Medical Nutrition Therapy and Diabetes Self-Management Education for People With Disabilities

NCT ID: NCT06049225

Last Updated: 2025-12-18

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

90 participants

Study Classification

INTERVENTIONAL

Study Start Date

2024-06-01

Study Completion Date

2025-09-01

Brief Summary

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The purpose of this project is to develop, and pilot test an accessible and inclusive medical nutrition therapy and diabetes self-management education program for people with Type 2 Diabetes and physical disabilities.

Detailed Description

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This study will use a three-arm randomized control trial design. Eligible and consented participants will be assigned to one of three groups: (1) intervention with high-tech support, (2) intervention with low-tech support, and (3) attention-control group. The active intervention period will include six months of weekly health coaching calls and technology access. The low-tech support group will receive six months of weekly coaching calls and weekly email containing related materials in PDF format but no video and technology content.

Conditions

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Type 2 Diabetes Physical Disability

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

OTHER

Blinding Strategy

DOUBLE

Participants Investigators

Study Groups

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Experimental: High-Tech Intervention Group

Those in the high-tech intervention group will receive 6 months of active intervention (up to 60 minutes weekly health coaching calls and content delivery) and technology access.

Group Type EXPERIMENTAL

High-Tech

Intervention Type BEHAVIORAL

Access to technological platform and weekly health coaching

Experimental: Low-Tech Intervention Group

Those in low-tech group will receive 6 months of one weekly coaching calls (last up to 60 minutes) and one weekly email

Group Type EXPERIMENTAL

Low-Tech

Intervention Type BEHAVIORAL

Weekly email with educational content and weekly health coaching

Active Comparator: Attention Control Group

The control group will be used to provide an untreated comparison for the intervention groups and will not receive MNT or technology support. Participants in the control arm will only get a baseline and post-intervention testing.

Group Type ACTIVE_COMPARATOR

Attention Control

Intervention Type BEHAVIORAL

No technology access or health coaching

Interventions

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High-Tech

Access to technological platform and weekly health coaching

Intervention Type BEHAVIORAL

Low-Tech

Weekly email with educational content and weekly health coaching

Intervention Type BEHAVIORAL

Attention Control

No technology access or health coaching

Intervention Type BEHAVIORAL

Eligibility Criteria

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Inclusion Criteria

1. Diagnosis of T2DM
2. 18 to 65 years of age
3. Living with a permanent physical disability such as SCI, spina bifida, multiple sclerosis, stroke
4. Ability to converse in and read English
5. Availability of a smartphone or computer that can run apps
6. Have internet connection capabilities

Exclusion Criteria

1. Current enrollment in any diabetes related intervention
2. Present or soon-planned pregnancy
3. Major heart attack or heart surgery in the past 12 months
4. Have undergone a dialysis, kidney transplant or a kidney surgery in the past 12 months
5. Severe cognitive impairment
6. Severe untreated depression in the past 6 months
Minimum Eligible Age

18 Years

Maximum Eligible Age

65 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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University of Alabama at Birmingham

OTHER

Sponsor Role lead

Responsible Party

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Mohanraj Thirumalai

Assistant Professor

Responsibility Role PRINCIPAL_INVESTIGATOR

Locations

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University of Alabama at Birmingham

Birmingham, Alabama, United States

Site Status

Countries

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United States

References

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American Diabetes Association. Economic Costs of Diabetes in the U.S. in 2017. Diabetes Care. 2018 May;41(5):917-928. doi: 10.2337/dci18-0007. Epub 2018 Mar 22.

Reference Type BACKGROUND
PMID: 29567642 (View on PubMed)

Hall L, Colantonio A, Yoshida K. Barriers to nutrition as a health promotion practice for women with disabilities. Int J Rehabil Res. 2003 Sep;26(3):245-7. doi: 10.1097/00004356-200309000-00013.

Reference Type BACKGROUND
PMID: 14501578 (View on PubMed)

Kayes NM, Schluter PJ, McPherson KM, Taylor D, Kolt GS. The Physical Activity and Disability Survey -- Revised (PADS-R): an evaluation of a measure of physical activity in people with chronic neurological conditions. Clin Rehabil. 2009 Jun;23(6):534-43. doi: 10.1177/0269215508101750. Epub 2009 May 15.

Reference Type BACKGROUND
PMID: 19447843 (View on PubMed)

Aboagye A, Peckham J, Hearld KR, Abdullah S, Thirumalai M. A Technology-Enhanced Medical Nutrition Therapy and Diabetes Self-Management Education for Adults With Disability and Type 2 Diabetes: Protocol for a Pilot and Feasibility Randomized Controlled Trial. JMIR Res Protoc. 2025 Sep 26;14:e71495. doi: 10.2196/71495.

Reference Type DERIVED
PMID: 41002071 (View on PubMed)

Other Identifiers

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SBIR-PHASE2

Identifier Type: OTHER

Identifier Source: secondary_id

IRB-300010728

Identifier Type: -

Identifier Source: org_study_id