Trial Outcomes & Findings for Managing Insulin With a Voice AI (NCT NCT05081011)

NCT ID: NCT05081011

Last Updated: 2024-01-02

Results Overview

Number of days between study start date and goal fasting sugar

Recruitment status

COMPLETED

Study phase

NA

Target enrollment

39 participants

Primary outcome timeframe

8 weeks

Results posted on

2024-01-02

Participant Flow

Participant milestones

Participant milestones
Measure
Control
Subjects have their insulin titrated via standard of care for 8 weeks. The Voice Assistant Device is limited to providing a daily reminder to take medication.
Voice Assistant Device
Subjects have their insulin titrated by a voice assistant device for 8 weeks. The Voice Assistant Device software algorithm is used to provide daily insulin dose and titration instructions.
Overall Study
STARTED
18
21
Overall Study
Received Intervention as Randomized
16
16
Overall Study
COMPLETED
16
16
Overall Study
NOT COMPLETED
2
5

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

Managing Insulin With a Voice AI

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Control
n=16 Participants
Subjects have their insulin titrated via standard of care for 8 weeks. The Voice Assistant Device is limited to providing a daily reminder to take medication.
Voice Assistant Device
n=16 Participants
Subjects have their insulin titrated by a voice assistant device for 8 weeks. The Voice Assistant Device software algorithm is used to provide daily insulin dose and titration instructions.
Total
n=32 Participants
Total of all reporting groups
Age, Continuous
56.2 years
STANDARD_DEVIATION 13.5 • n=5 Participants
54.1 years
STANDARD_DEVIATION 12.3 • n=7 Participants
55.1 years
STANDARD_DEVIATION 12.7 • n=5 Participants
Sex: Female, Male
Female
10 Participants
n=5 Participants
9 Participants
n=7 Participants
19 Participants
n=5 Participants
Sex: Female, Male
Male
6 Participants
n=5 Participants
7 Participants
n=7 Participants
13 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Hispanic or Latino
5 Participants
n=5 Participants
3 Participants
n=7 Participants
8 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
11 Participants
n=5 Participants
13 Participants
n=7 Participants
24 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants
n=5 Participants
1 Participants
n=7 Participants
1 Participants
n=5 Participants
Race (NIH/OMB)
Asian
5 Participants
n=5 Participants
3 Participants
n=7 Participants
8 Participants
n=5 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
Race (NIH/OMB)
Black or African American
1 Participants
n=5 Participants
1 Participants
n=7 Participants
2 Participants
n=5 Participants
Race (NIH/OMB)
White
8 Participants
n=5 Participants
8 Participants
n=7 Participants
16 Participants
n=5 Participants
Race (NIH/OMB)
More than one race
1 Participants
n=5 Participants
2 Participants
n=7 Participants
3 Participants
n=5 Participants
Race (NIH/OMB)
Unknown or Not Reported
1 Participants
n=5 Participants
1 Participants
n=7 Participants
2 Participants
n=5 Participants
Region of Enrollment
United States
16 Participants
n=5 Participants
16 Participants
n=7 Participants
32 Participants
n=5 Participants

PRIMARY outcome

Timeframe: 8 weeks

Population: Participants who received intervention as randomized

Number of days between study start date and goal fasting sugar

Outcome measures

Outcome measures
Measure
Control
n=16 Participants
Subjects have their insulin titrated via standard of care for 8 weeks. The Voice Assistant Device is limited to providing a daily reminder to take medication.
Voice Assistant Device
n=16 Participants
Subjects have their insulin titrated by a voice assistant device for 8 weeks. The Voice Assistant Device software algorithm is used to provide daily insulin dose and titration instructions.
Time to Optimal Insulin Dose
56 days
Interval 29.5 to 56.0
15 days
Interval 6.0 to 27.0

PRIMARY outcome

Timeframe: 8 weeks

Population: Participants who received intervention as randomized

Percentage of adherence to taking insulin based on logs over 8 weeks

Outcome measures

Outcome measures
Measure
Control
n=16 Participants
Subjects have their insulin titrated via standard of care for 8 weeks. The Voice Assistant Device is limited to providing a daily reminder to take medication.
Voice Assistant Device
n=16 Participants
Subjects have their insulin titrated by a voice assistant device for 8 weeks. The Voice Assistant Device software algorithm is used to provide daily insulin dose and titration instructions.
Insulin Medication Adherence
50.2 percentage of adherance
Standard Deviation 43.0
82.9 percentage of adherance
Standard Deviation 20.6

PRIMARY outcome

Timeframe: Baseline and 8 weeks

Population: Participants who received intervention as randomized

Change in Composite Score of Attitudes Toward Diabetes (PAID-5). A 5-item psychometrically validated self-report questionnaire on a 5 point Likert scale (0= not problem; 4= a serious problem). The scores of each item are summed to create an overall score (Minimum value = 0; Maximum value = 20). Higher scores denote higher levels of diabetes related distress.

Outcome measures

Outcome measures
Measure
Control
n=16 Participants
Subjects have their insulin titrated via standard of care for 8 weeks. The Voice Assistant Device is limited to providing a daily reminder to take medication.
Voice Assistant Device
n=16 Participants
Subjects have their insulin titrated by a voice assistant device for 8 weeks. The Voice Assistant Device software algorithm is used to provide daily insulin dose and titration instructions.
Attitudes Toward Diabetes
Baseline
6.5 score on a scale
Standard Deviation 4.9
8.4 score on a scale
Standard Deviation 3.4
Attitudes Toward Diabetes
Change at Week 8
1.7 score on a scale
Standard Deviation 4.4
-1.9 score on a scale
Standard Deviation 4.2

PRIMARY outcome

Timeframe: Baseline and 8 weeks

Population: Participants who received intervention as randomized

Change in Composite Score of Attitudes Toward Health Technology. A 2-item self-report questionnaire on a 5 point Likert scale, scored 0 to 4. The scores are summed to create an overall score (Minimum value = 0, Maximum value = 8). Higher scores indicated more favorable attitudes toward health technology.

Outcome measures

Outcome measures
Measure
Control
n=16 Participants
Subjects have their insulin titrated via standard of care for 8 weeks. The Voice Assistant Device is limited to providing a daily reminder to take medication.
Voice Assistant Device
n=16 Participants
Subjects have their insulin titrated by a voice assistant device for 8 weeks. The Voice Assistant Device software algorithm is used to provide daily insulin dose and titration instructions.
Attitudes Toward Health Technology
Baseline
6.6 score on a scale
Standard Deviation 1.9
7.1 score on a scale
Standard Deviation 1.5
Attitudes Toward Health Technology
Change at Week 8
-1.1 score on a scale
Standard Deviation 2.3
0.3 score on a scale
Standard Deviation 1.4

PRIMARY outcome

Timeframe: Baseline and 8 weeks

Population: Participants who received intervention as randomized

Change in Composite Score of Attitudes Toward Medication Adherence. A 5-item self-report questionnaire on a 5-point Likert scale (0 to 4). The scores are summed to create an overall score (Minimum value = 0, Maximum value = 20). Higher scores indicate more favorable attitudes toward medication adherence.

Outcome measures

Outcome measures
Measure
Control
n=16 Participants
Subjects have their insulin titrated via standard of care for 8 weeks. The Voice Assistant Device is limited to providing a daily reminder to take medication.
Voice Assistant Device
n=16 Participants
Subjects have their insulin titrated by a voice assistant device for 8 weeks. The Voice Assistant Device software algorithm is used to provide daily insulin dose and titration instructions.
Attitudes Toward Medication Adherence
Baseline
13.6 score on a scale
Standard Deviation 3.8
14.0 score on a scale
Standard Deviation 4.4
Attitudes Toward Medication Adherence
Change at Week 8
-0.1 score on a scale
Standard Deviation 2.6
0.8 score on a scale
Standard Deviation 4.3

SECONDARY outcome

Timeframe: 8 weeks

Population: Participants who received intervention as randomized

Proportion (percentage) of participants with fasting sugar within goal at end of trial.

Outcome measures

Outcome measures
Measure
Control
n=16 Participants
Subjects have their insulin titrated via standard of care for 8 weeks. The Voice Assistant Device is limited to providing a daily reminder to take medication.
Voice Assistant Device
n=16 Participants
Subjects have their insulin titrated by a voice assistant device for 8 weeks. The Voice Assistant Device software algorithm is used to provide daily insulin dose and titration instructions.
Percentage of Participants Who Achieved Glycemic Control
25.0 percentage of participants
Interval 8.3 to 52.6
81.3 percentage of participants
Interval 53.7 to 95.0

SECONDARY outcome

Timeframe: Day 3 and 8 weeks (assessed at the end of each 3 day period)

Population: Participants who received intervention as randomized

Change in 3-day average fasting sugars between first 3 days and last 3 days of study

Outcome measures

Outcome measures
Measure
Control
n=16 Participants
Subjects have their insulin titrated via standard of care for 8 weeks. The Voice Assistant Device is limited to providing a daily reminder to take medication.
Voice Assistant Device
n=16 Participants
Subjects have their insulin titrated by a voice assistant device for 8 weeks. The Voice Assistant Device software algorithm is used to provide daily insulin dose and titration instructions.
Glycemic Improvement
Baseline
145.9 mg/dL
Standard Deviation 41.5
167.5 mg/dL
Standard Deviation 53.9
Glycemic Improvement
Change at Week 8
23.0 mg/dL
Standard Deviation 54.7
-45.9 mg/dL
Standard Deviation 45.9

Adverse Events

Control

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

Voice Assistant Device

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

Ashwin K Nayak, MD

Stanford University

Phone: (650) 725-5071

Results disclosure agreements

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