions
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Mobile 360° Video intervention
Using 360° Videos to educate participants about the effect of diabetes.
Motivation and Problem Solving (MAPS)
Using Motivation and Problem Solving to help people enroll in the Diabetes Prevention Program.
Risk notification/education
Sending participants (all of whom meet the diagnostic criteria for prediabetes) educational information about the condition.
Eligibility Criteria
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Inclusion Criteria
* Have a diagnosis of prediabetes within the past 5 years (ICD-10 code R73.03)
* Have an email and mobile telephone number on record with the Health-system
* Primary language of either English or Spanish
Exclusion Criteria
* Type 1 diabetes mellitus (ICD-10-CM Diagnosis E10),
* Diabetes mellitus due to underlying condition (ICD-10 E08);
* Drug or chemical induced diabetes mellitus (ICD-10 E09);
* Gestational diabetes (ICD-10 024.4);
* Neonatal diabetes mellitus (ICD-10 P70.2);
* Post-pancreatectomy diabetes mellitus (ICD-10 E13).
* Patients whose primary language is other than Spanish or English will be excluded.
18 Years
89 Years
ALL
No
Sponsors
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Centers for Disease Control and Prevention
FED
University of Utah
OTHER
Responsible Party
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Bryan Smith Gibson
Assistant Professor Biomedical Informatics
Locations
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University of Utah
Salt Lake City, Utah, United States
Countries
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References
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Kent-Marvick J, Knysheva M, Gibson B, Simonsen SE. Why Do People Choose to Enroll or Not Enroll in the National Diabetes Prevention Program Lifestyle Change Program? A Mixed-Methods Analysis From a Sample of Adults With a Prediabetes Diagnosis. J Prim Care Community Health. 2024 Jan-Dec;15:21501319241282862. doi: 10.1177/21501319241282862.
Gibson B, Simonsen S, Barton J, Zhang Y, Altizer R, Lundberg K, Wetter DW. Motivation and Problem Solving Versus Mobile 360 degrees Videos to Promote Enrollment in the National Diabetes Prevention Program's Lifestyle Change Program Among People With Prediabetes: Protocol for a Randomized Trial. JMIR Res Protoc. 2021 Jun 14;10(6):e28884. doi: 10.2196/28884.
Other Identifiers
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00132307
Identifier Type: -
Identifier Source: org_study_id
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