UMIN-CTR Clinical Trial

Unique ID issued by UMIN UMIN000020062
Receipt number R000023172
Scientific Title Development of the self-efficacy questionnaire for insulin users (Study)
Date of disclosure of the study information 2015/12/03
Last modified on 2017/06/05 08:41:59

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Basic information

Public title

Development of the self-efficacy questionnaire for insulin users (Study)

Acronym

Development of the self-efficacy questionnaire for insulin users (Study) [THE SELF-EFFICACY-Q Study]

Scientific Title

Development of the self-efficacy questionnaire for insulin users (Study)

Scientific Title:Acronym

Development of the self-efficacy questionnaire for insulin users (Study) [THE SELF-EFFICACY-Q Study]

Region

Japan


Condition

Condition

Type 1 and Type 2 diabetes

Classification by specialty

Endocrinology and Metabolism

Classification by malignancy

Others

Genomic information

NO


Objectives

Narrative objectives1

The purpose of this study is to compose a questionnaire to measure self-efficacy of Japanese diabetic patients who use insulin and adjust the dosage by themselves.

Basic objectives2

Others

Basic objectives -Others

Making a new questionnaire and evaluating it

Trial characteristics_1


Trial characteristics_2


Developmental phase



Assessment

Primary outcomes

* Evaluation of the new self-efficacy questionnaire (validity and reliability)
* Evaluation of correlations between the new self-efficacy questionnaire and other questionnaires (DTSQ, PAID)

Key secondary outcomes



Base

Study type

Observational


Study design

Basic design


Randomization


Randomization unit


Blinding


Control


Stratification


Dynamic allocation


Institution consideration


Blocking


Concealment



Intervention

No. of arms


Purpose of intervention


Type of intervention


Interventions/Control_1


Interventions/Control_2


Interventions/Control_3


Interventions/Control_4


Interventions/Control_5


Interventions/Control_6


Interventions/Control_7


Interventions/Control_8


Interventions/Control_9


Interventions/Control_10



Eligibility

Age-lower limit

20 years-old <=

Age-upper limit


Not applicable

Gender

Male and Female

Key inclusion criteria

Patients who meet all of the following criteria are included in this study.
1. Out-patients who has been on insulin treatment for 12 weeks or longer (either type 1 or type 2 diabetes)
2. Male or female who is 20 years of age or older at the point of giving written consent
3. Patients who can provided written consent to participate in the study

Key exclusion criteria

Patients who fall into any of the following criteria are excluded from participating in the study.
1. Currently have psychological disorders, dementia, or dementia-like symptoms
2. Incapable of making judgement for themselves
3. Need a proxy to make any important judgement for them
4. Other conditions considered to be unsuitable by the attending physician

Target sample size

236


Research contact person

Name of lead principal investigator

1st name
Middle name
Last name Hitoshi Ishii

Organization

Nara Medical University

Division name

Department of Diabetology

Zip code


Address

840 Shinjouchou, Kashihara-shi, Nara

TEL

0744-22-3051

Email

hits1@naramed-u.ac.jp


Public contact

Name of contact person

1st name
Middle name
Last name Hiroki Takayama

Organization

Soiken Inc.

Division name

Clinical Study Support Division

Zip code


Address

NBF Ogawamachi Building 4F, Kanda Ogawamachi 1-3-1, Chiyoda-ku, Tokyo 101-0052

TEL

03-3295-1350

Homepage URL


Email

takayama@soiken.com


Sponsor or person

Institute

Japan Society for Patient Reported Outcome (PRO)

Institute

Department

Personal name



Funding Source

Organization

Sanofi K.K.

Organization

Division

Category of Funding Organization

Profit organization

Nationality of Funding Organization



Other related organizations

Co-sponsor


Name of secondary funder(s)



IRB Contact (For public release)

Organization


Address


Tel


Email



Secondary IDs

Secondary IDs

NO

Study ID_1


Org. issuing International ID_1


Study ID_2


Org. issuing International ID_2


IND to MHLW



Institutions

Institutions



Other administrative information

Date of disclosure of the study information

2015 Year 12 Month 03 Day


Related information

URL releasing protocol


Publication of results

Unpublished


Result

URL related to results and publications


Number of participants that the trial has enrolled


Results


Results date posted


Results Delayed


Results Delay Reason


Date of the first journal publication of results


Baseline Characteristics


Participant flow


Adverse events


Outcome measures


Plan to share IPD


IPD sharing Plan description



Progress

Recruitment status

Completed

Date of protocol fixation

2015 Year 11 Month 05 Day

Date of IRB


Anticipated trial start date

2015 Year 11 Month 06 Day

Last follow-up date


Date of closure to data entry


Date trial data considered complete


Date analysis concluded



Other

Other related information

All patients who visited Tenri Hospital, Nara Medical University from Nov. 6, 2015 and met the inclusion criteria without meeting any of the exclusion criteria in addition to be able to provide written informed consent were enrolled. This study is a cross-sectional study.

After completion of this study, the new self-efficacy questionnaire will be used to measure key outcomes in a clinical study (The COMparison of satisfaction between patient-led and physician-led titration group Measured by a new questionnaire In Japanese T2D patients [COMMIT-patient study]) where glargine 300U/mL is used as a study drug.


Management information

Registered date

2015 Year 12 Month 03 Day

Last modified on

2017 Year 06 Month 05 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000023172


Research Plan
Registered date File name

Research case data specifications
Registered date File name

Research case data
Registered date File name