ClinicalTrials.gg
Status unknownNCT02575599DiaWebUpdated Jun 2, 2017

Web-based Guided Self-Determination Intervention for Adults With Type 2 Diabetes in General Practice

An interventional study of Guided self-determination programme (GSD) in Type 2 Diabetes, sponsored by University of Stavanger. Status unknown. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2017-06-02.

Sponsored by University of Stavanger · Not applicable, Interventional, and Supportive care

The sponsor has not verified this record recently (last verified Nov 2016), so the status shown — last known as Not yet recruiting — may be out of date.
Phase
Not applicable
Study type
Interventional
Enrollment
172
Allocation
Non-randomized
Ages
18 Years and older
Sex
All
01

Study summary

The overall aim of this study is to assess the effectiveness of a web-based Guided Self-Determination program among adults with type 2 diabetes in general practice in order to improve diabetes self-management behaviours and HbA1c through enhanced patient activation, self-care competence, and autonomy.

Read the detailed description

Web-based self-management programs have the potential to support adults with type 2 diabetes in managing their disease condition. However, improving health care outcomes through self-management interventions have shown somewhat ambiguous results. Therefore, it is suggested that interventions should be theory-based and incorporate well-defined counselling methods and techniques for behavioural change. To meet these challenges, the overall aim of this study is to assess the effectiveness of a theory-driven web-based Guided Self-Determination intervention among adults with type 2 diabetes in general practice in order to enable adults with diabetes to use their individual resources to self-manage their condition and reach treatment goals.

A complex intervention design based on the framework of UK Medical Research Council is employed as a guide for developing and evaluating the intervention.

This study consists of three phases:

  1. the modelling phase adapting the original Guided Self-Determination program to adults with type 2 diabetes, using a qualitative design
  2. feasibility assessment of the adapted intervention on the web, employing qualitative and quantitative methods and
  3. evaluating the effectiveness of the intervention on diabetes self-management behaviours and HbA1c, using a quasi-experimental design.

The two first phases will provide important information about the development of the intervention and its acceptability, whereas the third phase will assess the effect on health care outcomes of this systematically developed intervention.

02

Conditions studied

  • Type 2 Diabetes

Keywords

  • Self-management
  • web-based
  • quantitative approach
03

In context

Diabetes Mellitus, Type 2

10,371 studies on the registry are indexed under Diabetes Mellitus, Type 2; 1,406 are open to participants now.

This study's planned enrollment of 172 is above the median of 80 across 8,350 interventional studies indexed under Diabetes Mellitus, Type 2.

Browse Diabetes Mellitus, Type 2 studies →

Lead sponsor

University of Stavanger is the lead sponsor of 7 studies on the registry; 2 are open to participants now.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
18 Years and older
Sexes eligible
All
Accepts healthy volunteers
No

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  • Type 2 diabetes of duration ≥ 3 months
  • Ability to communicate in Norwegian
  • Access to the internet and bank ID

Exclusion criteria

Exclusion Criteria:

  • Patients with cognitive impairment
  • Patients with severe co-morbidity
05

Study design

Phase
Not applicable
Primary purpose
Supportive care
Allocation
Non-randomized
Intervention model
Parallel assignment
Masking
None (open label)
Enrollment
172 participants (estimated)

Study arms

  • Active comparator
    Lifestyle counselling

    Intervention group: Eighty six adults with type 2 diabetes will be recruited from the general practices where the trained nurses in Guided self-determination programme are working.

    Behavioral: Guided self-determination programme (GSD)

  • No intervention
    Regular consultation

    Control group: Eighty six adults with type 2 diabetes will be recruited from general practices with employed registered nurses without the Guided self-determination training.

Interventions

  • BehavioralGuided self-determination programme (GSD)

    The GSD intervention consist of four e-consultations with structured reflection sheets. Reflection sheets are intended to increase patients' ability to express their views and prepare them for active participation in the care process. Through the web-based platform, the subsequent four e-consultations will allow for communication between patients and nurses. The platform allows the participants to fill in the reflection sheets using their own words and drawings to express their own experiences with self-management as well as to formulate behavioral goals and plans to achieve their goals. It also permits feedback from the nurses on these reflections sheets via secure emails. Each person will be able to access the web-based program from his or her own computers or other electronic devices.

06

What researchers measure

Primary outcomes

  1. The Patient Activation Measure (PAM)

    Time frame: Assessing change between three time points: Change from baseline at 12-16 weeks, and change from 12- 16 weeks at 6 months

Secondary outcomes

  1. The Health Care Climate Questionnaire (HCCQ)

    Time frame: Assessing change between three time points: Change from baseline at 12- 16 weeks, and change from 12- 16 weeks at 6 months

  2. Perceived Competence for Diabetes Scale (PCDS)

    Time frame: Assessing change between three time points: Change from baseline at 12- 16 weeks, and change from 12- 16 weeks at 6 months

  3. Treatment Self-Regulation (TSRQ)

    Time frame: At three time points: at baseline, 12-16 weeks later at the end of the intervention and six months after finishing the intervention.

  4. Diabetes Management Self-efficacy Scale (SE-type 2 diabetes)

    Time frame: Assessing change between three time points: Change from baseline at 12-16 weeks, and change from 12-16 weeks at 6 months

  5. Summary of diabetes self-care activities (SDSCA)

    Time frame: Assessing change between three time points: Change from baseline at 12-16 weeks, and change from 12-16 weeks at 6 months

  6. The WHO 5-item Well-Being Index (WHO-5)

    Time frame: Assessing change between three time points: Change from baseline at 12-16 weeks, and change from 12-16 weeks at 6 months

  7. Diabetes Distress Scale (DDS)

    Time frame: Assessing change between three time points: Change from baseline at 12-16 weeks, and change from 12- 16 weeks at 6 months

  8. Glycosylated haemoglobin (HbA1c)

    Time frame: Assessing change between three time points: Change from baseline at 12-16 weeks, and change from 12-16 weeks at 6 months

07

Study locations

No study locations are listed for this record.

08

References and documents

Publications

  • Karlsen B, Oftedal B, Stangeland Lie S, Rokne B, Peyrot M, Zoffmann V, Graue M. Assessment of a web-based Guided Self-Determination intervention for adults with type 2 diabetes in general practice: a study protocol. BMJ Open. 2016 Dec 13;6(12):e013026. doi: 10.1136/bmjopen-2016-013026. PubMed 27965253 ↗
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Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reachedSimilar studies: half by the dot; the band is the middle halfHalf of similar studies reached it by the dot; the band is the middle half, from a quarter to three quarters

Start is estimated for Sep 2018; primary completion for Sep 2019, 12 months later.

Of 2,066 non-industry interventional studies with no phase under Diabetes Mellitus, Type 2, half reached primary completion within 21 months of starting (the median), counting those still running; a quarter within 10 and three quarters within 40. This study's planned 12 months is below that.

Counting every sponsor, half of 2,243 studies reached it within 21 months; a quarter within 10 and three quarters within 39.

How these figures are worked out, and which studies are left out of them.

Registered
Oct 9, 2015
First posted
Oct 14, 2015
StartEst.
Sep 1, 2018
Primary completionEst.
Sep 1, 2019
CompletionEst.
Jan 1, 2020
Last update
Jun 2, 2017
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
No changes since tracking began. The registry record was last updated on Jun 2, 2017, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT02575599
Lead sponsor
University of Stavanger
Collaborators
Bergen University College
Responsible party
Sponsor
First posted
Oct 14, 2015
Start date
Sep 1, 2018 (estimated)
Primary completion
Sep 1, 2019 (estimated)
Completion
Jan 1, 2020 (estimated)
Last update
Jun 2, 2017

Study contacts

Bjørg Oftedal, Ph.D
Contact
bjorg.oftedal@uis.no
+47 51834163
Bjørg Karlsen, Professor
Contact
bjorg.karlsen@uis.no
+47 51834168
Marit Graue, Professor
study director · Bergen University College, Inndalsveien 28, 5063 Bergen, Norway

Oversight

Data monitoring committee
Yes
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is status unknown, as verified in Nov 2016. You cannot join it, but the record below documents what was studied.

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