| Unique ID issued by UMIN | UMIN000056609 |
|---|---|
| Receipt number | R000064676 |
| Scientific Title | Evaluation of the Effectiveness of a Peer-Support Habit-Forming App Intervention on HbA1c Improvement in Patients with Type 2 diabetes mellitus |
| Date of disclosure of the study information | 2025/01/10 |
| Last modified on | 2026/09/17 16:24:58 |
Evaluation of the Effect of a Peer-Support App on HbA1c Improvement in Patients with Type 2 diabetes mellitus
Evaluation of the HbA1c Improvement Effect of a Peer-Support App
Evaluation of the Effectiveness of a Peer-Support Habit-Forming App Intervention on HbA1c Improvement in Patients with Type 2 diabetes mellitus
Evaluation of the HbA1c Improvement Effect of a Peer-Support App
| Japan |
Type 2 diabetes mellitus
| Endocrinology and Metabolism |
Others
NO
This study aims to evaluate the effect of a peer-support habit-forming app on HbA1c levels in patients with Type 2 diabetes mellitus, whose baseline HbA1c levels range from 7.0% to 8.4%. Patients will be randomly assigned to either the app usage group or the non-usage group. The intervention will be conducted over a period of 24 weeks, in addition to standard medical care and guidance provided by physicians.
Efficacy
Between-group comparison of changes in HbA1c levels from baseline to week 24 of the treatment period
Interventional
Parallel
Randomized
Individual
Open -no one is blinded
No treatment
2
Treatment
| Device,equipment |
The app usage group will share blood glucose management reports in teams of five and conduct measurements of body weight, blood pressure, and blood tests at 12 and 24 weeks.
The non-usage group will work on achieving their goals individually without sharing results. Measurements of body weight, blood pressure, and blood tests will be conducted at 12 and 24 weeks.
| 18 | years-old | <= |
| 74 | years-old | >= |
Male and Female
1.Aged 18 to 74 years
2.Patients with type 2 diabetes mellitus, HbA1c between 7.0% and 8.4%
3.Possess a smartphone capable of installing and operating the app
1.Difficulty communicating in Japanese
2.Unable to walk independently
3.Previously used this app
100
| 1st name | Kyoichiro |
| Middle name | |
| Last name | Tsuchiya |
University of Yamanashi Hospital
Department of Diabetes and Endocrinology
409-3898
1110 Shimokato, Chuo-shi, Yamanashi
055-273-3310
tsuchiyak@yamanashi.ac.jp
| 1st name | Nozomi |
| Middle name | |
| Last name | Harai |
University of Yamanashi Hospital
Department of Diabetes and Endocrinology
409-3898
1110 Shimokato, Chuo-shi, Yamanashi
0552733310
knozomi@yamanashi.ac.jp
University of Yamanashi Hospital
A10 Lab Inc.
Profit organization
Yamanashi Prefectural Central Hospital
Enzan Citizen Hospital
Ichikawa Medical Clinic
Kitamura Clinic
Nakazato Medical Clinic
National Hospital Organization Kofu National Hospital
Fuefuki Central Hospital
Chuo Internal Medicine Clinic
Fujiyoshida Municipal Hospital
University of Yamanashi
University of Yamanashi
055-273-1111
rec-med@yamanashi.ac.jp
NO
| 2025 | Year | 01 | Month | 10 | Day |
None.
Unpublished
None.
99
At 6 months, 45 of 53 participants in the app group and 44 of 46 in the control group completed the assessment. In the overall analysis, the change in HbA1c from baseline to 6 months did not differ significantly between the groups.
| 2026 | Year | 08 | Month | 27 | Day |
The study included 99 patients with type 2 diabetes, who were randomly assigned to the app group (n=53) and the control group (n=46). At baseline, the mean age was 53.4 years in the app group and 53.8 years in the control group, with males comprising 47.2% and 67.4%, respectively. The mean HbA1c was relatively well controlled at 7.58% in the app group and 7.44% in the control group, and the median diabetes duration was 130 months and 168 months, respectively. Participants were receiving treatment with antidiabetic medications, including insulin. The prevalence of microvascular complications in the app and control groups, respectively, was 26.4% and 32.6% for diabetic neuropathy, 22.6% and 34.8% for diabetic retinopathy, and 30.2% and 37.0% for diabetic nephropathy.
A total of 99 participants were enrolled and randomly assigned to the app group (n=53) or the control group (n=46), all of whom were included in the intention-to-treat (ITT) analysis. For the per-protocol set (PPS) analysis, 7 participants in the app group who never used the app were excluded, resulting in 46 participants in each group. During the study period, 8 participants (6 in the app group and 2 in the control group) withdrew due to personal reasons. Ultimately, 45 participants (84.9%) in the app group and 44 participants (95.7%) in the control group completed the 6-month assessment.
None.
Primary Outcome:Change in HbA1c from baseline to 6 months.
Secondary Outcomes:Changes in body weight. Changes in systolic and diastolic blood pressure. Changes in lipid parameters, including LDL cholesterol (LDL-C), HDL cholesterol (HDL-C), and triglycerides (TG). Changes in diabetes-related emotional distress measured by the Problem Areas in Diabetes (PAID). Changes in average daily step counts over the 3- to 6-month study period.
Completed
| 2023 | Year | 05 | Month | 01 | Day |
| 2023 | Year | 06 | Month | 02 | Day |
| 2023 | Year | 08 | Month | 01 | Day |
| 2025 | Year | 02 | Month | 28 | Day |
| 2024 | Year | 12 | Month | 31 | Day |
| 2026 | Year | 09 | Month | 17 | Day |
Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000064676