NCT07149610 Connected Care for Type 2 Diabetes Self-Management
| NCT ID | NCT07149610 |
| Status | Recruiting |
| Phase | — |
| Sponsor | Marche Region Regional Health Agency |
| Condition | Diabetes Type 2 |
| Study Type | INTERVENTIONAL |
| Enrollment | 388 participants |
| Start Date | 2025-10-13 |
| Primary Completion | 2026-11-30 |
Eligibility & Interventions
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What to Expect as a Participant
You will actively receive the study intervention — which may be a drug, biologic, device, or procedure.
This trial targets 388 participants in total. It began in 2025-10-13 with a primary completion date of 2026-11-30.
⚠ This information is for research awareness only. Always consult your physician before joining any clinical trial. Participation is voluntary and you may withdraw at any time.
Brief Summary
The primary objective of this Randomized Clinical Trial is to improve the self-management (SM) competencies of patients affected by Type 2 Diabetes Mellitus (T2DM) living in the Marche region (Italy) through the support of a mobile health (m-health) solution personalised by the diabetologist and integrated with the Electronic Patient Record (EPR), assessed through the change in glycated haemoglobin (HbA1c) levels (%) from baseline to the end of the intervention (primary outcome). Researchers will compare the use of the m-health solution (treated group) to usual T2DM care (control group) in determining change in HbA1c levels (%). The intervention will start at the Diabetic Centres (CADs) where patients are currently followed up and will then take place in each participant's home Participants of the treated group will: * receive dedicated training on the use of the m-health solution * receive the personalization of the m-health solution * use the m-health solution to: 1) track and view the data related to their health status (e.g., glycaemic status, lifestyle habits, diet) and treatment plane; 2) receive alerts and motivational messages; communicate with the Health Care Professionals (HCPs) of the Diabetic Centre (CAD) in case of need; 3) access to the educational material and to the technical assistance, when needed. HCPs will be able to monitor the patients' data and clinical parameters and to communicate with the patients. After a baseline evaluation (T0), three follow-up evaluations will be conducted at 6, 12 and 18 months (T1-T2-T3 respectively) , during the usual physician' visits, as part of clinical routine. The evaluation phases (T0, T1, T2, T3) will be conducted through data derived from: 1) self-administered and paper-based questionnaires, validated in the Italian language; 2) the clinical assessment of patients; 3) the m-health solution, as data automatically derived from the m-health solution; 4) a focus group carried out in a subsample of participants. Data regarding different health-related areas (T2DM severity; medication adherence; lifestyle habits; self-efficacy related to management of the disease; quality of life), usability of the m-health solution, participants' experience with the intervention, utilization of the m-health solution by the patients, and the cost-effectiveness of the intervention, will be evaluated. Patients participating in the study will not be required to make any additional visits or undergo any laboratory analysis beyond those specified in their therapeutic plan.
Eligibility Criteria
Inclusion Criteria: * patients with T2DM (as confirmed by the physician's diagnosis); * belonging to one of the 13 Diabetes Centres (CADs) of the Marche region in Italy (Pesaro, Urbino, Fano, Senigallia, Jesi, Fabriano, IRCCS-INRCA, Azienda Ospedaliera Universitaria delle Marche, Civitanova Marche, Macerata, Fermo, San Benedetto del Tronto e Ascoli Piceno); * age \> = 18; * resident in the Marche region; * HbA1c \> 7 on most recent laboratory report within the last 3 months; * no changes in diabetes medication in the previous 6 months; * no prescription for any hypoglycaemic agent within the previous 4 weeks or taking a consistent dose of one or more oral hypoglycaemic agents for more than 12 weeks; * owning smartphone/mobile phone with an internet connection; * capable to consent; * fulfilling and signing the informed consent; * with self-reported competencies of communicating verbally in local language (corresponding to a level of Italian language knowledge =\>A2 of the CEFR levels). Exclusion Criteria: * acute medical problems: myocardial infarction or stroke within 6 months, difficulty in exercise and physical activity due to spinal disease (intervertebral disc prolapse, spinal stenosis, etc.), joint disease, or major surgery at the time of screening, painful arthritis, spinal stenosis, amputation, painful foot lesions or neuropathy limiting balance and mobility, advanced Parkinson's disease and/or neuromuscular disorders, advanced dementia, metastatic cancer, in long-term immunosuppressant therapy, significant visual or hearing impairment, uncontrolled hypertension or other serious conditions that restrict their participation in the study, severe/major depression and other relevant psychiatric disorders; * estimated glomerular filtration rate \< 30 mL/min/1.73 m2; * plan to receive surgery that could limit physical activity during the study period; * pregnant or breastfeeding; * participation in another studies; * lack of written informed consent.
Contact & Investigator
Frequently Asked Questions
Who can join the NCT07149610 clinical trial?
This trial is open to participants of all sexes, aged 18 Years or older, studying Diabetes Type 2. Full inclusion and exclusion criteria are listed in the Eligibility Criteria section. Always confirm your eligibility with the research team before applying.
Is NCT07149610 currently recruiting?
Yes, NCT07149610 is actively recruiting participants. Contact the research team at roberta.papa@regione.marche.it for enrollment information.
Where is the NCT07149610 trial being conducted?
This trial is being conducted at Ancona, Italy, Ancona, Italy, Fabriano, Italy, Iesi, Italy and 9 additional locations.
Who is sponsoring the NCT07149610 clinical trial?
NCT07149610 is sponsored by Marche Region Regional Health Agency. The trial plans to enroll 388 participants.
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