AzTrials
AzTrials

Type 1 DiabetesNCT06069583

Implementation of Support in the Care of Adults Living With Type 1 Diabetes

A study testing Support platform in people with Type 1 Diabetes and Metabolic Disease, run by McGill University at 4 sites in Canada.

Recruiting

Looking for participants now. Contact the study team or a site below to ask about taking part.

Sites and contacts
Official record
Search all trials

Trial summary

The investigators will conduct a trial to evaluate if an online training and support platform can help adults living with type 1 diabetes (T1D) in their diabetes self-management. Read more about this study

Who is it for?
Ages 18 years and older
What is being tested?
Support platform
Could I receive a placebo?
No, everyone receives an active treatment
How many people
322 participants
Where
4 sitesCanada
Study dates
5 May 2024to Oct 2027
Phase
Interventional
Are there results?
Not yet: the study is under way

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 18 years and older
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Diagnosis of T1D (including LADA - latent autoimmune diabetes in adults)
  • Have access to Internet
  • Use of an active email address
  • Comprehension of English or French
  • Live in Canada

Who cannot join

  • Unable to use the Support platform

Trial locations and contacts

4 sites in 1 country. Contact the study team or a site near you to ask about taking part.

Anne-Sophie Brazeau, PhD contact

5143987848

anne-sophie.brazeau@mcgill.ca

amelie Roy-Fleming, MSc contact

5147790749

amelie.roy-fleming@mcgill.ca

Canada4 sites, 4 recruiting
  • Institut de recherches cliniques de Montréal

    Montreal, Quebec, H2W 1R7

    Marie Devaux, 5149875500, type1support@mcgill.ca

    Recruiting
  • Centre hospitalier de l'université de Montreal

    Montreal, Quebec, H2X 0C1

    Ann Gobeil, 514-890-8000, type1support@mcgill.ca

    Recruiting
  • Centre hospitalier de Quebec, Université Laval

    Québec, Quebec, G1V 0E8

    Claudia Huard, 418-525-4444, type1support@mcgill.ca

    Recruiting
  • Centre de médecine métabolique de Lanaudière

    Terrebonne, Quebec, J6x 4P7

    Tammy Cadieux, 514-907-5101, type1support@mcgill.ca

    Recruiting

Other trials in Canada

About this study

Official title: Using the Support Online Platform for Self-management Education of Adults Living With Type 1 Diabetes as Part of Usual Care or Independently: an Implementation Study

The investigators will conduct a trial to evaluate if an online training and support platform can help adults living with type 1 diabetes (T1D) in their diabetes self-management. Investigators will compare a group that has access to the "Support" platform through their usual medical care to a group that accesses the platform independently. The first group will be recruited through four participating clinics in the province of Quebec (Canada). The second group will be composed of adults living with T1D across Canada. Participants will have access to the platform for 12 months and will be asked to complete online questionnaires at the beginning and after 6 and 12 months, and share their glucose reader data with the research team. A subgroup of participants as well as healthcare professionals from the four clinics will be invited to participate in an individual interview aiming to understand the barriers and facilitators of integration "Support" in clinical care.

Read the detailed description

Type 1 diabetes (T1D) is a chronic condition which requires life-sustaining insulin therapy as well as knowledge, skills and confidence to self-manage. Tailored diabetes self-management education (DSME) should be offered to all people living with diabetes (PWT1D) at diagnosis, but also in a timely manner according to needs. DSME has the potential to improve quality of life and decrease diabetes complications. Despite the positive outcomes of other DSME programs, participation rates of DSME vary greatly perhaps because access remains sub-optimal. Also, healthcare professionals (HCPs) face a challenge to remain aware of the particularities of T1D and stay up-to-date on the rapidly evolving evidence-based knowledge, technologies and therapies available. The investigators propose to examine an online training and peer support platform, called "Support" as a potential alternative for DSME.

The overall purpose of this hybrid effectiveness-implementation study is to investigate if integrating the "Support" platform to routine medical care of adults living with T1D (i.e., diabetes team referring to the "Support" platform during appointments) can improve diabetes self- management, in comparison with navigating the "Support" platform independently of usual care (i.e., the platform not being discussed during appointment) (Effectiveness), and to study the factors affecting its implementation in real-life settings (Implementation).

This study is a mixed-method multi-site, 2 arms, non-randomized, type 1 hybrid effectiveness-implementation trial.

ARM 1: PWT1D participants will have access to Support as part of their regular care (their HCPs will use "Support" in their care). PWT1D participants in ARM 1 are followed in one of the 4 participating clinics either in-person or remotely or hybrid.

ARM 2: PWT1D participants will have access to "Support", independently from their regular care (they may initiate discussion about the platform with their diabetes care team who might register themselves on the platform, but will not prompt to any specific section on the platform and will not receive any training about the platform). PWT1D participants in ARM 2 can be followed in any other clinics in Canada.

Implementation data will be gathered through HCP participants in the participating clinics.

Participants will have to answer online surveys at baseline, 6 months and 12 months. After completing the baseline questionnaire, they will receive an access to the platform. A subgroup of participants as well as participating HCPs will be invited for individual interviews to discuss their experience in using the platform.

Being tested
Support platform
Keywords
self-management education, Hemaglobin A1c, Online education, adults, type 1 diabetes
Medical subject headings
Diabetes Mellitus, Type 1, Metabolic Diseases, Endocrine System Diseases, Autoimmune Diseases, Immune System Diseases

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • Support platformBehavioural

    The study will be conducted over a 12-month period. This should allow participants to see their medical team 2 to 3 times during this timeframe. Participants of arms 1 and 2 will have access to the Support platform and will receive a monthly newsletter, informing them of news on the platform and acting as a reminder to log in. Several features are included in this responsive-designed platform to enhance participation, such as a visual of personal progress, ability to bookmark content, change their avatar.

    Support contains 3 main components: Educational material, News blog written by HCPs weekly in collaboration with patient-partners on up-to-date topics related to T1D, a peer-to-peer discussion forum which is moderated daily by a HCP specializing in T1D.

Study groups in NCT06069583
Study groupRoleWhat they receive
Support integrated in usual careExperimentalPWT1D participants will have access to Support as part of their regular care (their HCPs will use Support in their care). PWT1D participants in ARM 1 are followed in one of the 4 participating clinics either in-person or remotely or hybrid.
Receives: Behavioral: Support platform
Support through independent accessActive comparatorPWT1D participants will have access to Support, independently from their regular care (they may initiate discussion about the platform with their diabetes care team who might register themselves on the platform, but will not prompt to any specific section on the platform and will not receive any training about the platform). PWT1D participants in ARM 2 can be followed in any other clinics in Canada.
Receives: Behavioral: Support platform

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Self-efficacy for diabetes management

    Diabetes Self-Management Questionnaire-Revised (DSMQ-R; 27-items, score on 10)

    Measured: 0, 6 and 12 months

Secondary outcomes (13)
  1. Well-being

    WHO-5 well-being index

    Measured: 0, 6 and 12 months

  2. Continuous Glucose Monitoring (CGM) - % Time in range

    % Time in range (3.9-10.0mmol/L) over the past 4 weeks. Participants may share their account access so the research team will be able to export data or may upload a PDF of their data through REDCap.

    Measured: 0, 6 and 12 months

  3. Continuous Glucose Monitoring (CGM) - % Time above range

    % Time above range (3.9-10.0mmol/L) over the past 4 weeks. Participants may share their account access so the research team will be able to export data or may upload a PDF of their data through REDCap.

    Measured: 0, 6 and 12 months

  4. Continuous Glucose Monitoring (CGM) - % Time below range

    % Time below range (3.9-10.0mmol/L) over the past 4 weeks. Participants may share their account access so the research team will be able to export data or may upload a PDF of their data through REDCap.

    Measured: 0, 6 and 12 months

  5. Continuous Glucose Monitoring (CGM) - Standard deviation

    Standard deviation of the past 4 weeks. Participants may share their account access so the research team will be able to export data or may upload a PDF of their data through REDCap.

    Measured: 0, 6 and 12 months

  6. Continuous Glucose Monitoring (CGM) - % Coefficient of variation

    % Coefficient of variation of the past 4 weeks. Participants may share their account access so the research team will be able to export data or may upload a PDF of their data through REDCap.

    Measured: 0, 6 and 12 months

  7. Hemoglobin A1c

    self-reported last Hemoglobin A1c (date and value) through online questionnaire

    Measured: 0, 6 and 12 months

  8. Severe hypoglycemic events

    Self-reported severe hypoglycemic events in the past 6 months

    Measured: 0, 6 and 12 months

  9. Diabetic Ketoacidosis (DKA) events

    Self-reported DKA events in the past 6 months

    Measured: 0, 6 and 12 months

  10. calls to 911

    Self-reported number of calls to 911 in the past 6 months

    Measured: 0, 6 and 12 months

  11. calls to 811

    Self-reported number of calls to 811 in the past 6 months

    Measured: 0, 6 and 12 months

  12. Cost effectiveness (self-efficacy)

    Cost effectiveness of access to Support as part of usual care compared with independent access in terms of incremental cost effectiveness ratio (ICER) for self-efficacy

    Measured: 6 and 12 months

  13. Cost effectiveness (HbA1c)

    Cost effectiveness of access to Support as part of usual care compared with independent access in terms of incremental cost effectiveness ratio (ICER) for HbA1c

    Measured: 6 and 12 months

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted6 Oct 2023
  2. Study start5 May 2024
  3. Primary completion5 May 2027 (estimated)
  4. Study completionOct 2027 (estimated)

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase N/A
Primary purpose
Prevention
Allocation
Non-randomised
Intervention model
Parallel groups
Model description
mixed-method multi-site, 2 arms, non-randomized, type 1 hybrid effectiveness-implementation trial
Masking
None (open label)
Enrolment
322 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT06069583
Sponsor's protocol ID
MP-02-2024-11714
Status last verified
Sep 2025
First submitted
29 Sep 2023
Last updated
25 Sep 2025
Results posted
No
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No

Publications

  • Xie LF, Roy-Fleming A, Haag S, Costa DD, Brazeau AS. Development of the Support self-guided, web application for adults living with type 1 diabetes in Canada by a multi-disciplinary team using a people-oriented approach based on the Behaviour Change Wheel. Digit Health. 2023 Jan 24;9:20552076231152760. doi: 10.1177/20552076231152760. eCollection 2023 Jan-Dec.

    PubMed 36762025
  • Xie LF, Itzkovitz A, Roy-Fleming A, Da Costa D, Brazeau AS. Understanding Self-Guided Web-Based Educational Interventions for Patients With Chronic Health Conditions: Systematic Review of Intervention Features and Adherence. J Med Internet Res. 2020 Aug 13;22(8):e18355. doi: 10.2196/18355.

    PubMed 32788152
  • Kruger J, Brennan A, Thokala P, Basarir H, Jacques R, Elliott J, Heller S, Speight J. The cost-effectiveness of the Dose Adjustment for Normal Eating (DAFNE) structured education programme: an update using the Sheffield Type 1 Diabetes Policy Model. Diabet Med. 2013 Oct;30(10):1236-44. doi: 10.1111/dme.12270. Epub 2013 Aug 19.

    PubMed 23815547
  • Stanton-Fay SH, Hamilton K, Chadwick PM, Lorencatto F, Gianfrancesco C, de Zoysa N, Coates E, Cooke D, McBain H, Heller SR, Michie S; DAFNEplus study group. The DAFNEplus programme for sustained type 1 diabetes self management: Intervention development using the Behaviour Change Wheel. Diabet Med. 2021 May;38(5):e14548. doi: 10.1111/dme.14548. Epub 2021 Mar 10.

    PubMed 33617669
  • Pereira K, Phillips B, Johnson C, Vorderstrasse A. Internet delivered diabetes self-management education: a review. Diabetes Technol Ther. 2015 Jan;17(1):55-63. doi: 10.1089/dia.2014.0155.

    PubMed 25238257
  • Curran GM, Bauer M, Mittman B, Pyne JM, Stetler C. Effectiveness-implementation hybrid designs: combining elements of clinical effectiveness and implementation research to enhance public health impact. Med Care. 2012 Mar;50(3):217-26. doi: 10.1097/MLR.0b013e3182408812.

    PubMed 22310560
  • Schmitt A, Kulzer B, Ehrmann D, Haak T, Hermanns N. A Self-Report Measure of Diabetes Self-Management for Type 1 and Type 2 Diabetes: The Diabetes Self-Management Questionnaire-Revised (DSMQ-R) - Clinimetric Evidence From Five Studies. Front Clin Diabetes Healthc. 2022 Jan 13;2:823046. doi: 10.3389/fcdhc.2021.823046. eCollection 2021.

    PubMed 36994332

Questions about this trial

What is this clinical trial studying?

A study testing Support platform in people with Type 1 Diabetes and Metabolic Disease, run by McGill University at 4 sites in Canada.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 5 inclusion and 1 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: looking for participants now, as of the sponsor's last update on 25 Sep 2025. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 4 sites in Canada. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

Are results available for this study?

This study is still under way. Results are not available in the source record yet.

How can a doctor refer a patient or contact the research team?

Contact Anne-Sophie Brazeau, PhD (5143987848, anne-sophie.brazeau@mcgill.ca), or a site near the patient. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Self-efficacy for diabetes management (time frame: 0, 6 and 12 months). It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT06069583, which also lists 7 linked publications.

Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 25 Sep 2025.

Free account

Log in to keep searching

You’ve used your 3 free searches. AzTrials is free: log in or create a free account to keep searching clinical trials and save the ones you want to follow.

Create a free accountLog in