Type 2 Diabetes Mellitus (T2DM)NCT07669038
Effects of Online Diabetes Self-management Education on Knowledge Retention, BMI, and HbA1c in Newly Diagnosed Adults With Type 2 Diabetes
A study testing Online Diabetes Self-Management Education and Traditional Face-to-Face Diabetes Self-Management Education in people with Type 2 Diabetes Mellitus (T2DM) and Diabetes Self-Management Education, run by University of Primorska at 1 site in Slovenia.
Trial summary
Type 2 diabetes requires active self-management from the time of diagnosis, but participation in traditional face-to-face diabetes self-management education is often limited by access-related and personal barriers. Read more about this study
- Who is it for?
- Ages 18 years and older
- Conditions the study is for
- Type 2 Diabetes Mellitus (T2DM), Diabetes Self-Management Education
- What is being tested?
- Online Diabetes Self-Management Education and Traditional Face-to-Face Diabetes Self-Management Education
- Type of treatment
- Lifestyle or therapy programme
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 123 participants
- Where
- 1 siteSlovenia
- Study dates
- 14 Mar 2023to 26 Jun 2024
- Phase
- Interventional
- Are there results?
- None posted in the registry
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
- Adults aged 18 years or older.
- Diagnosis of type 2 diabetes mellitus within the previous 1 month.
- Ability to access and use information and communication technology devices (smartphone, computer, or tablet).
- Proficiency in the language used for the educational intervention.
- Ability and willingness to provide written informed consent.
Who cannot join
- Pregnancy.
- Current treatment of type 2 diabetes mellitus with antidiabetic medication (oral agents, injectable medications, or insulin).
- Previous participation in a diabetes self-management education program.
- Presence of concomitant diseases or treatments that could affect blood glucose levels (e.g., cancer or corticosteroid treatment).
- Visual impairment, cognitive impairment, literacy difficulties, or manual dexterity limitations that could interfere with participation.
- Development of any exclusion criterion during the study period.
- Deterioration in health status or occurrence of events that, in the opinion of the investigators, warranted discontinuation from the study.
Trial locations and contacts
1 site in 1 country.
Slovenia1 site
Primary Healthcare Center Koper, Diabetes Outpatient Clinic, Koper, Slovenia
Koper
About this study
Official title: Effects of Online Diabetes Self-management Education on Knowledge Retention, BMI, and HbA1c in Newly Diagnosed Adults With Type 2 Diabetes: a Quasi-experimental Study
Type 2 diabetes requires active self-management from the time of diagnosis, but participation in traditional face-to-face diabetes self-management education is often limited by access-related and personal barriers. Online education may provide a more flexible and accessible way to deliver structured diabetes education, particularly for newly diagnosed adults who need timely support in understanding and managing their condition.
This study evaluated the effects of online diabetes self-management education compared with traditional face-to-face education on diabetes knowledge retention, body mass index (BMI), and HbA1c in adults newly diagnosed with type 2 diabetes who were not receiving antidiabetic medication. A total of 123 participants were included: 49 participants received online diabetes self-management education, 52 participants received traditional face-to-face education, and 22 participants who declined education formed a non-randomized control group. Diabetes knowledge was assessed at baseline, immediately after the intervention, and at three-month follow-up, while BMI and HbA1c were measured at baseline and follow-up.
At three-month follow-up, both online and traditional education groups showed significantly greater diabetes knowledge compared with the control group. The online education group also showed better immediate post-intervention knowledge than the traditional education group. Both education groups had significant reductions in BMI from baseline to follow-up, while no significant short-term effect on HbA1c was observed.
- Being tested
- Online Diabetes Self-Management Education, Traditional Face-to-Face Diabetes Self-Management Education
- Keywords
- type 2 diabetes mellitus, education, telemedicine, glycaemic control
- Medical subject headings
- Diabetes Mellitus, Type 2
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
Online Diabetes Self-Management EducationBehavioural
Participants attended a 60-minute interactive online diabetes self-management education program delivered through a Moodle learning platform using H5P interactive content. The program consisted of five modules: Diabetes Treatment and Management, Recommendations for Healthy Eating with Diabetes, Physical Activity Recommendations, Diabetes Complications and Diabetic Foot, and Planning Lifestyle Modifications. The intervention was designed to improve diabetes-related knowledge and support self-management among adults newly diagnosed with type 2 diabetes.
Traditional Face-to-Face Diabetes Self-Management EducationBehavioural
Participants attended a 60-minute face-to-face diabetes self-management education session conducted in small groups of 4-6 participants. The educational content covered diabetes treatment and management, healthy eating recommendations, physical activity recommendations, diabetes complications and diabetic foot care, and planning lifestyle modifications. The intervention was designed to improve diabetes-related knowledge and support self-management among adults newly diagnosed with type 2 diabetes.
| Study group | Role | What they receive |
|---|---|---|
| Online Diabetes Self-Management Education | Experimental | Not described Receives: Behavioral: Online Diabetes Self-Management Education |
| Traditional Face-to-Face Diabetes Self-Management Education | Active comparator | Not described Receives: Behavioral: Traditional Face-to-Face Diabetes Self-Management Education |
| No Diabetes Self-Management Education (Control) | No intervention | Not described |
What is being measured
The primary outcome is the main question the study is designed to answer.
Diabetes Knowledge Questionnaire (DKQ24) Score
Change in diabetes-related knowledge measured using the 24-item Diabetes Knowledge Questionnaire (DKQ24). Scores range from 0 to 24, with higher scores indicating greater diabetes knowledge.
Measured: Baseline, immediately post-intervention, and 3 months after intervention.
Secondary outcomes (2)
Body Mass Index (BMI)
Change in body mass index (kg/m²) from baseline to follow-up.
Measured: Baseline and 3 months after intervention.
Glycated Hemoglobin (HbA1c)
Change in glycated hemoglobin (HbA1c) levels from baseline to follow-up.
Measured: Baseline and 3 months after intervention
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted25 Jun 2026
- Study start14 Mar 2023
- Primary completion26 Jun 2024
- Study completion26 Jun 2024
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Publications (2)Papers the sponsor has linked to this study.
- Other trials for Type 2 Diabetes Mellitus (T2DM)Studies of the same condition, open and under way.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
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
- Masking
- None (open label)
- Enrolment
- 123 participants (actual)
Sponsor and investigators
- Lead sponsor
- University of Primorska
- Sponsor type
- University, hospital or other
- Responsible party
- Sponsor
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT07669038
- Sponsor's protocol ID
- DSME-T2D-2026
- Status last verified
- Jul 2026
- First submitted
- 19 Jun 2026
- Last updated
- 8 Jul 2026
- Results posted
- No
- Data monitoring committee
- No
- FDA-regulated drug
- No
- FDA-regulated device
- No
- Individual data sharing
- Yes: Anonymized individual participant data that underlie the results reported in this study will be shared if required by the journal in which the study is published. Available data include demographic characteristics, Diabetes Knowledge Questionnaire (DKQ24) scores, body mass index (BMI), and glycated hemoglobin (HbA1c) measurements collected during the study.
Publications
Garcia AA, Villagomez ET, Brown SA, Kouzekanani K, Hanis CL. The Starr County Diabetes Education Study: development of the Spanish-language diabetes knowledge questionnaire. Diabetes Care. 2001 Jan;24(1):16-21. doi: 10.2337/diacare.24.1.16.
PubMed 11194219CENČIČ, Ajda, 2025. The Effect of a Web-Based Educational Program for Individuals With Type 2 Diabetes [In Slovenian: Učinek spletnega edukacijskega programa za osebe s sladkorno boleznijo tipa 2]: Doctoral dissertation [online]. Izola: A. Cenčič. [Accessed 19 June 2026]. Available at: https://repozitorij.upr.si/IzpisGradiva.php?lang=slv&id=22637
Study at a glance
From the registry record, last updated by the sponsor on 8 Jul 2026. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- Effects of Online Diabetes Self-management Education on Knowledge Retention, BMI, and HbA1c in Newly Diagnosed Adults With Type 2 Diabetes: a Quasi-experimental Study
- ClinicalTrials.gov ID
- NCT07669038
- Acronym / sponsor ID
- DSME-T2D-2026
- Keywords
- type 2 diabetes mellitus, education, telemedicine, glycaemic control
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 123 participants (actual)
- Lead sponsor
- University of PrimorskaUniversity, hospital or other
- Study start
- 14 Mar 2023 (actual)
- Primary completion
- 26 Jun 2024 (actual)
- Study completion
- 26 Jun 2024 (actual)
- First posted
- 25 Jun 2026 (actual)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
Type 2 diabetes requires active self-management from the time of diagnosis, but participation in traditional face-to-face diabetes self-management education is often limited by access-related and personal barriers. Online education may provide a more flexible and accessible way to deliver structured diabetes education, particularly for newly diagnosed adults who need timely support in understanding and managing their condition.
This study evaluated the effects of online diabetes self-management education compared with traditional face-to-face education on diabetes knowledge retention, body mass index (BMI), and HbA1c in adults newly diagnosed with type 2 diabetes who were not receiving antidiabetic medication. A total of 123 participants were included: 49 participants received online diabetes self-management education, 52 participants received traditional face-to-face education, and 22 participants who declined education formed a non-randomized control group. Diabetes knowledge was assessed at baseline, immediately after the intervention, and at three-month follow-up, while BMI and HbA1c were measured at baseline and follow-up.
At three-month follow-up, both online and traditional education groups showed significantly greater diabetes knowledge compared with the control group. The online education group also showed better immediate post-intervention knowledge than the traditional education group. Both education groups had significant reductions in BMI from baseline to follow-up, while no significant short-term effect on HbA1c was observed.
Study design
- Primary purpose
- Prevention
- Allocation
- Non-randomised
- Intervention model
- Parallel groups
- Masking
- None (open label)
- Number of arms
- 3
| Arm | Type | Receives |
|---|---|---|
| Online Diabetes Self-Management Education | Experimental | Behavioral: Online Diabetes Self-Management Education |
| Traditional Face-to-Face Diabetes Self-Management Education | Active comparator | Behavioral: Traditional Face-to-Face Diabetes Self-Management Education |
| No Diabetes Self-Management Education (Control) | No intervention | – |
Who may qualify
- Ages
- 18 years and older
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (5 listed)
- Adults aged 18 years or older.
- Diagnosis of type 2 diabetes mellitus within the previous 1 month.
- Ability to access and use information and communication technology devices (smartphone, computer, or tablet).
- Proficiency in the language used for the educational intervention.
- Ability and willingness to provide written informed consent.
Key exclusion criteria (7 listed)
- Pregnancy.
- Current treatment of type 2 diabetes mellitus with antidiabetic medication (oral agents, injectable medications, or insulin).
- Previous participation in a diabetes self-management education program.
- Presence of concomitant diseases or treatments that could affect blood glucose levels (e.g., cancer or corticosteroid treatment).
- Visual impairment, cognitive impairment, literacy difficulties, or manual dexterity limitations that could interfere with participation.
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| Online Diabetes Self-Management EducationParticipants attended a 60-minute interactive online diabetes self-management education program delivered through a Moodle learning platform using H5P interactive content. The program consisted of five modules: Diabetes Treatment and Management, Recommendations for Healthy Eating with Diabetes, Physical Activity Recommendations, Diabetes Complications and Diabetic Foot, and Planning Lifestyle Modifications. The intervention was designed to improve diabetes-related knowledge and support self-management among adults newly diagnosed with type 2 diabetes. | Behavioural | Online Diabetes Self-Management Education |
| Traditional Face-to-Face Diabetes Self-Management EducationParticipants attended a 60-minute face-to-face diabetes self-management education session conducted in small groups of 4-6 participants. The educational content covered diabetes treatment and management, healthy eating recommendations, physical activity recommendations, diabetes complications and diabetic foot care, and planning lifestyle modifications. The intervention was designed to improve diabetes-related knowledge and support self-management among adults newly diagnosed with type 2 diabetes. | Behavioural | Traditional Face-to-Face Diabetes Self-Management Education |
Primary outcome
Diabetes Knowledge Questionnaire (DKQ24) Score
Time frame: Baseline, immediately post-intervention, and 3 months after intervention.
Change in diabetes-related knowledge measured using the 24-item Diabetes Knowledge Questionnaire (DKQ24). Scores range from 0 to 24, with higher scores indicating greater diabetes knowledge.
2 secondary outcomes
Body Mass Index (BMI)
Time frame: Baseline and 3 months after intervention.
Glycated Hemoglobin (HbA1c)
Time frame: Baseline and 3 months after intervention
Results and safety
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 8 Jul 2026.
- Background: PubMed 11194219Garcia AA, Villagomez ET, Brown SA, Kouzekanani K, Hanis CL. The Starr County Diabetes Education Study: development of the Spanish-language diabetes knowledge questionnaire. Diabetes Care. 2001 Jan;24(1):16-21. doi: 10.2337/diacare.24.1.16.
- Results publicationCENČIČ, Ajda, 2025. The Effect of a Web-Based Educational Program for Individuals With Type 2 Diabetes [In Slovenian: Učinek spletnega edukacijskega programa za osebe s sladkorno boleznijo tipa 2]: Doctoral dissertation [online]. Izola: A. Cenčič. [Accessed 19 June 2026]. Available at: https://repozitorij.upr.si/IzpisGradiva.php?lang=slv&id=22637
- Individual participant dataSharing planned: Yes. Anonymized individual participant data that underlie the results reported in this study will be shared if required by the journal in which the study is published. Available data include demographic characteristics, Diabetes Knowledge Questionnaire (DKQ24) scores, body mass index (BMI), and glycated hemoglobin (HbA1c) measurements collected during the study.
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
The record lists no contact. Use the official record to reach the sponsor.
1 site in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A study testing Online Diabetes Self-Management Education and Traditional Face-to-Face Diabetes Self-Management Education in people with Type 2 Diabetes Mellitus (T2DM) and Diabetes Self-Management Education, run by University of Primorska at 1 site in Slovenia.
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 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: finished, as of the sponsor's last update on 8 Jul 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 Slovenia. 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?
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
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?
Diabetes Knowledge Questionnaire (DKQ24) Score (time frame: Baseline, immediately post-intervention, and 3 months after intervention.). 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 NCT07669038, which also lists 2 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 8 Jul 2026.