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PrediabetesINVENTNCT03403231

INcreasing Veteran EngagemeNT to Prevent Diabetes (INVENT)

A study testing INVENT Secure Messaging Intervention in people with Prediabetes, run by VA Office of Research and Development at 1 site in United States.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
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Trial summary

This study will evaluate a VA MyHealtheVet Secure Messaging intervention that uses different intervention messaging strategies designed to increase engagement in behaviors to prevent type 2 diabetes. The investigators will enroll 144 eligible Veterans into a 12-week MyHealtheVet Secure Messaging intervention. Read more about this study

Who is it for?
Ages Up to 75 yearsHealthy volunteers can take part
Conditions the study is for
Prediabetes
What is being tested?
INVENT Secure Messaging Intervention
Could I receive a placebo?
No, everyone receives an active treatment
How many people
144 participants
Where
1 siteUnited States
Study dates
1 Feb 2018to 30 Sep 2020
Phase
Interventional
Are there results?
Yes, posted in the registrySummary in the doctors' view

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 Up to 75 years
  • All sexes
  • Healthy volunteers accepted
  • Child, Adult, Older adult

Who may be able to join

  • HbA1c test within the past 6 months that meets the ADA/CDC requirements for prediabetes.
  • Currently registered in the VA's MyHealtheVet Secure Messaging System
  • Receiving care within the Ann Arbor VA Healthcare System

Who cannot join

  • Completed more than 4 VA MOVE! classes in the last year (or other evidence of another recent weight loss program)
  • Are trying to lose weight and are very physically active
  • Are >75 years of age
  • Are pregnant or plan to be
  • Are taking Metformin
  • Have participated in the FINDIT study (this study's predecessor under the same grant funding)
Show all 16Show fewer
  • Have been hospitalized or received rehab for stroke or myocardial infarction within past 6 months
  • Have received chemotherapy for cancer in the past 6 months
  • Self-report or have any International Classification of Diseases (ICD-9/10) codes for:
  • Diabetes
  • Dementia
  • Major functional limitations
  • Cirrhosis
  • Global Initiative for Chronic Obstructive Lung Disease (GOLD) stage 4 chronic obstructive pulmonary disease (COPD)
  • End stage renal disease (ESRD)
  • New York Heart Association (NYHA) class III or IV congestive heart failure (CHF)

Trial locations and contacts

1 site in 1 country.

United States1 site
  • VA Ann Arbor Healthcare System, Ann Arbor, MI

    Ann Arbor, Michigan, 48105-2303

Other trials in United States

About this study

Official title: INcreasing Veteran EngagemeNT to Prevent Diabetes (INVENT) (CDA 13-267)

This study will evaluate a VA MyHealtheVet Secure Messaging intervention that uses different intervention messaging strategies designed to increase engagement in behaviors to prevent type 2 diabetes.

The investigators will enroll 144 eligible Veterans into a 12-week MyHealtheVet Secure Messaging intervention. Eligible Veterans include those who are currently using MyHealtheVet secure messaging, meet inclusion/exclusion criteria, and have received an HbA1c test within the last 6 months that meets the ADA/CDC classification for prediabetes. Study participants will be surveyed about their engagement in behaviors to prevent TDM2 and mediators of this engagement. After completing a baseline survey, participants will be randomly assigned to receive different novel presentations of information about ways to prevent T2DM through both Secure Messaging and US Mail. The investigators will test the 5 presentations that each: (1) represent an innovative approach from behavioral economics or health psychology with great promise to increase engagement in behaviors to prevent T2DM among patients with prediabetes; and (2) have not been tested in this setting.

Read the detailed description

There is tremendous national enthusiasm for translating and disseminating efficacious strategies to prevent type 2 diabetes mellitus (T2DM). Yet, little attention has been devoted to how the investigators can better leverage the processes through which patients receive information about prevention of T2DM to better engage them in such prevention. Further, despite efforts to disseminate structured programs, many patients at high risk for developing T2DM may still be unable or unwilling to access them. In these cases, increasing patient engagement in individually directed lifestyle change or pharmacotherapy is critical. Strategies developed in the fields of behavioral economics and health psychology hold significant promise for improving Veteran engagement in each of these approaches. To date, however, these strategies have rarely been translated into real-world settings where they could benefit Veterans. This novel work will address this critical gap and could transform communication with Veterans about prevention in ways that will improve their health outcomes.

The following 5 strategies will be implemented in the weekly messages that study participants will receive: (1) tailoring to aspirations in life; (2) implementation intentions; (3) preference checklists; (4) urgency framing; (5) social norms. The investigators will implement these strategies alone and in combination in a 16-arm factorial design experiment.

Conditions
Prediabetes
Being tested
INVENT Secure Messaging Intervention
Keywords
Veterans, Type 2 diabetes mellitus, Prediabetes, Secure Messaging, Health Promotion, Prevention and Control, Motivation
Medical subject headings
Prediabetic State, Diabetes Mellitus, Type 2

What participants receive

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

  • INVENT Secure Messaging InterventionBehavioural

    We are proposing a 12 week schedule of weekly Secure Messages and monthly mailings for this intervention. Each study arm represents different combinations of messages a participant will receive.

Study groups in NCT03403231
Study groupRoleWhat they receive
Arm 1: Stock messages onlyActive comparatorParticipants will only receive the stock messages that encourage following recommended behaviors for reducing the risk for developing diabetes.
Receives: Behavioral: INVENT Secure Messaging Intervention
Arm 2: Urgency frame message strategyExperimentalParticipants will receive messages that encourage following recommended behaviors for reducing the risk for developing diabetes integrated with the urgency frame message strategy.
Receives: Behavioral: INVENT Secure Messaging Intervention
Arm 3: Social norm message strategyExperimentalParticipants will receive messages that encourage following recommended behaviors for reducing the risk for developing diabetes integrated with the social norm messaging strategy.
Receives: Behavioral: INVENT Secure Messaging Intervention
Arm 4: Urgency frame and social norm strategiesExperimentalParticipants will receive messages that encourage following recommended behaviors for reducing the risk for developing diabetes integrated with both the urgency frame and social norm messaging strategies.
Receives: Behavioral: INVENT Secure Messaging Intervention
Arm 5: Implementation Intentions and Urgency FrameExperimentalParticipants will receive messages that encourage following recommended behaviors for reducing the risk for developing diabetes integrated with both the implementation intentions and urgency frame messaging strategies.
Receives: Behavioral: INVENT Secure Messaging Intervention
Arm 6: Implementation Intentions and Social NormExperimentalParticipants will receive messages that encourage following recommended behaviors for reducing the risk for developing diabetes integrated with both the implementation intentions and social norm messaging strategies.
Receives: Behavioral: INVENT Secure Messaging Intervention
Arm 7: Implementation Intentions, Urgency Frame & Social NormExperimentalParticipants will receive messages that encourage following recommended behaviors for reducing the risk for developing diabetes integrated with the implementation intentions, urgency frame, and social norm messaging strategies.
Receives: Behavioral: INVENT Secure Messaging Intervention
Arm 8: Implementation IntentionsExperimentalParticipants will receive messages that encourage following recommended behaviors for reducing the risk for developing diabetes integrated with the implementation intentions messaging strategy.
Receives: Behavioral: INVENT Secure Messaging Intervention
Arm 9: Preference Checklists and Urgency FrameExperimentalParticipants will receive messages that encourage following recommended behaviors for reducing the risk for developing diabetes integrated with both the preference checklists and urgency frame messaging strategies.
Receives: Behavioral: INVENT Secure Messaging Intervention
Arm 10: Preference Checklists and Social NormsExperimentalParticipants will receive messages that encourage following recommended behaviors for reducing the risk for developing diabetes integrated with both the preference checklists and social norm messaging strategies.
Receives: Behavioral: INVENT Secure Messaging Intervention
Arm 11: Preference Checklists, Urgency Frame & Social NormExperimentalParticipants will receive messages that encourage following recommended behaviors for reducing the risk for developing diabetes integrated with the preference checklists, urgency frame, and social norm messaging strategies.
Receives: Behavioral: INVENT Secure Messaging Intervention
Arm 12: Preference ChecklistsExperimentalParticipants will receive messages that encourage following recommended behaviors for reducing the risk for developing diabetes integrated with the preference checklists messaging strategy.
Receives: Behavioral: INVENT Secure Messaging Intervention
Arm 13: Tailored Aspirations and Urgency FrameExperimentalParticipants will receive messages that encourage following recommended behaviors for reducing the risk for developing diabetes integrated with both the tailored aspirations and urgency frame messaging strategies.
Receives: Behavioral: INVENT Secure Messaging Intervention
Arm 14: Tailored Aspirations and Social NormExperimentalParticipants will receive messages that encourage following recommended behaviors for reducing the risk for developing diabetes integrated with both the tailored aspirations and social norm messaging strategies.
Receives: Behavioral: INVENT Secure Messaging Intervention
Arm 15: Tailored Aspirations, Urgency Frame & Social NormExperimentalParticipants will receive messages that encourage following recommended behaviors for reducing the risk for developing diabetes integrated with the tailored aspirations, urgency frame, and social norm messaging strategies.
Receives: Behavioral: INVENT Secure Messaging Intervention
Arm 16: Tailored AspirationsExperimentalParticipants will receive messages that encourage following recommended behaviors for reducing the risk for developing diabetes integrated with the tailored aspirations messaging strategy.
Receives: Behavioral: INVENT Secure Messaging Intervention

What is being measured

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

  1. Engagement in Recommended Behaviors to Prevent Type 2 Diabetes

    The investigators will use survey and medical record data to evaluate changes in participants' engagement in recommended behaviors to prevent type 2 diabetes.

    Measured: 3 months

Secondary outcomes (8)
  1. Motivation to Prevent Type 2 Diabetes

    The investigators will use survey data to evaluate mean change in motivation level to prevent diabetes between baseline and 3-months. The Treatment Self-Regulation Questionnaire (TSRQ) was included in the survey and respondents were asked about their level of motivation from 1 (Not at all motivated) to 10 (Highly motivated).

    Measured: 3 months

  2. Importance of Preventing Type 2 Diabetes

    The investigators will use survey data to evaluate mean changes in level of importance of preventing diabetes from baseline to 3 months. The Treatment Self-Regulation Questionnaire (TSRQ) was included in the survey and respondents were asked about their level of perceived importance from 1 (Not at all important) to 10 (Extremely important).

    Measured: 3 months

  3. Use of Medication for T2DM Prevention

    The investigators will use medical record data and survey data to evaluate whether participants began the use of medication for T2DM prevention from baseline to 3 months.

    Measured: 3 months

  4. Perception for Risk for T2DM

    The investigators will use survey data to evaluate mean changes in perception of risk for T2DM from baseline to 3 months. The Adriaanse T2DM Risk Perception Scale, which was included in the survey, measured self-assessed risk perception from 0 denoting no choice of developing T2DM to 100 denoting absolute confidence in developing T2DM

    Measured: 3 months

  5. Knowledge of Strategies to Prevent T2DM

    The investigators will use survey data to evaluate changes in knowledge of strategies to prevent Type 2 Diabetes between baseline and 3-month assessment. Respondents were given 3 open-ended questions to report things they could do to prevent diabetes. Each respective response to the 3 questions were coded and scored according to whether they indicated engagement in the following activities: weight loss, physical activity, use of metformin, or enrollment into a diabetes prevention program. Each question denoted with a positive response were coded with 1 whereas those that did not were coded as a 0. The three questions were summed into a final score ranging from 0 (no report of engagement in the aforementioned healthy activities) with the worst outcome to 3 (a report of 3 of the 4 aforementioned healthy activities) with the best outcome. The final scores were generated based on the mean difference between baseline and 3-month scores.

    Measured: 3 months

  6. Participation in Weight-related Wellness Programs

    The investigators will use survey data to evaluate how many participants enrolled in weight-related wellness programs from baseline to 3 months.

    Measured: 3 months

  7. Weight Loss Behaviors

    The investigators will use survey data to evaluate changes in weight loss behaviors at the 3-month post intervention assessment.

    Measured: 3 months

  8. Physical Activity

    The investigators will use survey data to evaluate changes in physical activity after the 3-month post intervention assessment. The International Physical Activity Questionnaire - Short Form (IPAQ-SF) was used to measure physical activity change. Respondents were asked to report how many hours and minutes within the past week they completed of vigorous physical activity, moderate physical activity, and brisk walking. The total sum of minutes for these three questions were subsequently coded into a yes/no binary variable for whether respondents met a recommended 150 minutes of overall physical activity within 7 days of being assessed. The values provided reflect a proportion of respondents that met or exceeded the 150 minute threshold of overall physical activity based on the newly generated variable that combined total minutes of vigorous physical activity, moderate physical activity, and brisk walking.

    Measured: 3 months

Timeline

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

  1. First posted18 Jan 2018
  2. Study start1 Feb 2018
  3. Primary completion1 Mar 2020
  4. Study completion30 Sep 2020

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
Randomised
Intervention model
Factorial
Model description
The investigators will use a factorial design to test the main effects and a limited number of interaction effects of 5 messaging strategies.
Masking
Single blind
Who is masked
Investigator
Enrolment
144 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT03403231
Sponsor's protocol ID
CDX 15-002
Other IDs
CDA 13-267
Acronym
INVENT
Status last verified
Jul 2023
First submitted
10 Jan 2018
Last updated
25 Jul 2023
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
No

Questions about this trial

What is this clinical trial studying?

A study testing INVENT Secure Messaging Intervention in people with Prediabetes, run by VA Office of Research and Development at 1 site in United States.

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 3 inclusion and 16 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: finished, as of the sponsor's last update on 25 Jul 2023. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 1 site in United States. 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?

Yes. Results are posted in the registry (first posted 16 Jun 2021). A summary is in the For doctors view, and the full results are on ClinicalTrials.gov.

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

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Engagement in Recommended Behaviors to Prevent Type 2 Diabetes (time frame: 3 months). It is what the study was designed to measure, not a finding.

Where can I read the original study information?
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 Jul 2023.

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