Mobile Communication Technology for Adolescents With Diabetes - Full Text View

Sponsored by:	Indiana University
Information provided by:	Indiana University
ClinicalTrials.gov Identifier:	NCT00605839

Purpose

Among those with type I diabetes, adolescents can be among the worst at achieving glycemic control. Behaviors normal in adolescent development (e.g., developing independence, rejecting parental norms in favor of peers) can be at odds with the demands of effective diabetes self-management. Modifying the family and patient interaction should be a crucial component to improving the ability of an adolescent to manage his or her diabetes.

Mobile technology is becoming more popular in medicine, and adolescents, as a group are more inclined to accept technology as an adjunct to care. Mobile technology that links adolescents to health providers could help them to work through complex information that must be processed to make good decisions. Since this "assistance" comes from health professionals, it should help relax parents somewhat, thus reducing problems associated with parental hypervigilance and manipulation of the regimen to avoid problems of hypoglycemia. Parental-child conflicts may therefore be reduced by using cell phone glucose monitoring technology that directly reports self-blood glucose monitoring data to providers and creates a communication link to discuss therapeutic options.

This study investigates whether the use of mobile technology, in the form of a cell phone glucose monitoring system, will help reduce the need for parents to assert behavioral control, which can negatively impact adolescent diabetes self-management. The study will also determine whether adolescents report improved quality of life, demonstrate competence in diabetes management, and are able to achieve better control of their diabetes.

Condition	Intervention
Type 1 Diabetes	Device: GlucoPak device and intensive monitoring

MedlinePlus related topics: Diabetes Diabetes Type 1

U.S. FDA Resources

Study Type:	Interventional
Study Design:	Health Services Research, Randomized, Single Blind (Outcomes Assessor), Parallel Assignment, Efficacy Study
Official Title:	Adapting Mobile Communication Technology to Improve the Management of Adolescents With Diabetes

Further study details as provided by Indiana University:

Primary Outcome Measures:

Quality of parent-child relationship [ Time Frame: 6 months ] [ Designated as safety issue: No ]

Secondary Outcome Measures:

Quality of life [ Time Frame: 6 months ] [ Designated as safety issue: No ]
Competence in diabetes management [ Time Frame: 6 months ] [ Designated as safety issue: No ]
Metabolic control [ Time Frame: 6 months ] [ Designated as safety issue: No ]

Estimated Enrollment:	120
Study Start Date:	January 2008
Estimated Study Completion Date:	December 2008
Estimated Primary Completion Date:	December 2008 (Final data collection date for primary outcome measure)

Arms	Assigned Interventions
1: Experimental Glucopak cell phone and intensive monitoring	Device: GlucoPak device and intensive monitoring We will be giving participants Glucopak devices and monitoring them closely over the 6 month period.
2: Active Comparator Cell phone only	Device: GlucoPak device and intensive monitoring We will be giving participants Glucopak devices and monitoring them closely over the 6 month period.
3: Placebo Comparator Usual care	Device: GlucoPak device and intensive monitoring We will be giving participants Glucopak devices and monitoring them closely over the 6 month period.

Detailed Description:

Among patients with type I diabetes, adolescents struggle the most with self-management, which often results in poor glycemic control. Optimizing parent-patient interaction is crucial to improving self-management. Mobile technology with integrated glucose monitoring capability that links adolescents to providers may reduce parental hypervigilance and assist them to better understand self-management. .

This study will investigate a novel cell phone glucose monitoring system (CPGM) with the following specific aims:

To establish feasibility of a CPGM system as a component of an adolescent diabetes management program.
To determine if the technology will improve a) quality of parent-child relationship, b) patient quality of life, c) competence in diabetes management, and d) metabolic control.
To gather preliminary data for development of future intervention studies.

120 adolescents with type I diabetes will be randomly assigned to either an experimental or control group. Experimental subjects will use the CPGM which will transmit all blood glucose data to a host computer. A nurse practitioner in the pediatric endocrinology clinic will determine need for telephone contacts based on evaluation of transmitted data. Subjects might be telephoned to discuss possible regimen adjustments, need for clinic visits, or referrals to additional services. Subjects will also be able to initiate contact with the project nurse. Control subjects will continue to receive standard care. .

This study will assess the effect of the intervention in the four primary domains stated in the specific aims. These domains will be measured at baseline, three months, and six months.

Eligibility

Ages Eligible for Study:	14 Years to 18 Years
Genders Eligible for Study:	Both
Accepts Healthy Volunteers:	No

Criteria

Inclusion Criteria:

Adolescent with thpe 1 diabetes
Adolescents in the study must intend to remain in the care of participating clinics for the extent of the study
Adolescents in the study must be literate in English.

Exclusion Criteria:

Only one patient per family can participate
Patients who participated in preliminary studies related to the development of the cell phone technology will be excluded.

Contacts and Locations

Please refer to this study by its ClinicalTrials.gov identifier: NCT00605839

Locations

United States, Indiana
Riley Hospital Diabetes Clinics
Indianapolis, Indiana, United States, 46202

Sponsors and Collaborators

Indiana University

Investigators

Principal Investigator:	David G Marrero, PhD	Indiana University School of Medicine
Study Director:	Aaron E Carroll, MD, MS	Indiana University School of Medicine

More Information

Responsible Party:	Indiana University School of Medicine ( David G. Marrero, PhD )
Study ID Numbers:	ADA-HenryBecton-DGM-01
Study First Received:	January 17, 2008
Last Updated:	November 6, 2008
ClinicalTrials.gov Identifier:	NCT00605839
Health Authority:	United States: Institutional Review Board

Keywords provided by Indiana University:

mobile technology
cell phones
type 1 diabetes

Study placed in the following topic categories:

Autoimmune Diseases
Metabolic Diseases
Diabetes Mellitus, Type 1
Diabetes Mellitus

Endocrine System Diseases
Endocrinopathy
Metabolic disorder
Glucose Metabolism Disorders

Additional relevant MeSH terms:

Immune System Diseases

ClinicalTrials.gov processed this record on January 14, 2009