NCT01373489

Brief Summary

The purpose of this study is to help low income patients achieve and maintain better self-management skills and improve blood sugar levels, using a 2-in-1 blood glucose and blood pressure monitoring system and nurse case management. Patients must be served at a Federally Qualified Health Center (FQHC) in coastal South Carolina.

Trial Health

87
On Track

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Enrollment
113

participants targeted

Target at P50-P75 for not_applicable diabetes

Timeline
Completed

Started Jul 2011

Longer than P75 for not_applicable diabetes

Geographic Reach
1 country

1 active site

Status
completed

Health score is calculated from publicly available data and should be used for screening purposes only.

Trial Relationships

Click on a node to explore related trials.

Study Timeline

Key milestones and dates

First Submitted

Initial submission to the registry

June 13, 2011

Completed
2 days until next milestone

First Posted

Study publicly available on registry

June 15, 2011

Completed
16 days until next milestone

Study Start

First participant enrolled

July 1, 2011

Completed
4.9 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

June 1, 2016

Completed
Same day until next milestone

Study Completion

Last participant's last visit for all outcomes

June 1, 2016

Completed
2.2 years until next milestone

Results Posted

Study results publicly available

August 17, 2018

Completed
Last Updated

July 12, 2024

Status Verified

July 1, 2024

Enrollment Period

4.9 years

First QC Date

June 13, 2011

Results QC Date

June 12, 2018

Last Update Submit

July 10, 2024

Conditions

Keywords

type 2 diabetesnurse case managementtelemedicine

Outcome Measures

Primary Outcomes (1)

  • Hemoglobin A1c (HbA1c) at 6 Months Post Randomization

    Hemoglobin A1c (HbA1c) was measured at 6 months post randomization

    6 months post randomization

Study Arms (2)

Usual Care

NO INTERVENTION

The usual care group received the current standards of care at the study clinics.

Technology Assisted Case Management

EXPERIMENTAL

The TACM group used the FORA 2-in-1 Telehealth system for diabetes management intervention to link a case manager to patients with poorly controlled type 2 diabetes in real time.

Behavioral: Technology-Assisted Case Management

Interventions

The TACM intervention uses the FORA 2-in-1 Telehealth System for diabetes to link a case manager to poorly controlled diabetics in real time. Patients will be assigned the FORA 2-in-1 Telehealth System and provided glucose test strips to allow testing at least once a day. They will be asked to perform glucose testing and blood pressure measurement using the FORA system once daily. They will be asked to upload the measurements daily as soon as possible after the test is performed. The nurse case manager will have access to a secure server to which the uploaded measurements are stored in real time. Medications are titrated under supervision of a primary care and endocrinology physicians

Technology Assisted Case Management

Eligibility Criteria

Age18 Years - 120 Years
Sexall
Healthy VolunteersNo
Age GroupsAdult (18-64), Older Adult (65+)

You may qualify if:

  • Age ≥18 years and receiving care within the Franklin C. Fetter Family Health Center
  • Clinical diagnosis of T2DM and HbA1c ≥8% at the screening visit
  • Subject must be willing to use the FORA 2-in-1 system
  • Subject must have a working land-line for the duration of the study in order to be able to upload the readings from the FORA 2-in-1 machine
  • Subjects must be able to communicate in English

You may not qualify if:

  • Mental confusion on interview suggesting significant dementia
  • Participation in other diabetes clinical trials
  • Alcohol or drug abuse/dependency using a screening questionnaire
  • Active psychosis or acute mental disorder
  • Life expectancy \<6 months
  • Pregnant and/or lactating females

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (1)

Franklin C. Fetter Family Health Center, Inc.

Charleston, South Carolina, 29403, United States

Location

Related Publications (2)

  • Egede LE, Strom JL, Fernandes J, Knapp RG, Rojugbokan A. Effectiveness of technology-assisted case management in low income adults with type 2 diabetes (TACM-DM): study protocol for a randomized controlled trial. Trials. 2011 Oct 20;12:231. doi: 10.1186/1745-6215-12-231.

    PMID: 22014122BACKGROUND
  • Egede LE, Williams JS, Voronca DC, Knapp RG, Fernandes JK. Randomized Controlled Trial of Technology-Assisted Case Management in Low Income Adults with Type 2 Diabetes. Diabetes Technol Ther. 2017 Aug;19(8):476-482. doi: 10.1089/dia.2017.0006. Epub 2017 Jun 5.

Related Links

MeSH Terms

Conditions

Diabetes MellitusDiabetes Mellitus, Type 2

Condition Hierarchy (Ancestors)

Glucose Metabolism DisordersMetabolic DiseasesNutritional and Metabolic DiseasesEndocrine System Diseases

Results Point of Contact

Title
Jennifer Campbell
Organization
Medical College of Wisconsin

Study Officials

  • Leonard E Egede, MD, MS

    Medical College of Wisconsin

    PRINCIPAL INVESTIGATOR

Publication Agreements

PI is Sponsor Employee
No
Restrictive Agreement
No

Study Design

Study Type
interventional
Phase
not applicable
Allocation
RANDOMIZED
Masking
QUADRUPLE
Who Masked
PARTICIPANT, CARE PROVIDER, INVESTIGATOR, OUTCOMES ASSESSOR
Purpose
TREATMENT
Intervention Model
PARALLEL
Sponsor Type
OTHER
Responsible Party
PRINCIPAL INVESTIGATOR
PI Title
Professor & Chair, Department of Medicine

Study Record Dates

First Submitted

June 13, 2011

First Posted

June 15, 2011

Study Start

July 1, 2011

Primary Completion

June 1, 2016

Study Completion

June 1, 2016

Last Updated

July 12, 2024

Results First Posted

August 17, 2018

Record last verified: 2024-07

Data Sharing

IPD Sharing
Will not share

Locations