Connecting Smartphones With Electronic Health Record to Facilitate Behavioral Goal Monitoring in Diabetes Care

The University of Texas System (UT)

Status and phase: Completed; Early Phase 1

Conditions: Obesity; Diabetes Mellitus, Type 2

Treatments: Behavioral: Mobile and connected health

Study type: Interventional

Funder types: Other

Identifiers

NCT02664233

HSC-SN-14-1027 (Other Identifier)

Details and patient eligibility

About

In order to facilitate the evidence-based goal setting and self-monitoring intervention into the diabetes education practice, the investigator proposes to use Chronicle Diabetes, an electronic system provided available to the American Diabetes Association diabetes education programs, to set patient diet and physical activity goals, and connect patient self-monitoring information collected from smart phones and fitness trackers to Chronicle Diabetes system to facilitate educators' monitoring of patient adherence to their goals.

Full description

Specific Aim 1: To develop and test an interface with Chronicle Diabetes to transfer smartphone collected self-monitoring diet and physical activity information from patients to diabetes educators.

Specific Aim 2: To 2a) conduct usability testing and 2b) examine efficacy of this connected interface technology in a 3-month randomized clinical trial in 60 overweight or obese patients with type 2 diabetes in Houston, Texas and Pittsburgh, Pennsylvania.

Enrollment: 60 patients

Sex: All

Ages: 18+ years old

Volunteers: No Healthy Volunteers

Inclusion criteria

1. Diagnosed with type 2 diabetes
2. Overweight or obese with an BMI > 25
3. Able to read and write English
4. Own a smart phone that is Jawbone compatible

Exclusion criteria

1. Currently undergoing current treatment for a severe psychiatric disorder.

Trial design

Primary purpose: Supportive Care

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: None (Open label)

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60 participants in 2 patient groups

Connected group

Experimental group

Description:

Patients will use a smart phone and a fitness tracker for self-monitoring of diet and physical activity for 3 months; 3) Smart phones will provide feedback with graphical presentation of self-monitored information to patients; 4) Patient self-monitored information will be integrated into Chronicle Diabetes, so that educators will be able to view this information and give feedback in a follow-up visit.

Treatment:

Behavioral: Mobile and connected health

Usual diabetes education and care

No Intervention group

Description:

Participants will receive standard diabetes education and care; each of the recruiting clinics offers diabetes self-management education programs.