District Health Center
Hong Kong
Location status: Recruiting
Recruiting
NCT Number: NCT06466837
Just-In-Time Adaptive Interventions for Diabetic Patients
The addition of proactive nurse consultations was useful to older adults with diabetes mellitus in facilitating their chronic disease self-management. However, the service is time and resource-intensive. With the support of advanced technology, mhealth App seems to be a convenient way to support patients in managing diabetes.
Recruiting
Interested in participating?
Request InfoKey information
Conditions
Age range
60 year and older
Sex eligibility
All sexes
Study type
Interventional
Phase
Not applicable
Primary location
About this study
This study examines the effectiveness of mhealth App plus nurse consultations in promoting self-management behaviours for diabetic patients.
Who can participate
Healthy volunteers accepted: No
Only the study team can determine whether someone qualifies for participation.
Inclusion criteria
- With a confirmed DM diagnosis for one year or more than one year
- Using governmental mhealth App
- Living in an area with Internet coverage
Exclusion criteria
- Already engaged in other mHealth programmes
- Physical and cognitive limitations
Treatment and study plan
Just-in-time intervention
BehavioralThe intervention group participants will receive just-in-time intervention from a developed app for healthy behavior reminder
Active Control
BehavioralThe control group participants will receive six nursing consultations during the 3-month program period.
Primary outcomes
-
Change in HbA1c
Time frame: baseline, three-month, and six-month
Measured using the A1C Now device, with blood drawn from the subjects' finger
-
Diabetic self-management behaviour
Time frame: baseline, three-month, and six-month
measured using the Summary of Diabetes Self-care. Total scores range from 0 to 42, with higher scores representing better self-management performance. Activities questionnaire
Secondary outcomes
-
Change in quality of life
Time frame: baseline, three-month, and six-month
By using the Chinese version of the 12-item Short Form Health Survey. Total score ranges from 0 to 100, higher the better.
version 2
-
Change in medication adherence
Time frame: baseline, three-month, and six-month
Measure this by using the Adherence to Refills and Medications Scale. Scores from 12 to 48, higher score better medication adherence.
-
Change in health service utilization
Time frame: baseline, three-month, and six-month
Measure the total number of unscheduled visits to general out-patient departments, general practitioners, emergency departments, and hospitals, and the total frequency of health service attendance
-
Cost
Time frame: three-month, and six-month
The cost of the app, including development of new features and maintenance costs, will be estimated from the provider and societal perspectives, including the subjects' travelling costs and time. An ingredient approach will be adopted to estimate the cost.
-
satisfaction with the JITAIs, as well as usability and technical problems
Time frame: three-month
using semi-structured group interviews with the intervention group participants
Study contacts
Contact information is provided by the study sponsor or research team.
Sponsors and collaborators
Lead sponsor
The Hong Kong Polytechnic University
Other
Registry information
Official study title
Promoting Self-management Behaviours Among Older Adults With Diabetes Mellitus by Integrating Just-In-Time Adaptive Interventions in Mobile Health Applications: A Randomized Controlled Trial
Important dates
- Study start
- 2024
- Primary completion
- 2026
- Study completion
- 2026
- First posted
- Jun 20, 2024
- Registry last updated
- Sep 15, 2025
OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.
View the official ClinicalTrials.gov record (opens in a new tab)This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.
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