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治験 NCT06308549 (MyREMEDY)(対象:1型糖尿病、糖尿病ストレス)は実施中/登録終了です。詳細は治験レーダーのタイル表示と AI 発見ツールで確認するか、ここで質問してください。 | ||
フィルター基準に一致する試験が1件見つかりました
タイル表示
MyDiaMate For Remission Of Diabetes Distress In Type 1 Diabetes (MyREMEDY) 660
治験(臨床試験)の詳細は主に英語で提供されていますが、治験レーダーAIがサポートします!「治験解説」をクリックして、選択した言語で試験情報を表示し、議論してください。
治験番号 NCT06308549 (MyREMEDY) は 介入研究 臨床試験 で、1型糖尿病、糖尿病ストレス に関するものです。現在は 実施中/登録終了 で、2024年4月3日 から開始しています。660 名の参加者 の募集が計画されています。この試験は Maartje de Wit によって主導され、2026年1月1日 に完了予定です。ClinicalTrials.gov からの最新更新日は 2025年9月22日 です。
概要
In the MyREMEDY study the investigators research whether the MyDiaMate self-help application is effective in strengthening the mental health of adults with type 1 diabetes in comparison with care as usual. The MyREMEDY study takes place in four countries: The Netherlands, United Kingdom, Spain, and Germany.
詳細説明
Rationale: Type 1 diabetes is a disease that asks constant attention, self-care activities and responsibility from the diagnosed person for the duration of their entire life. Because of this constant burden, many people with type 1 diabetes experience mental health problems such as fatigue, excessive worrying about their blood glucose (especially about dangerously low blood glucose), or eating problems. However, most...もっと見る
公式タイトル
MyDiaMate For Remission Of Diabetes Distress In Type 1 Diabetes (MyREMEDY): A Multi-National Randomised-Controlled Trial
疾患名
1型糖尿病糖尿病ストレス刊行物
この臨床試験について発表された科学記事と研究論文:その他の研究識別子
- MyREMEDY
- 2023.0714
NCT番号
開始日
2024-04-03
最終更新日
2025-09-22
終了予定日
2026-01
目標参加者数
660
試験の種類
介入研究
治験の相・段階
該当なし
状況
実施中/登録終了
キーワード
Type 1 Diabetes
Diabetes Distress
Self-help
e-health
Diabetes Distress
Self-help
e-health
主目的
支持療法
割付方法
無作為化
介入モデル
並行割当
盲検化
なし(非盲検)
群(アーム)/介入
| 参加グループ/群 | 介入/治療法 |
|---|---|
実験的Intervention 2/3 of participants will be randomised into this arm. They will receive access to MyDiaMate in the language of their participation country for 6 months. | MyDiaMate MyDiaMate programme |
非介入Care As Usual 1/3 of participants will be randomised into this arm. They will receive Care As Usual, so no intervention, for 3 months. After 3 months, they receive access to MyDiaMate, if so wished. | 該当なし |
主要評価項目
副次評価項目
| 評価指標 | 指標の説明 | 時間枠 |
|---|---|---|
Diabetes Distress | Diabetes Distress will be assessed through the 20-item Problem Areas In Diabetes questionnaire (=PAID-20). The Problem Areas In Diabetes questionnaire measures diabetes distress on a 5-point Likert scale ranging from 1 (Not a problem) to 5 (Serious Problem). A higher score represents higher diabetes distress. | Diabetes Distress will be assessed at 0 months (baseline), 3 months (intervention effects), and after 6 months (follow-up). |
| 評価指標 | 指標の説明 | 時間枠 |
|---|---|---|
Emotional well-being | Emotional well-being will be operationalised as the score on the 5-item World Health Organization Well-Being Index (=WHO-5). The score on the WHO-5 is measured on a 6-point scale ranging from 0 (At no time) to 5 (All of the time) with a lower score representing less emotional well-being. | Emotional well-being will be assessed at 0 months (baseline), 3 months (intervention effects), and 6 months (follow-up). |
Psychological self-efficacy in relation to diabetes | Operationalised through the Short form of the Diabetes Empowerment Scale (=DES-SF). Psychological self-efficacy in relation to diabetes is assessed on a 5-point scale ranging from 0 (Strongly disagree) to 4 (Strongly agree), with higher scores representing higher psychological self-efficacy in relation to diabetes. | Psychological self-efficacy in relation to diabetes will be assessed at 0 months (baseline), 3 months (intervention effects), and 6 months (follow-up). |
Social Engagement | Social Engagement will be assessed through the 6-item Lubben Social Network Scale (LSNS-6). The Lubben Social Network Scale measures Social Engagement on a 6-point scale ranging from 0 (None) to 5 (Nine or more). A higher score represents higher social engagement. | Social Engagement will be measured at 0 months (baseline), 3 months (intervention effects), and 6 months (follow-up) |
Fatigue | Fatigue will be assessed through the 8-item Fatigue subscale of the Checklist Individual Strength (=CIS-F). The Fatigue subscale of the Checklist Individual Strength consists of both positively and negatively framed items that are measured on a 7-point scale ranging from 1 (No, that is not true) to 7 (Yes, that is true). The positively framed items (e.g., I feel fit) will be reverse coded. A higher score will therefore represent stronger fatigue. | Fatigue will be measured at 0 months (baseline), 3 months (intervention effects), and 6 months (follow-up) |
HbA1c | Participants will self-report various outcome measures typical for assesseing glycaemic control in type 1 diabetes. One of these measures is the self-reported Haemoglobine A1c (=HbA1c) value. HbA1c will be measured on different scales, depending on clinical norms of the participating country. This will either be in percentage or mmol/mol. There is no formal minimum or maximum value of HbA1c, although realistically values will be in between 5 and 12 when measured in percentage, or 30 and 100 when measured in mmol/mol. For both scales, a lower score represents better glycaemic control. For data analysis, all scores measured in percentage will be transformed to a HbA1c value measured in mmol/mol. | Glycaemic control measures, in this case Haemoglobine A1c, will be self-reported at 0 months (baseline), 3 months (intervention effect), and 6 months (follow-up) |
Time in/above/below range | Participants will self-report various outcome measures typical for assesseing glycaemic control in type 1 diabetes. One of these measures is the self-reported time in/above/below range. Participants can indicate their own personal target range for blood glucose values, and then indicate the percentage of time during which they were in, above, and below this personal range across the past 14 days. A higher percentage for time in range represents better glycaemic control. A lower percentage for time above range and time below range represents worse glycaemic control. | Glycaemic control measures, in this case time in/above/below range, will be self-reported at 0 months (baseline), 3 months (intervention effect), and 6 months (follow-up) |
Events of ketoacidosis/severe hypoglycaemia | Participants will self-report various outcome measures typical for assesseing glycaemic control in type 1 diabetes. One of these measures is the self-reported frequency of events of ketoacidosis and severe hypoglycaemia across the past 12 months when measured at baseline, and across the past 3 months when measured at the 3 and 6 months assessment, respectively. A higher self-reported frequency of events of ketoacidosis and/or severe hypoglycaemia represents worse glycaemic control. | Glycaemic control measures, in this case frequency of events of ketoacidosis and severe hypoglycaemia, will be self-reported at 0 months (baseline), 3 months (intervention effect), and 6 months (follow-up) |
参加アシスタント
適格基準
対象年齢
成人, 高齢者
試験の最低年齢
18 Years
対象性別
全て
- At least 18 years old at signing the informed consent form
- Type 1 diabetes diagnosis at least 6 months ago
- Having access to the internet and a smartphone/tablet/laptop'/computer for the entire time of study participation
- Experiencing diabetes distress (checked during a phone call between research assistant and participant. The condition is met if the participant has an average score of ≥2 on the 2-item Diabetes Distress Scale (DDS-2), representing clinically meaningful diabetes distress)
- Having been diagnosed with a psychiatric disorder in the past 6 months for which the person is under psychological/psychiatric treatment
- Suicidality
- Having started a treatment with psychotropic medication in the past 3 months
- Illiteracy
- Experience of cognitive problems that hamper using MyDiaMate or vision/auditory problems that are hindering in daily life
- Prior use of MyDiaMate (only applicable to participants in the Netherlands)
責任者
Maartje de Wit, 治験依頼者・主任研究者, Principal Investigator, Amsterdam UMC, location VUmc
連絡先情報がありません。
4 4カ国の場所
Baden-Wurttemberg
Forschungsinstitut Diabetes-Akademie Bad Mergentheim, Bad Mergentheim, Baden-Wurttemberg, 97980, Germany
North Holland
Amsterdam UMC, Amsterdam, North Holland, 1081HV, Netherlands
Spain
Universidad de Málaga, Málaga, Spain, 29071, Spain
United Kingdom
King's College London, London, United Kingdom, WC2R 2LS, United Kingdom