Just-In-Time Adaptive Interventions for Diabetic Patients

NCT06466837 | Recruiting

• 1 other identifier: AWong
• Study Type: interventional
• Target: 184
• Locations: 1 country
• Sites: 1

Brief Summary

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.

Conditions

Diabetes; Self-Control; Telemedicine

Keywords

telecare; older adults; diabetes

Outcome Measures

Primary Outcomes (2)

• Change in HbA1c

  Measured using the A1C Now device, with blood drawn from the subjects' finger

  baseline, three-month, and six-month

• Diabetic self-management behaviour

  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

  baseline, three-month, and six-month

Secondary Outcomes (5)

• Change in quality of life

  baseline, three-month, and six-month

• Change in medication adherence

  baseline, three-month, and six-month

• Change in health service utilization

  baseline, three-month, and six-month

• Cost

  three-month, and six-month

• satisfaction with the JITAIs, as well as usability and technical problems

  three-month

Study Arms (2)

Just-in-time Intervention

EXPERIMENTAL

They will receive just-in-time intervention and 3 monthly nursing consultations.

Behavioral: Just-in-time intervention

Active Control

ACTIVE COMPARATOR

They will receive 6 bi-weekly nursing consultations.

Behavioral: Active control

Interventions

Just-in-time intervention BEHAVIORAL

The intervention group participants will receive just-in-time intervention from a developed app for healthy behavior reminder

Just-in-time Intervention

Active control BEHAVIORAL

The control group participants will receive six nursing consultations during the 3-month program period.

Active Control

Eligibility Criteria

• Age: 60 Years+
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• With a confirmed DM diagnosis for one year or more than one year
• Using governmental mhealth App
• Living in an area with Internet coverage

You may not qualify if:

• Already engaged in other mHealth programmes
• Physical and cognitive limitations

Sponsors & Collaborators

• The Hong Kong Polytechnic University: lead

Study Sites (1)

District Health Center

Hong Kong, Hong Kong

RECRUITING

MeSH Terms

Conditions

Diabetes Mellitus; Self-Control

Condition Hierarchy (Ancestors)

Glucose Metabolism Disorders; Metabolic Diseases; Nutritional and Metabolic Diseases; Endocrine System Diseases; Social Behavior; Behavior

Study Officials

• Arkers Wong, PhD

  The Hong Kong Polytechnic University

  PRINCIPAL INVESTIGATOR

• Arkers NR Wong

  The Hong Kong Polytechnic University

  PRINCIPAL INVESTIGATOR

Central Study Contacts

Arkers Wong, PhD

CONTACT

852 3400 3805; arkers.wong@polyu.edu.hk

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: SINGLE
• Who Masked: OUTCOMES ASSESSOR
• Masking Details: The research assistant, who will be responsible for data collection, will be masked for the group allocation during the whole process.
• Purpose: HEALTH SERVICES RESEARCH
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Associate Professor

Model Details: Single-blinded, two-armed, randomized controlled trial.

Study Record Dates

• First Submitted: June 14, 2024
• First Posted: June 20, 2024
• Study Start: September 1, 2024
• Primary Completion: February 1, 2026
• Study Completion: March 1, 2026
• Last Updated: September 15, 2025

Record last verified: 2025-09

Locations

HK (1)