ClinicalTrials.gg
CompletedNCT04607915Updated Feb 10, 2023

Technology-enabled Collaborative Care for Diabetes Management During COVID-19

An interventional study of Intervention for TECC Model in Type 2 Diabetes, sponsored by Centre for Addiction and Mental Health. Completed at 1 site in Canada. Open to participants aged 18 Years and older, including healthy volunteers. Per ClinicalTrials.gov, last updated 2023-02-10.

Sponsored by Centre for Addiction and Mental Health · Not applicable, Interventional, and Supportive care

Phase
Not applicable
Study type
Interventional
Enrollment
31
Allocation
Not applicable
Ages
18 Years and older
Sex
All
01

Study summary

The overall goal of this research program is to evaluate the effectiveness of a Technology-Enabled Collaborative Care program. In this study, we examine the feasibility of such a program, called the Technology-Enabled Collaborative Care (TECC) for type 2 diabetes designed to support patients with diabetes and mental health concerns during COVID-19.

Read the detailed description

There is growing concern regarding the impact of COVID-19 and social isolation on mental health and wellbeing, particularly adults living with type 2 diabetes (T2DM), who are at greater risk for mental health issues than the general population. Self-management education and support for healthy eating, physical activity, glucose monitoring, medication adherence and problem solving are vital components of diabetes care. Due to social distancing and limited care and resources, that are likely to persist in the post pandemic phase other innovative service models should be developed and adopted to improve service delivery. The overall goal of this research program is to evaluate the effectiveness of a Technology-Enabled Collaborative Care program. In this study, we examine the feasibility of such a program, called the Technology-Enabled Collaborative Care (TECC) for T2DM designed to support patients with diabetes and mental health concerns during COVID-19.

02

Conditions studied

  • Type 2 Diabetes
03

In context

Diabetes Mellitus, Type 2

9,589 studies on the registry are indexed under Diabetes Mellitus, Type 2; 1,332 are open to participants now.

This study's enrollment of 31 is below the median of 81 across 7,713 interventional studies indexed under Diabetes Mellitus, Type 2.

Browse Diabetes Mellitus, Type 2 studies →

Lead sponsor

Centre for Addiction and Mental Health is the lead sponsor of 339 studies on the registry; 51 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
Yes

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

  • Age: 18 years and older
  • Clinician diagnosis of Type 2 diabetes for at least one year
  • A1C level of 7.5% or higher within the last 6 months (benchmark is 7%)
  • Access to telephone or internet through computer or mobile
  • Experiencing some distress, score of ** on Perceived Stress Scale

Exclusion criteria

Exclusion Criteria:

  • Unable to provide consent
  • Unable to understand English
  • Pregnant or planning to get pregnant during the course of the study
05

Study design

Phase
Not applicable
Primary purpose
Supportive care
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrollment
31 participants (actual)

Study arms

  • Experimental
    Intervention for TECC Model

    Behavioral: Intervention for TECC Model

Interventions

  • BehavioralIntervention for TECC Model

    The Care Coordinator (CC) will provide brief coaching sessions (15 to 20 minutes) to each participant once per week for 8 weeks. Participants can identify topics for discussion and the CC and participant can decide if a video session via WebEx is required versus a phone call. Also, participants will be given peer support and will be indirectly monitored by a virtual care team of experts.

06

What researchers measure

Primary outcomes

  1. Feasibility - Recruitment Numbers

    The primary outcome in this study is feasibility, specifically process outcomes. This includes assessing recruitment number

    Time frame: Through the study completion, an average of 4 months

  2. Feasibility - Participant characteristics

    The primary outcome in this study is feasibility, specifically process outcomes. This includes participant characteristics

    Time frame: up to 8-weeks

  3. Feasibility - Participant Engagement (retention rate)

    The primary outcome in this study is feasibility, specifically process outcomes. This includes participant retention rate (e.g., defined by time between first and last visit)

    Time frame: up to 8-weeks

  4. Feasibility - Participant Engagement (intensity)

    The primary outcome in this study is feasibility, specifically process outcomes. This includes intensity (e.g., number of session participants attend)

    Time frame: up to 8-weeks

  5. Feasibility - Participant Engagement (drop out)

    The primary outcome in this study is feasibility, specifically process outcomes. This includes drop out (consented/enrolled but did not attend first one-on-one)

    Time frame: up to 8-weeks

  6. Feasibility - Delivery of Intervention (Time with coach)

    The primary outcome in this study is feasibility, specifically process outcomes. This includes the amount of time a coach spends per interaction

    Time frame: up to 8-weeks

  7. Feasibility - Delivery of Intervention (Mode of interaction)

    The primary outcome in this study is feasibility, specifically process outcomes. This includes the mode of the interaction (i.e., virtual, telephone or both)

    Time frame: up to 12-weeks

  8. Feasibility - Delivery of Intervention (Coach strategies)

    The primary outcome in this study is feasibility, specifically process outcomes. This includes what strategies are used by the coach (i.e., educational, psychosocial support, behaviour modifications, or case management/monitoring)

    Time frame: up to 12-weeks

Secondary outcomes

  1. Study Participant experience and satisfaction via semi-structured interview

    The secondary outcome consists of study participant experience/satisfaction.

    Time frame: up to 8-weeks

  2. Care Coordinator experience and satisfaction via semi-structured interview

    The secondary outcome consists of Care Coordinator experience and satisfaction.

    Time frame: up to 8-weeks

  3. Virtual Care Team experience and satisfaction via semi-structured interview

    The secondary outcome consists of Virtual Care Team experience and satisfaction.

    Time frame: up to 8-weeks

Other outcomes

  1. Exploratory Outcome - Health Behaviour metrics (physical activity)

    The exploratory outcomes will include Health Behaviour metrics via International Physical Activity Questionnaire). Individual scores per question, the higher the score means the higher the level of physical activity.

    Time frame: up to 4-weeks

  2. Exploratory Outcome - Health Behaviour metrics (diet)

    The exploratory outcomes will include Health Behaviour metrics (via Mediterranean Diet Adherence Screener Modified (MEDAS modified)

    Time frame: up to 4-weeks

  3. Exploratory Outcome - Health Behaviour metrics (confidence/importance to change behaviour)

    The exploratory outcomes will include Health Behaviour metrics (via readiness to change ruler (smoking, alcohol, nutrition, physical activity). Minimum score: 0; maximum score: 10; higher score represented a better outcome.

    Time frame: up to 12-weeks

  4. Exploratory Outcome - Substance Use (GAINS-SS)

    The exploratory outcomes will include substance use (via GAINS-SS (Global Appraisal of Individual Needs- Short Screener). Minimum score: 0; maximum score: 20; higher score represented a worse outcome.

    Time frame: up to 12-weeks

  5. Exploratory Outcome - Substance Use (alcohol)

    The exploratory outcomes will include substance use (Alcohol Use Disorders Identification Test (AUDIT); Minimum score: 0; maximum score: 40; higher score represented a worse outcome.

    Time frame: up to 12-weeks

  6. Exploratory Outcome - Substance Use

    The exploratory outcomes will include substance use (via heaviness of smoking index - 2 items out of Fagerstrom test for nicotine dependence (FTND)); Minimum score: 0; maximum score: 6; higher score represented a worse outcome.

    Time frame: up to 12-weeks

  7. Exploratory Outcome - Mental Health (depression)

    The exploratory outcomes will include Mental Health measures (via Patient Health Questionnaire (PHQ-9)). Minimum score: 0; maximum score: 27; higher score represented a worse outcome.

    Time frame: up to 12-weeks

  8. Exploratory Outcome - Mental Health (Anxiety)

    The exploratory outcomes will include Mental Health measures via Generalized Anxiety Disorder-7 (GAD-7). Minimum score: 0; maximum score: 21; higher score represented a worse outcome.

    Time frame: up to 12-weeks

  9. Exploratory Outcome - Mental Health (Diabetes awareness/insight)

    The exploratory outcomes will include Mental Health measures via Diabetes awareness and insight scale. Minimum score: 0; maximum score: 10; higher score represented a better outcome.

    Time frame: up to 12-weeks

  10. Exploratory Outcome - Mental Health (Diabetes Distress)

    The exploratory outcomes will include Mental Health measures via Diabetes Distress Scale. Minimum score: 0; maximum score: 6; higher score represented a worse outcome.

    Time frame: up to 12-weeks

  11. Exploratory Outcome - Mental Health (Stress)

    The exploratory outcomes will include Mental Health measures via perceived stress scale (PSS). Minimum score: 0; maximum score: 40; higher score represented a worse outcome (i.e., higher perceived stress).

    Time frame: up to 12-weeks

  12. Exploratory Outcome - Quality of Life

    The exploratory outcomes will include quality of life (via European Quality of Life - 5 Dimensions scale - EQ5D). Minimum score: 0; maximum score: 100; higher score represented a better outcome.

    Time frame: up to 12-weeks

  13. Exploratory Outcome - Quality of Life

    The exploratory outcomes will include quality of life (via Verona satisfaction scale). Minimum score: 0; higher score represented a better outcome.

    Time frame: up to 12-weeks

  14. Exploratory Outcome - Waist circumference

    self-report

    Time frame: up to 12-weeks

  15. Exploratory Outcome - BMI (height/weight)

    self-report

    Time frame: up to 12-weeks

  16. Exploratory Outcome - Blood pressure

    self-report

    Time frame: up to 12-weeks

  17. Exploratory Outcome - Current medication

    list

    Time frame: up to 12-weeks

  18. Exploratory Outcome - Blood work

    Hemoglobin A1C levels

    Time frame: up to 12-weeks

  19. Exploratory Outcome - Pain

    Brief Pain Inventory-sf. Minimum score: 0; maximum score: 10; higher score represented a worse outcome (i.e., more pain).

    Time frame: up to 12-weeks

  20. Exploratory Outcome - Diabetes duration

    months

    Time frame: up to 12-weeks

  21. Exploratory Outcome - Diabetes self-management

    Diabetes Self-Management and Technology Questionnaire (DSMT-Q); Minimum score: 0; maximum score: 48; higher score represented a worse outcome.

    Time frame: up to 12-weeks

07

Study locations

1 site
  • CAMH
    Toronto, Ontario M6J1H4, Canada
08

References and documents

Publications

  • Vojtila L, Sherifali D, Dragonetti R, Ashfaq I, Veldhuizen S, Naeem F, Agarwal SM, Melamed OC, Crawford A, Gerretsen P, Hahn M, Hill S, Kidd S, Mulsant B, Serhal E, Tackaberry-Giddens L, Whitmore C, Marttila J, Tang F, Ramdass S, Lourido G, Sockalingam S, Selby P. Technology-Enabled Collaborative Care for Concurrent Diabetes and Distress Management During the COVID-19 Pandemic: Protocol for a Mixed Methods Feasibility Study. JMIR Res Protoc. 2023 Jan 17;12:e39724. doi: 10.2196/39724. PubMed 36649068 ↗
09

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

Ran from May 2021 to primary completion in Jun 2022, 13 months.

Of 1,924 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 39. This study's 13 months is below that.

Counting every sponsor, half of 2,101 studies reached it within 20 months; a quarter within 10 and three quarters within 38.

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

Registered
Jul 30, 2020
First posted
Oct 29, 2020
StartActual
May 4, 2021
Primary completionActual
Jun 30, 2022
CompletionActual
Jun 30, 2022
Last update
Feb 10, 2023
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 Feb 10, 2023, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT04607915
Responsible party
Peter Selby (Clinician Scientist, Centre for Addiction and Mental Health) — Principal investigator
First posted
Oct 29, 2020
Start date
May 4, 2021
Primary completion
Jun 30, 2022
Completion
Jun 30, 2022
Last update
Feb 10, 2023

Study contacts

Peter Selby
principal investigator · CAMH
Diana Sherifali
principal investigator · McMaster University
Farooq Naeem
principal investigator · CAMH

Oversight

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

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This study is completed, as verified in Feb 2023. You cannot join it, but the record below documents what was studied.

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