Internet Diabetes Self-Management

This study has been completed.
Sponsor:
Information provided by:
Robert Wood Johnson Foundation
ClinicalTrials.gov Identifier:
NCT00372463
First received: September 6, 2006
Last updated: July 25, 2011
Last verified: July 2011
  Purpose

Diabetes is a growing health problem causing personal suffering, comorbid conditions, premature death, and high costs to the individual, the health care system and society. Many of these problems can be prevented or delayed by controlling the disease. This in turn requires daily self-management by patients.

We will evaluate an Internet based small group Diabetes Self-Management Program. This program will be adapted from the Chronic Disease Self-Management Program Online, already developed and currently being evaluated by the investigators. Participants with type 2 diabetes will be randomized to participate in the Internet Program or serve as controls continuing with usual care. Treatment subjects will participate in a structured 6 week interactive web-based online class with 20-24 other participants and 2 trained peer moderators.

If successful, this project will result in a new and effective means of reaching the CDC objective and more importantly in improving the quality of life and health status of people with diabetes while reducing health care utilization and thus costs.


Condition Intervention Phase
Type 2 Diabetes
Behavioral: 6-week Online Diabetes Self-Management Educational Program
Phase 2

Study Type: Interventional
Study Design: Allocation: Randomized
Endpoint Classification: Efficacy Study
Intervention Model: Factorial Assignment
Masking: Open Label
Official Title: Internet Diabetes Self-Management: A Randomized Trial

Resource links provided by NLM:


Further study details as provided by Robert Wood Johnson Foundation:

Primary Outcome Measures:
  • Health related-quality of life
  • Metabolic control (HbA1c)
  • Heath care utilization
  • Behaviors
  • Self-efficacy

Estimated Enrollment: 700
Study Start Date: February 2006
Study Completion Date: December 2007
Detailed Description:

Diabetes is a growing health problem causing personal suffering, comorbid conditions, premature death, and high costs to the individual, the health care system and society. Many of these problems can be prevented or delayed by controlling the disease. This in turn requires daily self-management by patients.

The CDC has recognized the importance of self-management by setting a 2010 objective of having 60% of diabetics receive diabetes education. Unfortunately, many people cannot receive such education because it is not available or they do not wish to or cannot participate in small group or one on one education.

The Internet may offer a viable alternative. We will evaluate an Internet based small group Diabetes Self-Management Program. This program will be adapted from the Chronic Disease Self-Management Program Online, already developed and currently being evaluated by the investigators. Participants with type 2 diabetes will be randomized to participate in the Internet Program or serve as controls continuing with usual care. Treatment subjects will participate in a structured 6 week interactive web-based online class with 20-24 other participants and 2 trained peer moderators.

Data will be collected online at baseline, 6 months and 1 year. Outcome measures include health related quality of life (fatigue, physical discomfort, the symptoms of hypoglycemia and hyperglycemia, activity limitations, health distress, and self-rated health), metabolic control (hemoglobin A1c), health care utilization (decreases in outpatient visits to physicians, increases in the percentage of participants having received an eye examination in the past year, increases in the number of times a health professional has examined participants' feet, and decreases in emergency department visits, hospitalizations, and hospital days), health behaviors (aerobic exercise, communication with physicians, diet, glucose self-monitoring, and self-examination of the feet), and self-efficacy to manage diabetes.

If successful, this project will result in a new and effective means of reaching the CDC objective and more importantly in improving the quality of life and health status of people with diabetes while reducing health care utilization and thus costs.

  Eligibility

Ages Eligible for Study:   18 Years and older
Genders Eligible for Study:   Both
Accepts Healthy Volunteers:   No
Criteria

Inclusion Criteria:

  • Type 2 diabetes
  • Live in the United States
  • Access to internet and an email account

Exclusion Criteria:

  • Under 18 years of age
  • Pregnant
  • Treatment for cancer in past 12 months
  • Have taken any Stanford self-management program previously
  Contacts and Locations
Please refer to this study by its ClinicalTrials.gov identifier: NCT00372463

Locations
United States, California
Stanford Patient Education Research Center
Palo Alto, California, United States, 94304
Sponsors and Collaborators
Robert Wood Johnson Foundation
Investigators
Principal Investigator: Kate Lorig, DrPH Stanford University
Study Director: Diana Laurent, MPH Stanford University
  More Information

Additional Information:
No publications provided by Robert Wood Johnson Foundation

Additional publications automatically indexed to this study by ClinicalTrials.gov Identifier (NCT Number):
ClinicalTrials.gov Identifier: NCT00372463     History of Changes
Other Study ID Numbers: 49148
Study First Received: September 6, 2006
Last Updated: July 25, 2011
Health Authority: United States: Institutional Review Board

Keywords provided by Robert Wood Johnson Foundation:
diabetes
type 2 diabetes
type II diabetes
diabetes mellitus
diabetes type 2
diabetes type II
diabetes education
patient education
workshop
class
education
online
on-line
internet
web

Additional relevant MeSH terms:
Diabetes Mellitus
Diabetes Mellitus, Type 2
Glucose Metabolism Disorders
Metabolic Diseases
Endocrine System Diseases

ClinicalTrials.gov processed this record on April 17, 2014