A Telenursing Program to Support Diabetes Self-Management

NCT07366775 | Active Not Recruiting DMC

• 1 other identifier: 2568-EXP092
• Study Type: interventional
• Target: 128
• Locations: 1 country
• Sites: 1

Brief Summary

This randomized controlled trial aims to develop and evaluate a telenursing-based Diabetes Self-Management Education and Support (DSMES) program with uncontrolled type 2 diabetes mellitus in Thailand. The program is designed to improve diabetes self-management through nurse-led education, behavioral support, and regular follow-up delivered via telecommunication technologies. Participants with type 2 diabetes and poor glycemic control will be randomly assigned to either an intervention group receiving a 12-week telenursing DSMES program or a control group receiving usual care. The intervention includes an initial in-person education session followed by structured video call follow-ups provided by nurse. The primary outcome of this study is the feasibility of implementing telenursing for DSMES in Thailand. Secondary outcomes include changes in glycemic control, body mass index, diabetes knowledge, self-care behaviors, coping behaviors, quality of life, healthcare costs, and frequency of acute care use. The findings from this study are expected to provide evidence to support the use of telenursing as an accessible and sustainable approach for diabetes self-management in the Thai healthcare context.

Conditions

Type 2 Diabetes Mellitus (T2DM)

Outcome Measures

Primary Outcomes (1)

• Feasibility of telenursing for diabetes self-management education and support (DSMES)

  Feasibility outcomes, including participation rate, completion rate, and adherence level, were analyzed using descriptive statistics under the per-protocol (PP) approach, which included only participants who completed all study assessments.

  at 12-week follow-up period after enrollment

Secondary Outcomes (9)

• Glycated hemoglobin (HbA1c) level

  From baseline to 12 weeks after enrollment

• Body Mass Index (BMI)

  From baseline to 12 weeks after enrollment

• Change from baseline in diabetes knowledge score measured by the Diabetes Knowledge Scale (DIAKS)

  From baseline to 6 weeks and 12 weeks after enrollment

• Self-care behavior

  From baseline to 6 weeks and 12 weeks after enrollment

• Positive coping behavior

  From baseline to 6 weeks and 12 weeks after enrollment

Study Arms (2)

Telenursing-Based DSMES Program

EXPERIMENTAL

Behavioral: Telenursing-Based Diabetes Self-Management Education and Support

Usual care

NO INTERVENTION

control group : receive usual care

Interventions

Telenursing-Based Diabetes Self-Management Education and Support BEHAVIORAL

This intervention is a nurse-led, telenursing-based Diabetes Self-Management Education and Support (DSMES) program delivered over a 12-week period. It includes an initial face-to-face diabetes education session followed by scheduled follow-up sessions conducted via video calls. The program focuses on improving diabetes self-management through education, behavioral support, goal setting, problem-solving, and ongoing monitoring tailored to individual patient needs.

Telenursing-Based DSMES Program

Eligibility Criteria

• Age: 20 Years+
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• People with T2DM
• Adults (age 20-64) and older adults (65 and above)
• Uncontrolled diabetes, as determined by physician based on the diagnostic criteria of HbA1C \> 7%
• Can read and write
• Own a smartphone
• Having internet connectivity
• Able to receive a video call or with assistance from a caregiver

You may not qualify if:

• Insulin-dependent patients
• Cognitive or mobility impairments , as assessed by the Thai Mental State Examination (TMSE). A TMSE score below 24 was considered indicative of cognitive impairment (The Nurse Association of Thailand, 2025).
• Requiring special nursing care, such as patients with severe diabetic complications or those who are bedridden.
• Previous extensive DSMES exposure

Sponsors & Collaborators

• Chiang Mai University: lead

Study Sites (1)

Nong Pa Khrang Municipal Hospital

Chiang Mai, Thailand

Location

MeSH Terms

Conditions

Diabetes Mellitus, Type 2

Interventions

Palliative Care

Condition Hierarchy (Ancestors)

Diabetes Mellitus; Glucose Metabolism Disorders; Metabolic Diseases; Nutritional and Metabolic Diseases; Endocrine System Diseases

Intervention Hierarchy (Ancestors)

Patient Care; Therapeutics; Health Services; Health Care Facilities Workforce and Services

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: SINGLE
• Who Masked: OUTCOMES ASSESSOR
• Purpose: TREATMENT
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Principal Investigator, Lecturer

Study Record Dates

• First Submitted: January 7, 2026
• First Posted: January 26, 2026
• Study Start: February 25, 2026
• Primary Completion (Estimated): May 27, 2026
• Study Completion (Estimated): May 27, 2026
• Last Updated: March 24, 2026

Record last verified: 2026-01

Locations

TH (1)