Type 1 Diabetes Virtual Self-management Education and Support
NCT05756829 · Status: RECRUITING · Phase: NA · Type: INTERVENTIONAL · Enrollment: 580
Last updated 2026-04-21
Summary
OVERVIEW: People living with type 1 diabetes (T1D) are expected to fit self-management and regular clinical consultations into busy lives. T1D self-management programs that offer frequent contact with care teams are most effective in helping patients achieve optimal glycemic control. However, this is difficult to deliver in the context of current T1D care which involves time-consuming in-person visits during working hours. The proposed study will test a virtual health care intervention to deliver "high frequency, low touch" care aimed at improving metabolic control, while reducing the burden on individuals and their healthcare teams.
STUDY DESIGN: A pragmatic multicenter, open-label, randomized trial to evaluate the short-term effectiveness of a multifaceted virtual health care intervention in improving glycemic control in individuals with T1D. Planned recruitment is 580 participants from 10 specialized T1D centres in Ontario.
INTERVENTION: Our intervention will include 1) frequent, brief virtual visits between patients with T1D and certified diabetes educators (conducted in real time using a secure telemedicine video interface accessible from any PC, tablet or smart phone) combined with automatic appointment reminders, and 2) a centralized web-based platform to provide educational classes, tools, and resources for diabetes self-management. Virtual visits will be an adjunct to routine in-clinic visits for blood pressure monitoring, foot checks, and surveillance for other complications of diabetes. This approach aims to enable patients to receive more education and support than is feasible in traditional health care models, and in a way that is more seamless (i.e. results in fewer disruptions to their daily life) and tailored to their individual needs based on their stage in life.
Conditions
- type1diabetes
Interventions
- OTHER
-
High frequency, low touch virtual health care
Virtual visits between certified diabetes educators and patients occurring every 2 +/- 1 weeks for a total of 6 months
Sponsors & Collaborators
-
Unity Health Toronto
lead OTHER
Principal Investigators
-
Gillian Booth, MD · Unity Health Toronto
Study Design
- Allocation
- RANDOMIZED
- Purpose
- SUPPORTIVE_CARE
- Masking
- NONE
- Model
- PARALLEL
Eligibility
- Min Age
- 18 Years
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2023-05-10
- Primary Completion
- 2026-12-31
- Completion
- 2027-03-31
Countries
- Canada
Study Locations
More Related Trials
-
Building and Sustaining Exercise Habits for Adults With Type 1 Diabetes
NCT06967701 ·Status: RECRUITING ·Phase: NA
-
Technology-Enabled Collaborative Care for Young Adults With Type 1 Diabetes and Diabetes Distress: A Feasibility Trial
NCT06804694 ·Status: RECRUITING ·Phase: NA
-
Breaking Down Barriers to Diabetes Self-Care
NCT00142922 ·Status: COMPLETED ·Phase: NA
-
Research on Optimizing the Use of Technology With Education
NCT05564481 ·Status: ACTIVE_NOT_RECRUITING ·Phase: NA
-
Telemedicine for Reach, Education, Access, and Treatment for Diabetes Self-Management Education and Support
NCT06626347 ·Status: ACTIVE_NOT_RECRUITING ·Phase: NA
-
Adolescent Self-Management of Type 1 Diabetes: an Intervention (Completed)
NCT00848705 ·Status: COMPLETED ·Phase: EARLY_PHASE1
-
Self Efficacy Levels, Attachment Style and Resiliency of Youth With Type 1 Diabetes
NCT04172077 ·Status: COMPLETED
-
Incentives for Internet-based Adherence to SMBG for Teens With T1D
NCT02638246 ·Status: COMPLETED ·Phase: NA
-
Technology to Improve the Health of Resource-poor Hispanics With Diabetes
NCT03394456 ·Status: COMPLETED ·Phase: NA
-
Assessing Effectiveness of a Diabetes Navigator in Increasing Progression of Advanced Diabetes Technologies
NCT06229236 ·Status: COMPLETED ·Phase: NA
-
Type 1 Diabetes, Exercise and Mentoring Trial
NCT06296992 ·Status: RECRUITING ·Phase: NA
-
Promoting Self-management Behaviors in Adolescents With Type 1 Diabetes, Using Digital Storytelling
NCT04608058 ·Status: COMPLETED ·Phase: NA
-
Virtual Physical Activity for Type 1 Diabetes
NCT05163912 ·Status: COMPLETED ·Phase: NA
-
Diabetes Intervention Program for Adolescents With Persistent High HA1c
NCT02212158 ·Status: UNKNOWN ·Phase: NA
-
Improving Diabetes in Emerging Adulthood
NCT04066959 ·Status: COMPLETED ·Phase: NA
-
Digital Exercise for Middle-Aged Adults With Type 1 Diabetes and Other Absolute Insulin Deficiency Diabetes
NCT06098729 ·Status: COMPLETED ·Phase: NA
-
Restoration of Hypoglycemia Awareness With Home-based High Intensity Interval Training
NCT04825366 ·Status: COMPLETED ·Phase: NA
-
High Risk Youth With Poorly-controlled Diabetes
NCT03680079 ·Status: COMPLETED ·Phase: NA
-
Keeping in Touch (KiT) With Youth as They Transition to Adult Type 1 Diabetes Care
NCT05434754 ·Status: COMPLETED ·Phase: NA
-
Evaluation of an mHealth Behavioural Intervention for the Self-Management for Type 2 Diabetes
NCT02370719 ·Status: TERMINATED ·Phase: NA
-
Support-t Online Training in Youth Living With Type 1 Diabetes Transitioning to Adult Care
NCT05910840 ·Status: RECRUITING ·Phase: NA
-
Lifestyle Changes and Glycemic Control in T1D
NCT03864991 ·Status: UNKNOWN ·Phase: NA
-
Impact of a Diabetes Transitions Tool Kit on Post-Hospitalization Glycemic Control
NCT01495975 ·Status: COMPLETED ·Phase: NA
-
Provider-Initiated Regular Remote Interventions for Optimal Type 2 Diabetes Care
NCT01920256 ·Status: COMPLETED ·Phase: NA
-
An Evaluation of Internet-based Carbohydrate Counting Education for Adolescents With Type 1 Diabetes
NCT02462785 ·Status: COMPLETED ·Phase: NA