App-based Diabetes Management and Community-based Interventions

Singapore General Hospital150 enrolled

Overview

Community-based health coaching interventions play a vital role in complementing the traditional chronic disease management model for type 2 diabetes patients. Compared to conventional approaches that often focus on periodic clinical visits, community-based coaching could provide continuous, personalised support within patients in everyday environments. Health coaches work directly with patients to set realistic goals, develop individualised action plans, and provide ongoing motivation and accountability. This personalised attention helps to improve self-management skills, such as medication adherence, dietary choices, and physical activity, which are crucial for chronic disease management and preventing complications. Our mobile health app, EMPOWER+ has multiple logging features, gamified elements to help users set goals and provide rewards, educational resources, and personalised nudges generated based on real users; inputs and predictive modeling. It has demonstrated some preliminary effectiveness and acceptability within the clinical settings. This trial aims to assess its effectiveness, adoption, and sustainability in the less-controlled community settings, preparing for its large implementation in the future.

Study Type

INTERVENTIONAL

Allocation

Purpose

HEALTH_SERVICES_RESEARCH

Masking

NONE

Enrollment

150

Conditions

Diabetes Mellitus Type 2

App-based diabetes management and community-based health coachingBEHAVIORAL

All participants will use the EMPOWER+ app and a Fitbit wearable. They will also received community-based health coaching and/or other prescribed structured programmes.

Eligibility

Sex: ALLMin age: 21 Years

Medical Language ↔ Plain English

Inclusion Criteria: * Aged 21 years and above * Having been diagnosed with type 2 diabetes mellitus * Having most recent HbA1c ≥ 6.5% * Physically able to exercise * Able to read, write, and converse in English * Able to comply with study procedures Exclusion Criteria: * Requiring assistance with basic activities of daily living (BADL) * Have planned major operation or surgical procedure within 6 months from the time of recruitment * Current pregnant or lactating

Locations (2)

Singapore General Hospital

Singapore, Singapore

NOT_YET_RECRUITING

Singapore General Hospital

Singapore, Singapore

RECRUITING

Outcomes

Primary Outcomes

HbA1c

HbA1c over 6 months

Time frame: 6 months

Secondary Outcomes

Physical activity as measured by number of steps

Physical activity over 6 months

Time frame: 6 months

Physical activity as measured by moderate to vigorous active minutes

Physical activity over 6 months

Time frame: 6 months

Physical activity as measured by GPAQ

Time frame: 6 months

Patient activation score as measured by patient activation measure

Difference in patient activation score between intervention and control over 6 months

Time frame: 6 months

Medication adherence as measured by MARS-5

Difference in medication adherence between intervention and control over 6 months

Time frame: 6 months

Quality of life as measured by EQ-5D-5L

Difference in quality of life between intervention and control over 6 months

Time frame: 6 months

Healthcare cost as measured by cost of consultations, lab tests, medications, admission

Healthcare cost over 6 months

Time frame: 6 months

Healthcare cost as measured by WPAI

Healthcare cost over 6 months

Time frame: 6 months

Maintenance of the intervention effects on HbA1c

HbA1c over 6 months after the 6-month intervention

Time frame: 6 months

Maintenance of the intervention effects on blood pressure

Blood pressure over 6 months after the 6-month intervention

Time frame: 6 months

Maintenance of the intervention effects on total cholesterol

Total cholesterol over 6 months after the 6-month intervention

Time frame: 6 months

Maintenance of the intervention effects on high-density lipoprotein (HDL)

HDL over 6 months after the 6-month intervention

Time frame: 6 months

Maintenance of the intervention effects on low-density lipoprotein (LDL)

LDL over 6 months after the 6-month intervention

Time frame: 6 months

Maintenance of the intervention effects on triglycerides

Triglycerides over 6 months after the 6-month intervention

Time frame: 6 months

Central Contacts

Research coordinators

CONTACT

6562223222 empower@singhealth.com.sg

Data from ClinicalTrials.gov

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