治験レーダーAI | ||
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治験 NCT07371546(対象:前糖尿病)は募集中です。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。 | ||
Continuous Glucose Monitoring (CGM) in Prediabetes 76 無作為化 医療機器 生活習慣 食事療法
Continuous Glucose Monitoring (CGM) in Prediabetes: A Mixed-Methods Study Exploring Behavioural Impact, Patient Experiences and Provider Perspectives
- 2025-0022-APP1
Continuous glucose monitoring
Behavioural change
Pre-diabetes
| 参加グループ/群 | 介入/治療法 |
|---|---|
実薬対照薬Intervention Participants in the intervention arm will wear the Abbott Freestyle Libre system for 2 weeks, in addition to usual care. | 持続血糖モニタリング Participants will also receive the Abbott Freestyle Libre system, which is a sensor-based flash glucose monitoring system that has been approved by the U.S. Food and Drug Administration for personal use by patients since September 2017 (Office of the Commissioner, 2020). Participants will also receive device-specific education and be taught how they can use CGM data to identify foods or physical activities more likel...もっと見る |
非介入Control | 該当なし |
| 評価指標 | 指標の説明 | 時間枠 |
|---|---|---|
Dietary intake | 37-item Diet Screener (DS) The DS was designed and validated in a multi-ethnic population locally aged 18-79 years to assess intakes of selected food groups that could represent overall dietary patterns. The screener covers intakes of whole grains, soya protein, fruit, vegetables, oily fish and dairy fat and demonstrates reasonably good validity and reproducibility relative to the more accepted but longer 163-item Food Frequency Questionnaire. It is therefore easier to administer during the study with minimal participant burden. | 0 weeks, 2-6 weeks, 24-28 weeks |
Physical activity using International Physical Activity Questionnaire Short Form | a validated 7-item instrument that measures an individual's physical activity in the last 7 days; measures metabolic equivalent of task (MET)-minutes per week. Participants are asked to report the days and time they spent in the last 7 days in 4 categories: vigorous activity (heavy lifting, aerobics, fast bicycling), moderate activity (light lifting, moderate bicycling), walking, and sitting (watching TV, reading). The total physical activity was calculated as the sum of the vigorous, moderate, and walking categories in metabolic equivalent minutes per week (MET-min per week scores). Questions on sitting are related to sedentariness and are scored separately. MET minutes represent the amount of energy expended carrying out physical activity. One MET is what the participants expend when they rest. To get a continuous variable score it is considered walking to be 3.3 METS, moderate physical activity to be 4 METS and vigorous physical activity to be 8 METS. Higher score, better outcome. | 0 weeks, 2-6 weeks, 24-28 weeks |
Body weight | Weight in kilograms | 0 week, 24-28 weeks |
Height | Height in meters | 0 week, 24-28 weeks |
Body Mass Index | Weight and Height will be combined to report Body Mass Index in kg/m\^2 | 0 week, 24-28 weeks |
Waist circumference | Waist circumference in centimeters: Waist circumference is measured at the midpoint between the lower margin of the last palpable rib and the top of the iliac crest with a measuring tape. The mean value of two waist circumference measurements is used. Both measurements are repeated if there is a difference of more than 1 cm. | 0 week, 24-28 weeks |
| 評価指標 | 指標の説明 | 時間枠 |
|---|---|---|
Participant recruitment numbers | Number of participants recruited for the control and intervention arm. The study targets to recruit 76 participants over a 6-month recruitment period. | 6 months recruitment period |
Drop-out rate | Number of participants that dropped out of the study. Drop-out rate is calculated based on the proportion of enrolled participants who do not complete the intervention/1-month follow-up/6-month follow-up. The study targets for a drop-out rate of \< 20%. | 18 months study duration |
Adherence rate to the sensor | Intervention group participants usage of CGM over the two-week period. Statistics on sensor adherence will be obtained from the Abbott Freestyle Libre system and is determined as \>70% CGM use in the 2 weeks it is worn (≥10 readings over 2 weeks). | 2-6 weeks |
Exploring views on the facilitators and barriers of behavioral change with CGM | In-depth interviews with the intervention group participants | 24-28 weeks, to allow up to 36 weeks |
Views and experiences of using CGM with the Abbott Freestyle Libre system | In-depth interviews with the intervention group participants | 24-28 weeks, to allow up to 36 weeks |
Views and experiences on the study protocol | In-depth interviews with the intervention group participants | 24-28 weeks, to allow up to 36 weeks |
Experiences with managing adults with prediabetes | Interviews with HCP participants till point of data saturation | Baseline, up to 60 minutes |
Knowledge and experience with CGM | Interviews with HCP participants till point of data saturation | Baseline, up to 60 minutes |
Views on using CGM in adults with prediabetes | Interviews with HCP participants till point of data saturation | Baseline, up to 60 minutes |
Facilitators and barriers to offering CGM as part of prediabetes management to their patients | Interviews with HCP participants till point of data saturation | Baseline, up to 60 minutes |
Singaporean Citizen or Permanent Resident
Age 21 - 69 years old
Clinical diagnosis of prediabetes defined as a fasting glucose of 6.1-6.9 mmol/L and/or 2-hour glucose level of 7.8-11.0 mmol/L after an oral glucose tolerance test (Appropriate Care Guide, 2021)
a. Can be conservatively managed, or medically managed with metformin
Owns a mobile phone that can download the Singapore FreeStyle LibreLink App
Expressed willingness to use participate in the study, use the devices according to the study protocol during the study period, and to sign informed consent.
- Pregnant or planned pregnancy within the next six months
- Physical limitation that prevents the patient from engaging in physical exercise
- Cognitively impaired based on diagnosis of dementia or mild cognitive impairment (MCI) in the electronic health records (EHR)
- Not adequately proficient in English
- Currently enrolled in another study or program that involves weight loss or dietary modifications, or novel therapeutic drug or device
- Planned surgery in the next six months
- Not able to use smartphone or the Singapore FreeStyle LibreLink App despite coaching
- Any end-stage disease with life prognosis of < 2 years
- Patients who are not willing or are not able to commit to the entire study program
Healthcare Providers (HCP) Participants HCPs from Pasir Ris Polyclinic who self-reported to have treated adults with prediabetes will be enrolled for the interviews.