ClinicalTrials.gg
CompletedNCT04868851MOTIVATE-HfHUpdated Oct 2, 2024

MHealth Biometrics for Young People with Diabetes

An interventional study of Here for Health Only and mHealth technology assisted exercise counselling in Diabetes, sponsored by Liverpool John Moores University. Completed at 2 sites in United Kingdom. Open to participants aged 12 Years to 18 Years. Per ClinicalTrials.gov, last updated 2024-10-02.

Sponsored by Liverpool John Moores University · Not applicable, Interventional, and Supportive care

Phase
Not applicable
Study type
Interventional
Enrollment
18
Allocation
Randomized
Ages
12 Years to 18 Years
Sex
All
01

Study summary

The investigators aim to undertake a feasibility randomised controlled trial (RCT) to investigate whether mHealth technology, allowing biometric informed feedback and coaching on exercise and PA, can be effective in children with diabetes. The overall objective is to have an evidence-based exercise and PA intervention ready to evaluate in a future RCT.

Read the detailed description

Staff from the Children's Diabetes team at Oxford University Hospitals NHS Foundation Trust will identify patients during routine multidisciplinary team (MDT) clinics. 30 young people with diabetes will be recruited and randomly assigned to one of two groups (Active control n=15, Intervention n=15). Following baseline measures all patients will then complete the 12 week Here for Health (HfH) Healthy lifestyle programme designed by the Diabetes team at Oxford University Hospitals NHS Foundation Trust. Following the initial HfH intervention period assessments will be repeated (T2) before a second 12 week intervention period is completed. Active control patients will receive no further input. The intervention group will be provided with exercise counselling and to support this they will also be provide with a wristwatch that can monitor everyday activity and their heart rate, a smartphone app and access to a website. The intervention group will also participate in 5 consultations with an exercise specialist to plan their exercise programme and be updated on their progress towards physical activity targets. Weekly text message updates will also provide feedback to the intervention group with participants able to respond to these updates. Following the second intervention period assessments will be repeated for a final time (T3). Testing at baseline and following the 2 interventions will include changes in physical activity, blood pressure, glycaemia control, body composition and diet.

02

Conditions studied

  • Diabetes

Keywords

  • mobile health technology
  • physical activity
  • exercise
  • exercise prescription/ education
  • exercise adherence
03

In context

Diabetes Mellitus

11,090 studies on the registry are indexed under Diabetes Mellitus; 1,319 are open to participants now.

This study's enrollment of 18 is below the median of 80 across 8,491 interventional studies indexed under Diabetes Mellitus.

Browse Diabetes Mellitus studies →

Lead sponsor

Liverpool John Moores University is the lead sponsor of 74 studies on the registry; 12 are open to participants now.

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

04

Who can participate

Ages eligible
12 Years to 18 Years
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

  • Receiving input from the Here for Health Healthy Lifestyle Programme
  • Aged 12-18 years
  • Diagnosed with type 1 diabetes
  • Type 1 diabetes diagnosis more than 1 year ago
  • Hypoglycaemic aware or on a continuous glucose monitor (CGM) with alarms
  • Willing to attend additional education on managing blood glucose and exercise
  • Diagnosed with type 2 diabetes and on a stable metformin dose for 3-months or more
  • BMI centile > 91st
  • Access to internet-enabled device for video calling

Exclusion criteria

Exclusion Criteria:

  • Severe learning/behaviour difficulties
  • Severe autism
  • Unstable blood glucose levels
  • Glucose lowering medications other than metformin
  • Underlying medical conditions that contraindicate physical activity
05

Study design

Phase
Not applicable
Primary purpose
Supportive care
Allocation
Randomized
Intervention model
Parallel assignment
Masking
None (open label)
Enrollment
18 participants (actual)

Study arms

  • Active comparator
    Here for Health only

    Patients will complete the Here for Health Healthy Lifestyle intervention designed by the Paediatric Diabetes Dietitians at Oxford University Hospitals NHS Foundation Trust.

    Behavioral: Here for Health Only

  • Experimental
    mHealth technology assisted exercise counselling (mHealth)

    Patients will complete the Here for Health Healthy Lifestyle intervention before completing a 12 week mHealth technology assisted exercise counselling intervention. Participants will co-develop a 3-month structured exercise and PA programme, with support from an exercise specialist. All participants will have 5 exercise consultations with their exercise specialist. The intervention will be supported by 3 mHealth elements; 1) a wrist worn fitness watch, 2) a smartphone app for patients, and 3) a coaching website for the exercise specialist. The 3 elements will be synced, allowing data to be transferred between platforms.

    Behavioral: mHealth technology assisted exercise counselling

Interventions

  • BehavioralHere for Health Only

    Patients will complete the Here for Health Healthy Lifestyle intervention designed by the Paediatric Diabetes Dietitians at Oxford University Hospitals NHS Foundation Trust.

  • BehavioralmHealth technology assisted exercise counselling

    Patients will complete the Here for Health intervention before completing a 3 month exercise and physical activity intervention supported by mHealth technology

06

What researchers measure

Primary outcomes

  1. Eligibility Rate

    Determine the number of young people referred to the paediatric diabetes team that are eligible to participate

    Time frame: Through study completion, an average 32 weeks

  2. Recruitment rate

    The proportion of eligible patients who would be willing to take part in this trial

    Time frame: Through study completion, an average 32 weeks

  3. Drop out

    Determine the number of young people retained at study completion (i.e., participant drop-out).

    Time frame: Through study completion, an average 32 weeks

Secondary outcomes

  1. Device derived adherence to structured exercise (mHealth technology assisted exercise counselling, Only)

    Number of exercise sessions per week

    Time frame: Through study completion, an average 32 weeks

  2. Device derived duration of exercise (mHealth technology assisted exercise counselling, Only)

    minutes of exercise completed per session

    Time frame: Through study completion, an average 32 weeks

  3. Device derived intensity of structured exercise (mHealth technology assisted exercise counselling, Only)

    intensity of exercise sessions performed (% of HR max)

    Time frame: Through study completion, an average 32 weeks

  4. Device derived physical activity (GENEActiv)

    Minutes of low, moderate and vigorous physical activity

    Time frame: Baseline, the final 2 weeks of intervention period 1 (weeks 10-12), and the final 2 weeks of intervention period 2 (weeks 22-24)

  5. Survey reported exercise behaviour (Godin Leisure Time Exercise Questionnaire (GLTEQ))

    Bouts of mild, moderate and strenuous exercise lasting ≥30 minutes

    Time frame: Baseline, 4, 8 12,16, 20, 24 weeks

  6. Height

    Height (m)

    Time frame: Baseline and immediately following intervention 1 (12 weeks) and 2 (24 weeks)

  7. Weight

    Weight (kg)

    Time frame: Baseline and immediately following intervention 1 (12 weeks) and 2 (24 weeks)

  8. Body composition

    bioimpedence (fat mass and lean mass)

    Time frame: Baseline and immediately following intervention 1 (12 weeks) and 2 (24 weeks)

  9. Concentration of Hba1c

    Hba1c

    Time frame: Baseline and immediately following intervention 1 (12 weeks) and 2 (24 weeks)

  10. Blood Lipid concentrations

    Total cholesterol, HDL/LDL, Triglycerides

    Time frame: Baseline and immediately following intervention 1 (12 weeks) and 2 (24 weeks)

  11. Glycaemic control

    Flash glucose monitoring

    Time frame: Baseline, immediately following intervention period 1 (12 weeks) and the final 2 weeks of intervention period 2 (weeks 22-24))

  12. Insulin dose

    Insulin dose log

    Time frame: Baseline, immediately following intervention period 1 (12 weeks) and the final 2 weeks of intervention period 2 (weeks 22-24))

  13. Diet

    Patients will be asked to complete The UK Diabetes and Diet Questionnaire (UKDDQ)

    Time frame: Baseline and immediately following intervention 1 (12 weeks) and 2 (24 weeks)

  14. Patient survey on intervention acceptability (mHealth technology assisted exercise counselling)

    Study specific questionnaire

    Time frame: immediately following intervention 2 (24 weeks)

  15. Parent survey on intervention acceptability (mHealth technology assisted exercise counselling)

    Study specific questionnaire

    Time frame: immediately following intervention 2 (24 weeks)

  16. Patient survey on intervention acceptability (Here for Health)

    Study specific questionnaire

    Time frame: immediately following intervention 1 (12 weeks)

  17. Parent survey on intervention acceptability (Here for Health)

    Study specific questionnaire

    Time frame: immediately following intervention 1 (12 weeks)

07

Study locations

2 sites
  • Liverpool John Moores University
    Liverpool, L33AF, United Kingdom
  • Oxford University Hospitals NHS Foundation Trust
    Oxford, OX3 9DU, United Kingdom
08

References and documents

Individual participant data

Plan to share: No — No plan to share

No publications or documents are linked to this record.

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 Sep 2021 to primary completion in Jul 2024, 34 months.

Of 2,196 non-industry interventional studies with no phase under Diabetes Mellitus, half reached primary completion within 21 months of starting (the median), counting those still running; a quarter within 10 and three quarters within 38. This study's 34 months is above that.

Counting every sponsor, half of 2,388 studies reached it within 20 months; a quarter within 9 and three quarters within 37.

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

Registered
Apr 22, 2021
First posted
May 3, 2021
StartActual
Sep 1, 2021
Primary completionActual
Jul 31, 2024
CompletionActual
Jul 31, 2024
Last update
Oct 2, 2024
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 Oct 2, 2024, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT04868851
Lead sponsor
Liverpool John Moores University
Collaborators
Oxford University Hospitals NHS Trust
Responsible party
Sponsor
First posted
May 3, 2021
Start date
Sep 1, 2021
Primary completion
Jul 31, 2024
Completion
Jul 31, 2024
Last update
Oct 2, 2024

Study contacts

Matthew Cocks, PhD
principal investigator · Liverpool John Moore University

Oversight

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

Not currently enrolling

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

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