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NCT03947333

Evaluation of a Patient Portal Intervention for Diabetes: A Pilot Randomized Controlled Trial

Completed NA Results posted Last updated 31 March 2022
What this trial tests

NA trial testing My Diabetes Care in Diabetes Mellitus, Type 2 in 287 participants. Completed in 11 January 2021.

Timeline
9 March 2020
Primary endpoint
11 January 2021
11 January 2021

Quick facts

Lead sponsorVanderbilt University Medical Center
PhaseNA
StatusCompleted
Study typeINTERVENTIONAL
Allocationrandomized
Designparallel
Maskingnone
Primary purposehealth services research
Enrollment287
Start date9 March 2020
Primary completion11 January 2021
Estimated completion11 January 2021
Sites1 location across United States

Drugs / interventions tested

Conditions studied

Sponsor

Vanderbilt University Medical Center

Who can join

21 and older, any sex, with Diabetes Mellitus, Type 2. Patients with the condition only — healthy volunteers not accepted.

Results — posted to ClinicalTrials.gov

Per-arm endpoint measurements with 95% confidence intervals where reported. Source: trial results section.

Change in Patient Activation at 6 Months Primary · Baseline to 6-month follow-up

The uni-dimensional, 13-item, Patient Activation Measure (PAM-13) is a valid measure of patient activation (i.e., the knowledge, skills and confidence a person has in managing their own health and health care). Each item uses a 4-point Likert-type scale of response options ranging from strongly disagree to strongly agree. PAM-13 item responses result in total raw scores ranging from 13 to 52, which we converted to the linear interval scale of patient activation scores, ranging from 0 (lowest activation) to 100 (highest activation). The PAM-13 has good psychometric properties including excellen

GroupValue95% CI
Intervention4.3± 16.8
Control2.7± 17.2
Change in Patient Activation at 3 Months Primary · Baseline to 3-month follow-up

The uni-dimensional, 13-item, Patient Activation Measure (PAM-13) is a valid measure of patient activation (i.e., the knowledge, skills and confidence a person has in managing their own health and health care). Each item uses a 4-point Likert-type scale of response options ranging from strongly disagree to strongly agree. PAM-13 item responses result in total raw scores ranging from 13 to 52, which we converted to the linear interval scale of patient activation scores, ranging from 0 (lowest activation) to 100 (highest activation). The PAM-13 has good psychometric properties including excellen

GroupValue95% CI
Intervention3.1± 17.2
Control3.3± 15.6
Change in Diabetes Self-Efficacy Secondary · Baseline, 3-month follow up, 6-month follow-up

The Perceived Diabetes Self-Management Scale (PDSMS) is a valid measure of diabetes self-efficacy (i.e., how confident they feel about their ability to carry out multiple self management tasks). The uni-dimensional, 8-item scale is scored on a five-point Likert scale. The total PDSMS score can range from 8 to 40, with higher scores indicating more confidence in self-managing one's diabetes. PDSMS has excellent internal consistency reliability (Cronbach's alpha of 0.83). PDSMS scores were associated with observed percentage of low blood sugars (r = .21), BMI (r = -.22), percentage of high blood

Change at 3 months
GroupValue95% CI
Intervention1.0± 4.0
Control0.3± 4.6
Change at 6 months
GroupValue95% CI
Intervention0.7± 4.9
Control0.8± 5.0
Change in Diabetes Knowledge Secondary · Baseline, 3-month follow up, 6-month follow-up

The Short Diabetes Knowledge Instrument (SDKI) is a valid measure of diabetes knowledge with an emphasis on controlling blood glucose through diet, recognizing symptoms of abnormal blood glucose, and using healthy eating to prevent complications. It also includes items on foot care and the importance of physical activity for preventing cardiovascular complications. The SDKI is a uni-dimensional, 13-item scale with scores ranging from 0 to 13 (number of items answered correctly). SDKI demonstrated good internal consistency reliability (Cronbach's alpha 0.73) in a multi-ethnic sample of older ad

Change at 3 months
GroupValue95% CI
Intervention0.7± 10.3
Control-0.1± 10.2
Change at 6 months
GroupValue95% CI
Intervention2.0± 11.0
Control1.3± 10.8
Change in Diabetes Self-Care (General Diet Adherence) Secondary · Baseline, 3-month follow up, 6-month follow-up

The Summary of Diabetes Self-Care Activity (SDSCA), developed by Toobert and Glasgow (1994), is a 10-item multidimensional instrument to assess levels of diabetes self-care across five domains: general diet (2 items), specific diet (2 items), exercise (2 items), foot care (2 items), and blood-glucose testing (2 items). The general diet subscale is used to assess general diet adherence. The instrument is based on the self-reported frequency of completing recommended activities during the past 7 days. An example item includes "How often did you follow your recommended diet over the last 7 days?"

Change at 3 months
GroupValue95% CI
Intervention0.3± 1.6
Control0.1± 1.5
Change at 6 months
GroupValue95% CI
Intervention0.5± 1.5
Control0.1± 1.6
Change in Diabetes Self-Care (Specific Diet) Secondary · Baseline, 3-month follow up, 6-month follow-up

The Summary of Diabetes Self-Care Activity (SDSCA), developed by Toobert and Glasgow (1994), is a 10-item multidimensional instrument to assess levels of diabetes self-care across five domains: general diet (2 items), specific diet (2 items), exercise (2 items), foot care (2 items), and blood-glucose testing (2 items). The specific diet subscale is used to assess intake of specific foods. The instrument is based on the self-reported frequency of completing recommended activities during the past 7 days. An example item includes "How often did you follow your recommended diet over the last 7 day

Change at 3 months
GroupValue95% CI
Intervention0.2± 1.6
Control0± 1.3
Change at 6 months
GroupValue95% CI
Intervention0.3± 1.3
Control-0.1± 1.4
Change in Diabetes Self-Care (Exercise Adherence) Secondary · Baseline, 3-month follow up, 6-month follow-up

The Summary of Diabetes Self-Care Activity (SDSCA), developed by Toobert and Glasgow (1994), is a 10-item multidimensional instrument to assess levels of diabetes self-care across five domains: general diet (2 items), specific diet (2 items), exercise (2 items), foot care (2 items), and blood-glucose testing (2 items). The exercise subscale is used to assess exercise adherence. The instrument is based on the self-reported frequency of completing recommended activities during the past 7 days. An example item includes "How often did you follow your recommended diet over the last 7 days?" All res

Change at 3 months
GroupValue95% CI
Intervention0.2± 1.6
Control-0.1± 1.6
Change at 6 months
GroupValue95% CI
Intervention0± 1.6
Control0.1± 1.7
Change in Diabetes Self-Care (Self-Monitoring of Blood Glucose Adherence) Secondary · Baseline, 3-month follow up, 6-month follow-up

The Summary of Diabetes Self-Care Activity (SDSCA), developed by Toobert and Glasgow (1994), is a 10-item multidimensional instrument to assess levels of diabetes self-care across five domains: general diet (2 items), specific diet (2 items), exercise (2 items), foot care (2 items), and blood-glucose testing (2 items). The blood-glucose testing subscale is used to assess self-monitoring of blood glucose adherence. The instrument is based on the self-reported frequency of completing recommended activities during the past 7 days. An example item includes "How often did you follow your recommende

Change at 3 months
GroupValue95% CI
Intervention0.3± 2.0
Control0.1± 1.7
Change at 6 months
GroupValue95% CI
Intervention0.3± 2.1
Control0.1± 1.6
Change in Diabetes Self-Care (Diabetes Medication Adherence) Secondary · Baseline, 3-month follow up, 6-month follow-up

The Adherence to Refills and Medications Scale-Diabetes (ARMS-D) is a reliable and valid measure of diabetes medication adherence. The 11-item ARMS-D has good internal consistency reliability (α=0.86). Responses range from 1="none of the time" to 4="all of the time," and are summed to produce an overall adherence score ranging from 12-48, with higher scores representing more problems with medication adherence.

Change at 3 months
GroupValue95% CI
Intervention-0.3± 2.0
Control0.2± 1.8
Change at 6 months
GroupValue95% CI
Intervention-0.3± 2.9
Control-0.1± 1.8
Change in Diabetes Distress Secondary · Baseline, 3-month follow up, 6-month follow-up

The Problem Areas in Diabetes Scale (PAID-5) is a valid measure of diabetes distress. The five-item, uni-dimensional scale has scores that range from 0 to 20, with higher scores suggesting greater diabetes-related emotional distress. The PAID-5 has excellent excellent internal consistency reliability (Cronbach's alpha 0.86) and is associated with measures of depression and hemoglobin A1c.

Change at 3 months
GroupValue95% CI
Intervention-0.2± 2.8
Control-0.2± 3.4
Change at 6 months
GroupValue95% CI
Intervention-0.4± 3.4
Control-0.2± 2.8
Change in Blood Glucose Control Secondary · Baseline to 6-month follow-up

Participants' most recent hemoglobin A1C will be abstracted from participants' electronic medical record at enrollment (T0) and 6 month follow-up (T3).

GroupValue95% CI
Intervention0.1± 1.2
Control0.1± 0.8
Change in Blood Pressure Control Secondary · Baseline to 6-month follow-up

Participants' most recent blood pressure measurement will be abstracted from participants' electronic medical record at enrollment (T0) and 6 month follow-up (T3) and will be used to calculate the participants' mean arterial pressure (MAP) using the following formula: MAP = diastolic pressure + 1/3(systolic pressure - diastolic pressure).

GroupValue95% CI
Intervention-0.2± 6.9
Control-0.2± 7.5

Sponsor's own description

The purpose of this study is to conduct a two-arm, parallel-design, pragmatic randomized controlled trial of a patient portal intervention for diabetes, My Diabetes Care, to evaluate its effect on patient activation and secondary cognitive, behavioral, and clinical outcomes.

Publications & conference data

1 peer-reviewed publication reference this trial (live from Europe PMC):

  1. Evaluation of the My Diabetes Care Patient Portal Intervention: Protocol for a Pilot Randomized Controlled Trial.
    Martinez W, Hackstadt AJ, Hickson GB, Rosenbloom ST, et al · · 2021 · PMID 34032578 · DOI 10.2196/25955

Verify or expand the search:

Other trials of My Diabetes Care

Trials testing the same drug.

Other recruiting trials for Diabetes Mellitus, Type 2

Currently open trials in the same condition.

Other Vanderbilt University Medical Center trials

Trials by the same sponsor.

Verify against primary sources

Data sources for this page

Drug Landscape aggregates and links these public records for informational use only. Always verify against the primary source before clinical or regulatory decisions. Canonical URL: https://druglandscape.com/trial/NCT03947333.

Primary sources · FDA · ClinicalTrials.gov · EMA · SEC EDGAR · ChEMBL · Wikidata · full sourcing