AzTrials
AzTrials

Lifestyle InterventionNCT06918444

Evaluation of the WARIFA App and Its Impact on Healthy Lifestyle

A study testing WARIFA app with AI and WARIFA app without AI in people with Lifestyle Intervention and Non Communicable Chronic Diseases, run by Instituto Universitario de Investigaciones Biomédicas y Sanitarias (iUIBS) de la Universidad de Las at 1 site in Spain.

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 goal of this study is to assess the effect of the WARIFA app on the adoption of healthy lifestyle behaviours related to Non-communicable diseases (NCDs), as well as in the management of Type 1 Diabetes (T1D). Read more about this study

Who is it for?
Ages 18 years and olderHealthy volunteers can take part
What is being tested?
WARIFA app with AI and WARIFA app without AI
Type of treatment
Medical device
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
104 participants
Where
1 siteSpain
Study dates
24 Feb 2025to 29 May 2025
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
  • Healthy volunteers accepted
  • Adult, Older adult

Who may be able to join

  • Common for both population groups:
  • Adults over 18 years of age.
  • Owners of a smartphone operating with Android and with internet access.
  • Group 1: General population:
  • Healthy or diagnosed with no more than one NCD (CVD, any type of cancer, T2D or chronic respiratory disease).
  • Group 2: T1D:
  • Treatment with multiple subcutaneous insulin injections or an insulin pump.
  • Users of a continuous glucose monitor.

Who cannot join

  • Common for both groups:
  • Pregnancy.
  • Mobile device which is incompatible with the WARIFA app (E.g. Apple devices).
  • Unable to understand any of the app languages (Spanish, English, Norwegian or Romanian).
  • Any reason which precludes follow-up, based on the researcher's criteria.
  • Group 1: General population
  • People with two or more NCDs.

Trial locations and contacts

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

Spain1 site, 1 recruiting
  • Instituto Universitario De Investigaciones Biomédicas y Sanitarias (IUIBS)

    Las Palmas de Gran Canaria, Las Palmas, 35016

    Juan Carmelo Betancort Acosta, +34 646068951, carmelo.betancort@fpct.ulpgc.es

    Ana Wägner, PhD

    Recruiting

Other trials in Spain

About this study

Official title: Effect of the WARIFA App on User-defined Objectives, Healthy Lifestyles and Management of Type 1 Diabetes: a Pilot Randomised Controlled Trial

The goal of this study is to assess the effect of the WARIFA app on the adoption of healthy lifestyle behaviours related to Non-communicable diseases (NCDs), as well as in the management of Type 1 Diabetes (T1D). This is done using user-generated data analysis, artificial intelligence (AI) and risk estimation to provide personalised recommendations on lifestyle-related behaviours through a mobile app.

  • Primary objective: the objective of this study is to assess the impact of using the WARIFA app on a series of outcomes, related to the promotion of healthy lifestyles and prevention of NCDs, as well as on the management of T1D.
  • Secondary objectives: to assess the feasibility of implementation of a complex health app (WARIFA), and to explore which outcomes are more relevant in this context for users.
Read more

The study will evaluate the app in two different populations:

  • Population 1: Citizens living in Europe of either sex aged > 18 years diagnosed with no more than one NCD (of the following: CVD, any type of cancer, chronic respiratory disease and T2D) and current owners of a smartphone with internet access.
  • Population 2: European adult individuals of either sex aged >18 years with T1D currently using multiple daily insulin injections or an insulin pump and current owners of a smartphone with internet access.

The study will be carried out in three centres in three different countries: the Instituto Universitario de Investigaciones Biomédicas y Sanitarias (iUIBS) in Spain, the Norwegian Centre for E-health Research (NSE) in Norway, and in Romania.

Participants in each population will be randomised to an intervention or control arm on a 1:1 ratio:

  • Intervention arm: the Warifa app will be used by the participants throughout the study. The app will provide personalised risk estimations and recommendations through user-generated data analysis and artificial intelligence.
  • Control arm: The control group will use a Warifa app with the same functionalities than the intervention arm, but without artificial intelligence.

At baseline, information will be collected by questionnaires and a physical examination, including anthropometry and a lipid profile. These measurements will be repeated in 12 weeks and will be compared between the treatment arms.

The study will last 3 months in total, start of recruitment on 10 February 2025, end of study after the last visit of the last participant, on 12 May 2025. Each user will participate in the study for 12 weeks.

Being tested
WARIFA app with AI, WARIFA app without AI
Keywords
AI (Artificial Intelligence), Mobile app, Lifestyle intervention, Non Communicable Chronic Diseases, Risk Prediction Model, Type 1 Diabetes (T1D)
Medical subject headings
Noncommunicable Diseases, Diabetes Mellitus, Type 1

What participants receive

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

  • WARIFA app with AIDevice

    Participants will be given access to the WARIFA app on their mobile phones during the study.

    This app will collect activity data as well as questionnaires and diaries. Using this data and artificial intelligence, it will provide participants with personalised information and recommendations about their lifestyle and risk of chronic non-communicable diseases.

  • WARIFA app without AIDevice

    Participants will be given access to the WARIFA app on their cell phones during the study.

    This app will collect activity data, as well as through questionnaires and diaries. With this data, it will give information and general recommendations to the participants related to their lifestyle habits and risks of chronic non-communicable diseases, following the WHO guidelines. This version will not use artificial intelligence or personalized messages.

Study groups in NCT06918444
Study groupRoleWhat they receive
Use of WARIFA app with artificial intelligence (AI)ExperimentalParticipants will use a version of WARIFA app with artificial intelligence and personalized messages.
Receives: Device: WARIFA app with AI
Use of WARIFA app without artificial intelligence (AI)Placebo comparatorParticipants will use a version of WARIFA app with the same functionalities as the intervention group, but without artificial intelligence and personalized messages.
Receives: Device: WARIFA app without AI

What is being measured

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

  1. Self-defined goal by the participants

    Degree of achievement of a self-defined goal by the participants (selected among: increase consumption on fruit and vegetables, increase physical activity, reduce alcohol consumption, stop smoking, reduce number of weekly hypoglycaemic episodes, or improve sun protective behaviours).

    It will be measured on a Likert scale, with scores ranging from 1 ('well below expectations') to 10 ('well above expectations').

    Measured: At the end of intervention at 12 weeks

Secondary outcomes (35)
  1. Frequency of app use

    Number of times users access the app (number of times per day). Direct adherence.

    Measured: From enrollment to the end of intervention at 12 weeks

  2. Time spent using the app

    Time spent using the app (number of hours per day). Direct adherence.

    Measured: From enrollment to the end of intervention at 12 weeks

  3. Consistency in data recording

    Assessment of the regularity with which users record information related to healthy habits, healthy eating and physical activity. Direct adherence.

    Measured: From enrollment to the end of intervention at 12 weeks

  4. ABACUS scale

    The validated App Behaviour Change Scale (ABACUS). Attitudinal/Behavioural Change. The ABACUS scale was designed to measure the potential behavior change of apps. It consists of 21 items grouped into 4 categories: knowledge and information (5 items), goals and planning (3 items), feedback and monitoring (7 items), and actions (6 items). Each item represents a behavior change technique, and its inclusion in the app is rated dichotomously (behavior change technique not included = 0 or included = 1). Higher score means more potential behavioural change of apps.

    Measured: At the enrollment and the end of intervention at 12 weeks

  5. Changes in eating habits

    Assessment of changes in diet quality (changes in consumption of fruits, vegetables, processed foods…). Diary recording of fruit, vegetable, and processed meat consumption will be used. Attitudinal/Behavioural Change.

    Measured: From enrollment to the end of intervention at 12 weeks

  6. Changes in physical activity

    Data collected through a compatible smartwatch (number of steps) will be recorded. Attitudinal/Behavioural Change.

    Measured: From enrollment to the end of intervention at 12 weeks

  7. Reduction in tobacco consumption

    Diary records of tobacco consumption will be used (number of cigarettes per day). Attitudinal/Behavioural Change.

    Measured: From enrollment to the end of intervention at 12 weeks

  8. Reduction in alcohol consumption

    Diary records of alcohol consumption will be used (Number of units of alcoholic beverages per day). Attitudinal/Behavioural Change.

    Measured: From enrollment to the end of intervention at 12 weeks

  9. Changes in sun protection behaviour

    sun habits questionnaire score wil be used. Attitudinal/Behavioural Change

    Measured: At the enrollment and the end of intervention at 12 weeks

  10. Changes in sun protection behaviour

    Daily record of sunscreen use. Attitudinal/Behavioural Change

    Measured: From enrollment to the end of intervention at 12 weeks

  11. Hypoglycaemic events

    The continuous glucose monitor data from participants will be used (number of hypoglycaemic events). Biomedical outcomes

    Measured: From enrollment to the end of intervention at 12 weeks

  12. Hypoglycaemic events

    Diary records of manually recorded hypoglycaemic events (number of hypoglycaemic events). Biomedical outcomes.

    Measured: From enrollment to the end of intervention at 12 weeks

  13. Glycosylated haemoglobin

    Will be measured in venous blood. Unit of measurement: %. Biomedical outcomes.

    Measured: At the enrollment and the end of intervention at 12 weeks

  14. Glucose Management Indicator

    Glucose Management Indicator in the last 14 days. Unit of measurement: %. Biomedical outcome

    Measured: From enrollment to the end of intervention at 12 weeks

  15. Average glucose

    Average glucose in the last 14 days. Unit of measurement: mg/dl. Biomedical outcomes.

    Measured: From enrollment to the end of intervention at 12 weeks

  16. Time in ranges

    Times in glucose range for the last 14 days, measured by the participants' glucose sensor. Unit of measurement: %. Biomedical outcomes.

    Measured: From enrollment to the end of intervention at 12 weeks

  17. Total cholesterol

    Total cholesterol, measured through a venous blood sample. Unit of measurement: mg/dl. Biomedical outcomes.

    Measured: At the enrollment and the end of intervention at 12 weeks

  18. HDL cholesterol

    HDL cholesterol, measured through a venous blood sample. Unit of measurement: mg/dl. Biomedical outcomes.

    Measured: At the enrollment and the end of intervention at 12 weeks

  19. LDL cholesterol

    LDL cholesterol, measured through a venous blood sample. Unit of measurement: mg/dl. Biomedical outcomes.

    Measured: At the enrollment and the end of intervention at 12 weeks

  20. Non-HDL cholesterol

    Non-HDL cholesterol, measured through a venous blood sample. Unit of measurement: mg/dl. Biomedical outcomes.

    Measured: At the enrollment and the end of intervention at 12 weeks

  21. Muscle mass.

    Muscle mass. Measured by impedanciometry. Unit of measurement: Kg. Biomedical outcomes.

    Measured: At the enrollment and the end of intervention at 12 weeks

  22. Fat mass

    Fat mass. Measured by impedanciometry. Unit of measurement: Kg. Biomedical outcomes.

    Measured: At the enrollment and the end of intervention at 12 weeks

  23. Weight

    Weight of each participant. Unit of measurement: Kg. Biomedical outcomes

    Measured: At the enrollment and the end of intervention at 12 weeks

  24. Height

    Height of each participant. Unit of measurement: cm. Biomedical outcomes

    Measured: At the enrollment

  25. Circumference of abdomen.

    Circumference of abdomen. Unit of measurement: cm. Biomedical outcomes

    Measured: At the enrollment and the end of intervention at 12 weeks

  26. Circumference of the calf

    Circumference of the calf. Unit of measurement: cm. Biomedical outcomes

    Measured: At the enrollment and the end of intervention at 12 weeks

  27. Dynamometry

    Functional test, using a dynamometer in each participant's hand. Unit of measurement: Kg. Biomedical outcomes

    Measured: At the enrollment and the end of intervention at 12 weeks

  28. Body fat.

    Measured by plicometer in the posterior region of the upper arm (triceps area). Unit of measurement: mm. Biomedical outcomes.

    Measured: At the enrollment and the end of intervention at 12 weeks

  29. Chair test 5 repetitions

    Functional test, which measures the time taken to stand up and sit down from a chair 5 times. Unit of measurement: seconds. Biomedical outcomes.

    Measured: At the enrollment and the end of intervention at 12 weeks

  30. Perceived quality of life

    The EQ-5D questionnaire will be used for the group from the general population. Quality of Life and Wellbeing. Questionnaire with two distinct parts. The first part contains five health dimensions (mobility, self-care, activities of daily living, pain/discomfort and anxiety/depression). For each dimension of the EQ-5D, severity levels are coded: 1 if the answer choice is 'no (I have) problems'; 2 if the answer choice is 'some or moderate problems'; and 3 if the answer choice is 'many problems'. The higher the score, the worse the health dimension.

    The second part of the EQ-5D is a scale from 0 to 100. On this scale, the individual should mark the point that best reflects their assessment of their overall health status, with 0 being the lowest assessment of their health status and 100 being the best.

    Measured: At the enrollment and the end of intervention at 12 weeks

  31. Perceived quality of life

    The "Vida con Diabetes tipo 1" (ViDa1) questionnaire will be used for the group of individuals with T1D. Quality of Life and Wellbeing.

    The ViDa1 has 34 items that are grouped into 4 different dimensions: interference with life, self-care, well-being and worry about the disease. It is a questionnaire that can be self-administered with a Likert-type response format in which a total score per subscale is obtained.

    Interference with life: (items 1 - 12), self-care (13 - 23), well-being (24 - 29) and worry about illness (30 - 34). Each item is scored from 1 'strongly disagree' to 5 'strongly agree'. For correction, the scores obtained in each subscale are added together. Items 12, 23 and 27 are reversed for correct interpretation.

    Measured: At the enrollment and the end of intervention at 12 weeks

  32. Acquired knowledge

    Assessment of new knowledge about healthy habits. The European Health Literacy Survey will be used. Knowledge and Attitudes.

    The questionnaire consists of 16 questions that classify the degree of difficulty perceived by the participant in each task or situation as: 1 'very easy', 2 'easy', 3 "difficult", 4 'very difficult' or 5 'don't know/no answer'.

    Measured: At the enrollment and the end of intervention at 12 weeks

  33. Self-efficacy

    For measuring diabetes self-management behaviours, we will use the Summary of Diabetes Self-Care Activities (SDSCA). Knowledge and Attitudes.

    Is a brief self-report questionnaire of diabetes self-management that includes items assessing the following aspects of the diabetes regimen. It consists of 11 items that addresses different areas of self-care present in people with Diabetes Mellitus, such as diet, physical activity, medication, self-testing of capillary glycaemia and smoking. It presents a response scale from 0 to 7, depending on the number of days that the person has carried out a certain behaviour in the last week. The smoking item has a dichotomous response scale.

    The lower the score, the lower the adherence of the person with MD to favourable self-care behaviours. The questionnaire has no cut-off point, so each item must be assessed individually.

    Measured: At the enrollment and the end of intervention at 12 weeks

  34. Usability

    Usability scale (SUS) will be used. Satisfaction and feedback.

    The SUS scale is a 10-item questionnaire scored on a 5-point Likert-type scale from 1 (strongly disagree) to 5 (strongly agree). It is arranged to alternate between positive and negative statements to avoid habitual bias from the respondent. The score contribution for the odd items (the positive statements) is the scale position minus 1 and the contribution for the even items (the negative statements) is 5 minus the scale position. The overall score is calculated from the sum of all item scores multiplied by 2.5, with the overall score ranging from 0 to 100. A system with a score above 85 is considered to have excellent usability, whereas a system with a score between 68 and 84 is considered to have good usability.

    Measured: At the enrollment and the end of intervention at 12 weeks

  35. Usability

    The mHealth App Usability Questionnaire (MAUQ) will be used. Satisfaction and feedback.

    It assesses the ease of use, interface, satisfaction and usefulness of mHealth applications for end users. Consists of 18 items, with 7 response options for each item, ranging from 1 "strongly disagree" to 7 "strongly agree".

    Measured: At the enrollment and the end of intervention at 12 weeks

Timeline

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

  1. First posted9 Apr 2025
  2. Study start24 Feb 2025
  3. Primary completion29 May 2025 (estimated)
  4. Study completion29 May 2025 (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
Randomised
Intervention model
Parallel groups
Masking
Quadruple blind
Who is masked
Participant, Care provider, Investigator, Outcomes assessor
Enrolment
104 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT06918444
Sponsor's protocol ID
2024-330-1
Status last verified
Apr 2025
First submitted
6 Oct 2024
Last updated
9 Apr 2025
Results posted
No
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
No: The study will be conducted in three European countries, in compliance with both national and European data protection laws.

Publications

  • Betancort Acosta C, Zamora Zamorano G, Alvarez Male ML, Perestelo-Perez L, Torres Castano A, Veierod MB, Reyes Suarez K, Deniz Garcia A, Arsand E, Torhild Gram I, Lochen ML, Soguero-Ruiz C, Henriksen A, Rodriguez Almeida AJ, Muzny M, Valimaki R, Schopf T, Fabelo H, Granja C, Wagner AM. Effect of a Personalized Mobile Health Intervention Using Artificial Intelligence (the WARIFA App) Versus a Nonpersonalized Intervention on User-Defined Objectives, Healthy Lifestyles, and Management of Type 1 Diabetes (T1D): Protocol for a Randomized Controlled Trial. JMIR Res Protoc. 2026 May 22;15:e84510. doi: 10.2196/84510.

    PubMed 42172625

Questions about this trial

What is this clinical trial studying?

A study testing WARIFA app with AI and WARIFA app without AI in people with Lifestyle Intervention and Non Communicable Chronic Diseases, run by Instituto Universitario de Investigaciones Biomédicas y Sanitarias (iUIBS) de la Universidad de Las at 1 site in Spain.

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 7 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 9 Apr 2025. 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 Spain. 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. Some participants in this study may receive a placebo. 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?

Each site lists its own contact: choose the nearest one under Trial locations. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Self-defined goal by the participants (time frame: At the end of intervention at 12 weeks). 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 NCT06918444, which also lists 1 linked publication.

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 9 Apr 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