Effect of Mobile Phone Telemedicine on Diabetes Care
Type 1 or type 2 diabetes mellitus subjects who know how to operate and own an iPhone, are between the age of 19 to 75, and are on a basal/bolus insulin regimen will be included in the study. Subjects will be randomized to two groups - iPhone versus standard of care and seen in our clinic at an initial/baseline and three month clinical visit. The control group will e-mail, fax, or call their blood glucose log results once a month for an insulin regimen adjustment through verbal communication with a certified diabetic educator once a month as is already implemented at the Diabetes Center. This group will be compared to the intervention group who will submit their blood glucose log results through an iPhone mobile application, called Diabetes Doctor, once a month for an insulin regimen adjustment by a physician with a text message response. The two groups will have their HbA1c, hypoglycemic events, blood glucose dispersion compliance, quality of life, usability and satisfaction with the use of a mobile application will be assessed at each visit with surveys.
|Study Design:||Intervention Model: Single Group Assignment
Masking: Open Label
Primary Purpose: Supportive Care
|Official Title:||Effect of Mobile Phone Telemedicine on Diabetes Care|
- Evidence for improved diabetic care with mobile phone application use [ Time Frame: Six months ] [ Designated as safety issue: No ]Satisfaction and usability will be evaluated with a survey for those subjects who used the mobile phone application at the 3 and 6 months period. The contents of the satisfaction and usability survey include questions addressing the degree of the subjects understanding of operating the mobile application and their ability to comprehend the providers insulin adjustment recommendations. Other questions in the survey assess the degree of the subjects agreement to the insulin adjustment recommendations, how efficiently the subject received a response from their provider, adherence to the mobile application, their assessment of the mobile applications usefulness, their attention given to diabetes and to the mobile application recommendations.
- Improved quality of life [ Time Frame: Six months ] [ Designated as safety issue: No ]Quality of life will be measured by comparing the control group with the intervention group using a validated 15 question Diabetes Quality of Life survey at the three and six month interval of the study.
- Improved blood glucose control [ Time Frame: Six months ] [ Designated as safety issue: No ]Parameters of improved blood glucose control to be assessed will be defined by improved HbA1c, less frequent hypoglycemic events, and decreased blood glucose dispersion.
|Study Start Date:||December 2012|
|Estimated Study Completion Date:||June 2013|
|Estimated Primary Completion Date:||June 2013 (Final data collection date for primary outcome measure)|
Experimental: Mobile application use
The intervention group will be instructed to submit their blood glucose logs once a month with the use of a mobile application, Diabetes Doctor, to the provider who will make insulin regimen changes. All subjects will be evaluated once at initial, 3 month, and 6 month visits. They will receive HbA1c on each visit. After the initial 3 months have been completed a 15 question Diabetes Quality of Life survey will be completed by all patients from both groups. A Usability and Satisfaction of Diabetes Doctor survey will be given to those patients who used the mobile application. At the 3 month interval the control group will be given the opportunity to use the mobile application if desired. The study group will be given the opportunity to continue or discontinue the use of the mobile application. At the 6 month interval the Usability and Satisfaction of Diabetic Doctor survey and 15 question Diabetes Quality of Life survey will be administered to evaluate all mobile application users.
Device: Diabetes Doctor
Diabetes Doctor is a mobile application software. The mobile phone application allows a subject to register blood glucose values obtained from their fingerstick glucose meter readings, the type and amount of insulin they are administering, any notes they would like to document, and the date and time of each entry. All data will be entered by the subject manually. The data will be submitted through encryption coded private servers and can be retrievable by a physician on a password protected website for privacy. A physician will evaluate this information to recommend a change of the subject's insulin regimen. The recommended insulin regimen will be delivered to the patient using the same website and received by the subject on the same mobile application software.
Please refer to this study by its ClinicalTrials.gov identifier: NCT01698008
|Contact: Jay Patel, M.D.||402-559-9013|
|United States, Nebraska|
|The University of Nebraska Medical Center||Not yet recruiting|
|Omaha, Nebraska, United States, 68198|
|Contact: Jay R. Patel, M.B.B.S. 402-559-9013 firstname.lastname@example.org|
|Sub-Investigator: Jay R. Patel, M.B.B.S.|
|Principal Investigator:||Whitney S Goldner, M.D.||University of Nebraska|