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Digital Care for Holistic Health in Older Adults With Diabetes and Multimorbidity

NCT ID: NCT07310849

Last Updated: 2025-12-30

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

ENROLLING_BY_INVITATION

Clinical Phase

NA

Total Enrollment

169 participants

Study Classification

INTERVENTIONAL

Study Start Date

2026-03-01

Study Completion Date

2027-07-01

Brief Summary

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The purpose of this study was to explore the effectiveness of the "Digital Care Community Common Good" program in improving disease control indicators, self-management abilities, depression, and quality of life among patients with comorbidities and type 2 diabetes. The study was designed as a two-year experimental study, with a specific area in New Taipei City selected as the research site. In the first year, the main tasks include establishing an integrated intervention team composed of primary healthcare providers and community resources, expanding the functionalities of the mHealth platform, developing digital educational materials for diabetes comorbidities care, and recruiting and training 6 to 8 community care volunteers. Additionally, 169 eligible participants with type 2 diabetes and comorbidities will be recruited from four communities, completing baseline assessments and randomization into groups. In the second year, a 6-month intervention and effectiveness evaluation of the " Digital Care Community Common Good " program will be implemented. The intervention includes online and in-person educational sessions, telephone care, use of the mHealth platform (featuring educational, data monitoring, contextual learning, interactive, and reminders), as well as home visits, case discussions, and individualized care plans for high-risk cases. Disease control indicators, selfmanagement abilities, depression, and quality of life will be tracked immediately post-intervention, at 3 month, and at 6 month to assess outcomes and changes over time. This study expects to enhance health management for diabetes patients with comorbidities through digital care and interdisciplinary collaboration, offering evidence-based insights and recommendations for policy implementation in the integration of community and primary healthcare models.

Detailed Description

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Conditions

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Type2Diabetes Hypertension Dyslipidemia CKD Cardio Vascular Disease Gout Arthritis

Keywords

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community care diabetes mellitus multimorbidity quality of life self-management

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

HEALTH_SERVICES_RESEARCH

Blinding Strategy

DOUBLE

Participants Outcome Assessors

Study Groups

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The experimental group receives usual care and a 6-month Digital Care Community Common Good program

online and in-person educational sessions, telephone care, use of the mHealth platform (featuring educational, data monitoring, contextual learning, interactive, and reminders), as well as home visits, case discussions, and individualized care plans for high-risk cases.

Group Type EXPERIMENTAL

Digital Care Community Common Good Program

Intervention Type BEHAVIORAL

a 6-month Digital Care Community Common Good program (online and in-person educational sessions, telephone care, use of the mHealth platform (featuring educational, data monitoring, contextual learning, interactive, and reminders), as well as home visits, case discussions, and individualized care plans for high-risk cases.)

The control group that receives usual care and the local integrated medical network information

receives usual care and the local integrated medical network information, including clinics and healthcare institutes that provide comorbidity care and counseling.

Group Type OTHER

Usual Care

Intervention Type BEHAVIORAL

receives usual care and the local integrated medical network information, including clinics and healthcare institutes that provide comorbidity care and counseling.

Interventions

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Digital Care Community Common Good Program

a 6-month Digital Care Community Common Good program (online and in-person educational sessions, telephone care, use of the mHealth platform (featuring educational, data monitoring, contextual learning, interactive, and reminders), as well as home visits, case discussions, and individualized care plans for high-risk cases.)

Intervention Type BEHAVIORAL

Usual Care

receives usual care and the local integrated medical network information, including clinics and healthcare institutes that provide comorbidity care and counseling.

Intervention Type BEHAVIORAL

Eligibility Criteria

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Inclusion Criteria

1. Age and Consent: Individuals aged 50 years or older who are willing to provide written informed consent.
2. Language and Literacy: Participants must be literate and able to communicate in Mandarin or Taiwanese.
3. Medical Diagnosis: Participants must have a physician-confirmed diagnosis of type 2 diabetes mellitus (T2DM) and at least one comorbid chronic disease (e.g., hypertension, hyperlipidemia, chronic kidney disease, or heart disease).
4. Technology Use: Participants must own a smartphone and be willing to use the LINE messaging app and web-based health education links.
5. Residence: Participants must reside within one of the four participating communities and have no plans to move away during the study intervention period.

Exclusion Criteria

* (1)Those with severe diabetes-related complications, such as renal failure, cerebrovascular disease, diabetic foot, or retinopathy.

(2)Individuals with psychiatric disorders, undergoing active cancer treatment, or those unable to perform independent self-care (e.g., due to visual impairment or mobility limitations).

(3)Individuals without diabetes but with other chronic diseases. (4)Individuals residing in long-term care institutions. (5)Individuals who are simultaneously participating in other intervention programs.
Minimum Eligible Age

50 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Chang Gung University of Science and Technology

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Locations

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Wugu District Public Health Center,

New Taipei City, Wugu District, Taiwan

Site Status

Countries

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Taiwan

References

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Dattani I, Ganatra S. Oral manifestations of HIV infections. Oral Health. 1993 Jul;83(7):15-7. No abstract available.

Reference Type BACKGROUND
PMID: 8272348 (View on PubMed)

Bredell F. Wait! What's not trash--it's recyclable! Mich Hosp. 1991 May;27(5):26-30. No abstract available.

Reference Type BACKGROUND
PMID: 10110949 (View on PubMed)

Espeland MA, Gaussoin SA, Bahnson J, Vaughan EM, Knowler WC, Simpson FR, Hazuda HP, Johnson KC, Munshi MN, Coday M, Pi-Sunyer X. Impact of an 8-Year Intensive Lifestyle Intervention on an Index of Multimorbidity. J Am Geriatr Soc. 2020 Oct;68(10):2249-2256. doi: 10.1111/jgs.16672. Epub 2020 Jul 17.

Reference Type BACKGROUND
PMID: 33267558 (View on PubMed)

Davis J, Fischl AH, Beck J, Browning L, Carter A, Condon JE, Dennison M, Francis T, Hughes PJ, Jaime S, Lau KHK, McArthur T, McAvoy K, Magee M, Newby O, Ponder SW, Quraishi U, Rawlings K, Socke J, Stancil M, Uelmen S, Villalobos S. 2022 National Standards for Diabetes Self-Management Education and Support. Diabetes Care. 2022 Feb 1;45(2):484-494. doi: 10.2337/dc21-2396. No abstract available.

Reference Type BACKGROUND
PMID: 35050365 (View on PubMed)

Related Links

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https://webmis.cgust.edu.tw/Research/T_View.asp?TSn=53

Available upon reasonable request from the Principal Investigator.

Other Identifiers

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IRB 24 021 B1

Identifier Type: -

Identifier Source: org_study_id