Virtual SMAs in Lifestyle Approach for Type 2 Diabetes
Virtual Shared Medical Appointments (SMAs) in Lifestyle Approach for Type 2 Diabetes: Protocol of a Randomized Pragmatic Trial
1 other identifier
interventional
112
1 country
1
Brief Summary
This study protocol presents the design of a randomized pragmatic trial. This study aims to determine the effectiveness of virtual shared medical appointments (SMAs) lifestyle approach in improving glycaemic control, compared to usual care in type 2 diabetes (T2D) subjects.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P50-P75 for not_applicable
Started Dec 2023
1 active site
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
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Study Timeline
Key milestones and dates
First Submitted
Initial submission to the registry
February 14, 2022
CompletedFirst Posted
Study publicly available on registry
March 15, 2022
CompletedStudy Start
First participant enrolled
December 1, 2023
CompletedPrimary Completion
Last participant's last visit for primary outcome
June 1, 2024
CompletedStudy Completion
Last participant's last visit for all outcomes
December 1, 2024
CompletedOctober 19, 2023
February 1, 2023
6 months
February 14, 2022
October 18, 2023
Conditions
Outcome Measures
Primary Outcomes (1)
Change in glycaemic management, to be assessed by blood analysis
Difference between the intervention and control group in the change of serum glycated hemoglobin A1c (HbA1c) concentrations from baseline to the end of follow-up.
12 months
Secondary Outcomes (9)
Change in weight, to be assessed by weight balance
12 months
Change in waist circumference, to be assessed by measuring tape
12 months
Change in systolic and diastolic blood pressure, to be assessed by sphygmomanometer
12 months
Change in fasting plasma triglycerides concentrations, to be assessed by blood analysis
12 months
Change in fasting plasma low density lipoprotein (LDL) concentrations, to be assessed by blood analysis
12 months
- +4 more secondary outcomes
Study Arms (2)
Intervention arm
EXPERIMENTALParticipants will receive virtual SMAs and usual care. Virtual SMAs will last 90 minutes, every 3 weeks, in 18 weeks through an online platform, at no cost to participants beyond the use of the device and the internet.
Control arm
NO INTERVENTIONParticipants will be at usual care and follow their usual contact with health services.
Interventions
18 weeks lifestyle approach for type 2 diabetes program: Session 1 (week 0): Introduction; Session 2 (week 3): Behaviour change process; Session 3 (week 6): Medical nutrition therapy recommendations - Part 1; Session 4 (week 9): Medical nutrition therapy recommendations - Part 2; Session 5 (week 12): Medical physical Activity recommendations; Session 6 (week 15): Smoking cessation: tobacco and E-cigarettes; Session 7 (week 18): Diabetes distress.
Eligibility Criteria
You may qualify if:
- (1) be 18 years old or older
- (2) have a diagnosis of T2D with HbA1c ≥ 6.5% within the preceding 6 months
- (3) have body mass index (BMI) ≥ 25.0 kg/m2 within the preceding 6 months
- (4) have access to a camera and internet
You may not qualify if:
- unable to attend virtual SMAs for diagnosis of dementia or other cognitive impairment and any behavioral problem, which interferes with group participation and discussion
- not fluent in Portuguese, and unable to follow conversations, read instructions, and read in Portuguese
- being pregnant or planning a pregnancy in the next year
- attending a weight loss and/or physical activity counseling program
Contact the study team to confirm eligibility.
Sponsors & Collaborators
- Universidade do Portolead
- Unidade de Saúde Familiar Homem do Lemecollaborator
- Health4All Primary Healthcare Research Networkcollaborator
Study Sites (1)
Unidade de Saúde Familiar Homem do Leme
Porto, 4150-502, Portugal
MeSH Terms
Conditions
Condition Hierarchy (Ancestors)
Study Officials
- PRINCIPAL INVESTIGATOR
Rosalia Pascoa, MD, PhDc
Universidade do Porto
Central Study Contacts
Study Design
- Study Type
- interventional
- Phase
- not applicable
- Allocation
- RANDOMIZED
- Masking
- DOUBLE
- Who Masked
- INVESTIGATOR, OUTCOMES ASSESSOR
- Purpose
- TREATMENT
- Intervention Model
- PARALLEL
- Sponsor Type
- OTHER
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
February 14, 2022
First Posted
March 15, 2022
Study Start
December 1, 2023
Primary Completion
June 1, 2024
Study Completion
December 1, 2024
Last Updated
October 19, 2023
Record last verified: 2023-02
Data Sharing
- IPD Sharing
- Will not share