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. 2017 Sep 27;2017(9):CD011469. doi: 10.1002/14651858.CD011469.pub2

NCT02081586.

Trial name or title mHealth skill enhancement plus phone CBT for type 2 diabetes distress medication nonadherence: pilot study
Methods Type of study: efficacy study
Allocation: randomised
Intervention model: parallel assignment
Masking: open label
Primary purpose: treatment
Participants Condition: type 2 diabetes
Enrollment: estimated 12
Inclusion criteria:
  1. have a diagnosis of T2DM

  2. have a score of >3 on the DDS

  3. be taking at least 1 oral antihyperglycaemic agent (the participant may also be using injectable antihyperglycaemic medications, including insulin)

  4. have an HbA1c level of greater than 8 at baseline

  5. be receiving treatment for T2DM in the primary care setting

  6. be aged 30‐65 years

  7. be able to read at the 8th‐grade level and to provide informed consent


Exclusion criteria:
  1. diagnosis of bipolar disorder or schizophrenia; primary diagnosis of obsessive‐compulsive disorder, post‐traumatic stress disorder, substance abuse, or dependence in the last 6 months; or any psychotic disorder

  2. diabetes treated without oral medications

  3. inability to read or comprehend English at the 8th‐grade level

  4. refusal to provide informed consent

  5. dementia or disorders with substantial cognitive impairment

  6. serious suicidal risk

Interventions Intervention(s):
  1. 6 Weeks phone CBT plus smart phone app

  2. 8 Weeks phone CBT plus smart phone app

  3. 12 weeks phone CBT plus smart phone app


Comparator(s):
Treatment as usual
Outcomes Timepoint(s): baseline and 16 weeks
Primary outcome(s):
Acceptability questionnaire; feasibility and acceptability of the assessment protocol.
Secondary outcome(s):
  • MEMS cap electronic pill bottle; adherence to medications.

  • DDS

  • Medication Beliefs Scale; change in unhelpful medication beliefs

  • HbA1c level

  • BMI

Starting date Trial start date: May 2013
Trial completion date: August 2014
Contact information Responsible party/principal investigator: University of Pittsburgh/Judith A Callan
Study identifier NCT number: NCT02081586
Official title mHealth skill enhancement plus phone CBT for type 2 diabetes distress medication nonadherence: pilot study
Stated purpose of study Quote: "Primary aim: examine feasibility and acceptability of the assessment protocol, and the recruitment, and retention of study participants. Secondary aim: 1) collect preliminary data on the effect of the intervention on clinical outcomes, e.g., self‐reported adherence to medication and self‐management adherence, e.g., diet, exercise; levels of diabetes distress, diabetes medication beliefs, and distal T2DM outcomes (HbA1c level and body mass index)."
Notes Contact: Judith A Callan, callanja@pitt.edu
Contact: Lisa Tamres, ltamres@pitt.edu