AzTrials
AzTrials

Type 2 Diabetes Mellitus (T2DM)MPowerHubNCT06848361

Helping Adults With Type 2 Diabetes Use Their Health Data for Healthy Diabetes Self-Management

A study testing MPowerHub, Continuous Glucose Monitor (CGM) and Activity Monitor in people with Type 2 Diabetes Mellitus (T2DM), run by Ann-Marie Rosland at 1 site in United States.

Active, not recruiting

Under way, not looking for participants. Everyone needed has enrolled. The study is still running.

Official record
Search all trials

Trial summary

Day-to-day self-management by adults with type 2 diabetes, including glucose monitoring, taking medications, and healthy habits, is essential to avoid diabetes complications, yet, despite the rapidly expanding availability of wearable glucose and activity monitors, successful self-management remains challenging for… Read more about this study

Who is it for?
Ages 25 to 75 years
Conditions the study is for
Type 2 Diabetes Mellitus (T2DM)
What is being tested?
MPowerHub, Continuous Glucose Monitor (CGM) and Activity Monitor
Type of treatment
Medical device
Could I receive a placebo?
No, everyone receives an active treatment
How many people
80 participants
Where
1 siteUnited States
Study dates
28 Apr 2025to Dec 2026
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 25 to 75 years
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Received outpatient care in the participating health system in the last 12 months
  • Has a diagnosis of type 2 diabetes mellitus (ICD10 codes E08.xx, E09.xx, E11.xx, E13.xx,O24.1x , O24.3x, O24.8x, O24.9x)
  • Last Hemoglobin A1c (HbA1c) value obtained in the last 6 months was ≥7.5%
  • Currently prescribed at least one non-insulin diabetes medication
  • Able to provide informed consent
  • Able to interact with a simple smartphone application
  • Owns or has access to a smartphone that is able to access an internet website
  • Did not participate a prior study related to this protocol

Who cannot join

  • Originally was diagnosed with type 2 diabetes before the age of 21 years
  • Has a diagnosis of type 1 diabetes mellitus
  • Has a diagnosis of gestational diabetes without any other diabetes diagnoses
  • Is currently prescribed insulin
  • Currently is using a CGM device
  • Has a diagnosis (active or prior) of schizophrenia or other psychotic/delusional disorder
Show all 10Show fewer
  • Has a life-limiting severe illness (e.g., chronic obstructive pulmonary disease requiring oxygen)
  • Is pregnant or planning to become pregnant within the next 6 months
  • Has other concerns that may interfere significantly with their ability to participate in the intervention (ongoing health issues, personal events, etc.)
  • Currently is enrolled in another diabetes management intervention study

Trial locations and contacts

1 site in 1 country.

United States1 site
  • University of Pittsburgh

    Pittsburgh, Pennsylvania, 15213

Other trials in United States

About this study

Official title: Empowering Adults With Diabetes: Achieving Self-management Success Through Data-Driven Behavior Change, Pilot Randomized Control Trial

Day-to-day self-management by adults with type 2 diabetes, including glucose monitoring, taking medications, and healthy habits, is essential to avoid diabetes complications, yet, despite the rapidly expanding availability of wearable glucose and activity monitors, successful self-management remains challenging for many. This research aims to develop and test an approach to help adults use their personal diabetes information from wearable devices to achieve and sustain health diabetes self-management, which will reduce diabetes complications, and improve health and quality of life for people with type 2 diabetes.

Read the detailed description

MPowerHub trial protocol feasibility will be assessed by randomizing 80 adults with type 2 diabetes and glycemic levels above clinical goals to MPowerHub (MPowerHub platform + continuous glucose monitoring \& activity monitoring), continuous glucose monitor alone, or activity monitor alone for four months. Mixed quantitative and qualitative assessments will examine recruitment, engagement, and retention metrics and feedback. Finally, changes in self-management behaviors (measured using semi-structured interview) and clinic glycemic levels (obtained from participants' electronic health record or finger-stick by study research staff) from pre- to post-monitoring will be compared between arms.

Being tested
MPowerHub, Continuous Glucose Monitor (CGM), Activity Monitor
Keywords
Type 2 Diabetes Mellitus, Adult, Glucose Monitoring, Mobile Application, Diabetes Self-Management, Activity Tracker, Continuous Glucose Monitoring, Empowerment
Medical subject headings
Diabetes Mellitus, Type 2, Empowerment

What participants receive

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

  • MPowerHubDevice

    The MPowerHub app allows participants to visualize combined trends from a continuous glucose monitor (CGM) and activity monitor as well as daily self-reports in a display that the participant can customize to overlay the behavioral data they would like to compare to intraday and daily glucose data. Summary data will be displayed over time to allow users to identify potential associations between activity, sleep, stress, diet, and medication adherence and time-in-range and blood glucose variability. Participants receive daily prompts to complete five brief questions about daily health behaviors and two weekly goals/action plans and reflections based on motivational interviewing principles.

  • Continuous Glucose Monitor (CGM)Device

    A CGM is a wearable device that collects frequent data on glucose levels. It includes an integrated sensor that is inserted under the skin and is connected to a small transmitter that automatically sends information to a smart device, allowing the user to track changes in glucose levels.

  • Activity MonitorDevice

    A wearable activity monitor will be used to track activity (e.g., steps) and sleep levels. Data can be viewed on the activity monitor or a smart device.

Study groups in NCT06848361
Study groupRoleWhat they receive
MPowerHubExperimentalParticipants will: 1. Meet with a Diabetes Care and Education Specialist for an initial diabetes self-management education session that will include individualized assessment, education, and coaching on how to set personal diabetes self-management behavior goals and action plans, and follow-up education as needed. 2. Be trained on how to use assigned study devices (MPowerHub, continuous glucose monitor (CGM), and activity tracker). 3. Be asked to use assigned study devices (MPowerHub, CGM, and activity tracker) for 4 months.
Receives: Device: MPowerHub; Device: Continuous Glucose Monitor (CGM); Device: Activity Monitor
Continuous Glucose Monitor (CGM) OnlyActive comparatorParticipants will: 1. Meet with a Diabetes Care and Education Specialist for an initial diabetes self-management education session that will include individualized assessment, education, and coaching on how to set personal diabetes self-management behavior goals and action plans, and follow-up education as needed. 2. Be trained on how to use assigned study device (CGM). 3. Be asked to use assigned study device (CGM) for 4 months.
Receives: Device: Continuous Glucose Monitor (CGM)
Activity Monitor OnlyActive comparatorParticipants will: 1. Meet with a Diabetes Care and Education Specialist for an initial diabetes self-management education session that will include individualized assessment, education, and coaching on how to set personal diabetes self-management behavior goals and action plans, and follow-up education as needed. 2. Be trained on how to use assigned study device (activity tracker). 3. Be asked to use assigned study device (activity tracker) for 4 months.
Receives: Device: Activity Monitor

What is being measured

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

  1. Percent of eligible individuals who enroll in the study

    Percent of individuals contacted and found eligible who enroll in the study. The goal benchmark is >/=60%.

    Measured: Pre-baseline

  2. Percent of days wearable device data is collected

    Percent of days adequate wearable device data is collected during the 4-month intervention. The goal benchmark is >/=75%.

    Measured: From 0 to 4 months

  3. Percent participants retained in study to the 4-month outcome assessment

    Percent of participants retained in the study through the 4-month outcome assessment. The goal benchmark is >/=85%.

    Measured: From 0 to 4 months

Secondary outcomes (21)
  1. Percent of individuals contacted who enroll in the study

    Percent among all individuals approached/contacted who enroll in the study. The goal benchmark is >/=20%.

    Measured: Pre-baseline

  2. Percent of days self-report data is collected

    Percent of days self-report data is collected from participants in MPowerHub study arm. The goal benchmark is >/=75%.

    Measured: From 0 to 4 months

  3. Percent of weeks participant responds to goal-setting prompts

    Percent of weeks participants in MPowerHub study arm respond to goal-setting prompts. The goal benchmark is >/=65%.

    Measured: From 0 to 4 months

  4. Participant satisfaction with intervention

    Study specific Likert-scaled survey item will be used to assess overall intervention satisfaction by participants. Response options range from 1=highly unsatisfied to 5=highly satisfied. Satisfaction will be defined as a rating of 4=satisfied or 5=highly satisfied. The goal benchmark is >/=80% satisfaction for the MPowerHub arm. The results for MPowerHub arm will also be compared to the two other arms.

    Measured: 4 months

  5. Change in hemoglobin A1c

    Hemoglobin A1c (HbA1c) data will be obtained from participant's electronic health record. The most recent HbA1c value recorded within 0-6 months prior to enrollment will be used for the baseline measure, and the most recent value recorded at 4-6 months post-enrollment will be used for the outcome measure. If no results from routine HbA1c have been recorded during the relevant time period, the outcome HbA1c data will be collected with a National Glycohemoglobin Standardization Program-certified point of care instrument.

    Measured: Baseline vs 4-6 Months

  6. Change in diabetes medication regimen

    Prescribed diabetes medications will be obtained from the participant's electronic health record. A change in diabetes medication regimen assessed by calculating the change in diabetes medication class, e.g., adding or subtracting a class or classes. The range could be negative to positive (e.g., -2, -1, 0, +1, +2) depending on if and how many classes changes occurred.

    Measured: From baseline to 4-6 months

  7. Started on insulin

    Prescribed insulin during the course of the intervention will be obtained from the participant's electronic health record and documented as yes/no.

    Measured: From baseline to 4-6 months

  8. Change in medication adherence

    Medication adherence will be assessed using the self-report Domains of Subjective Extent of Nonadherence (DOSE-Nonadherence) scale, which is comprised of 3 items assessing the extent to which participants missed, skipped, or did not take their medication as prescribed during the past 7 days. Possible scores range from 1=none of the time to 5=every time with a lower score indicating a greater degree of adherence. Items are summed and scores are averaged. The higher the score, the greater the nonadherence.

    Measured: Baseline vs. 4 Months

  9. Change in healthy eating

    Healthy eating will be assessed using the "overall health eating" Summary of Diabetes Self-Care Activities (SDSCA) scale. Participants will be asked how many of the last 7 days have they followed a healthy eating plan (0=no days and 7=all the days). The higher the score, the healthier the eating plan.

    Measured: Baseline vs 4 Months

  10. Change in fruit and vegetable intake per day

    Change in fruit and vegetable intake will be assessed using the 6-item Behavioral Risk Factor Surveillance System (BRFSS) 2017 Fruit and Vegetable Module. Change in daily frequency of fruit and vegetable intake will be calculated using the BRFSS scoring algorithm.

    Measured: Baseline vs 4 months

  11. Change in physical activity

    Change in physical activity will be assessed using the International Activity Questionnaire - Short Form (IPAQ-SF). The IPAQ-SF asks respondents to report their frequency and duration of walking, moderate-intensity activity, and vigorous-intensity activity in minutes or hours per day. Our study will score results within each domain separately. Responses will be converted into metabolic equivalent of task (MET) minutes; the higher the MET minutes, the higher the degree of physical activity.

    Measured: Baseline vs 4 Months

  12. Change in goal setting

    Change in goal setting will be assessed using the Patient Assessment of Chronic Illness Care (PACIC) survey. The PACIC includes three questions about thoughts and actions around setting diabetes goals with 5-point Likert scales (almost never to almost always). Scores will be summed from 3 (all almost never) to 15 (all almost always) and averaged with higher scores reflecting better goal setting.

    Measured: Baseline vs 4 months

  13. Change in intrinsic motivation

    Change in intrinsic motivation will be assessed using the Treatment Self-Regulation Questionnaire (TSRQ) Concerning Diabetes Scale A. The scale includes 3 questions related to autonomous regulation questions measured through a 7-point Likert scale, where 1 is "not at all true", 4 is "somewhat true", and 7 is "very true". Scores will be summed and divided by the total number of items. The higher the score, the higher the level of autonomous regulation.

    Measured: Baseline vs 4 months

  14. Change in extrinsic motivation

    Change in extrinsic motivation will be assessed using the Treatment Self-Regulation Questionnaire (TSRQ) Concerning Diabetes Scale A. The scale includes 5 questions related to controlled regulation questions measured through a 7-point Likert scale, where 1 is "not at all true", 4 is "somewhat true", and 7 is "very true". Scores will be summed and divided by the total number of items. The higher the score, the higher the level of controlled regulation.

    Measured: Baseline vs 4 months

  15. Change in empowerment

    Change in empowerment will be assessed using the Diabetes Empowerment Scale-Short Form (DES-SF). Participants will be asked to respond to 8 questions measured through a 5-point Likert scale (strongly disagree to strongly agree). Scores will be summed and divided by the total number of items. The higher the score indicates a higher level of empowerment.

    Measured: Baseline vs 4 months

  16. Change in diabetes distress - overall

    Change in overall diabetes distress will be assessed using the Diabetes Distress Scale - 17 (DDS17), which yields a total diabetes distress score. To score, participant's responses to the appropriate items are summed and divided by the number of items in the scale (possible range 1-6). The higher the score indicates a higher level of distress.

    Measured: Baseline vs 4 months

  17. Change in diabetes distress - emotional burden

    Change in emotional burden will be assessed using the Diabetes Distress Scale - 17 (DDS17), which yields a subscale score addressing emotional burden. To score, participant's responses to the appropriate items are summed and divided by the number of items in the emotional burden subscale, possible range 1-6). The higher the score indicates a higher level of distress.

    Measured: Baseline vs 4 months

  18. Change in diabetes distress - regimen distress

    Change in regimen distress will be assessed using the Diabetes Distress Scale - 17 (DDS17), which yields a subscale score addressing regimen distress. To score, participant's responses to the appropriate items are summed and divided by the number of items in the regimen distress subscale, possible range 1-6). The higher the score indicates a higher level of distress.

    Measured: Baseline vs 4 months

  19. Participant rating of intervention usability

    Intervention usability will be assessed using the System Usability Scale. Participants will be asked to respond to 10 questions measured through a 5-point Likert scale (strongly disagree to strongly agree). To score, values are converted to 0 to 4 by subtracting one from odd item scale positions and subtracting the scale position from five for even-numbered items. Converted responses are summed and the total is multiplied by 2.5; the converted range of possible values is from 0 to 100 (with 100 being the most positive response).

    Measured: 4 months

  20. Participant perceptions of the benefit of continuous glucose monitoring systems

    Perceptions about the benefits of continuous glucose monitoring (CGM) systems will be assessed using the Perceived Benefits of CGM (BenCGM) scale. Participants in the MPowerHub and CGM study arms will be asked 8 questions measured with a 5-point Likert scale (strongly disagree to strongly agree). Item scores are summed and range from 8 (all strongly disagree) to 40 (all strongly agree).

    Measured: 4 months

  21. Participant perceptions of the barriers of continuous glucose monitoring systems

    Perceptions about the barriers of continuous glucose monitoring (CGM) systems will be assessed using the Perceived Barriers of CGM (BurCGM) scale. Participants in the MPowerHub and CGM study arms will be asked 8 questions measured with a 5-point Likert scale (strongly disagree to strongly agree). Item scores are summed and range from 8 (all strongly disagree) to 40 (all strongly agree).

    Measured: 4 months

Timeline

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

  1. First posted27 Feb 2025
  2. Study start28 Apr 2025
  3. Primary completionDec 2026 (estimated)
  4. Study completionDec 2026 (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
Other
Allocation
Randomised
Intervention model
Parallel groups
Masking
Single blind
Who is masked
Outcomes assessor
Enrolment
80 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT06848361
Sponsor's protocol ID
STUDY23080053
Other IDs
1R01DK136788-01A1
Acronym
MPowerHub
Status last verified
Oct 2026
First submitted
21 Feb 2025
Last updated
29 Oct 2026
Results posted
No
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
Yes
Individual data sharing
Yes: Data derived from the trial will be eligible to be shared. Data sets will include only "limited access data" (i.e., no records with personal identifiers). Data sets will be de-identified prior to distribution, and wearable sensor data will be aggregated at a level that is determined to preserve individual confidentiality. Data sharing will follow the NIDDK Policy for Data Sharing (https://niddk.nih.gov/research-funding/research-resources/data-management-sharing).

Questions about this trial

What is this clinical trial studying?

A study testing MPowerHub, Continuous Glucose Monitor (CGM) and Activity Monitor in people with Type 2 Diabetes Mellitus (T2DM), run by Ann-Marie Rosland 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 8 inclusion and 10 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: under way, not looking for participants, as of the sponsor's last update on 29 Oct 2026. 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?

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?

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?

Percent of eligible individuals who enroll in the study (time frame: Pre-baseline). The study lists 3 primary outcomes in all. 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 29 Oct 2026.

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