Actively Recruiting

Phase Not Applicable
Age: 18Years +
All Genders
ID07129915

Effect of Nudge-Based Shared Decision Making on Self-Management Among Patients With Type 2 Diabetes: A Randomized Controlled Trial

Led by Yunxuan Li · Updated on 2025-11-28

250

Participants Needed

1

Research Sites

N/A

Total Duration

On this page

AI-Summary

What this Trial Is About

Researchers are evaluating whether a communication method called "linguistic nudging" can help adults with type 2 diabetes make better treatment decisions together with their doctors. This study aims to see if this approach improves patients' ability to manage their diabetes, including medication adherence, blood sugar monitoring, and satisfaction with doctor-patient communication. The trial includes 250 adults with type 2 diabetes and is supported by the Ethics Committee of Xiang'an Hospital. Participants are randomly assigned to one of two groups: an intervention group where doctors receive special training in linguistic nudging to encourage shared decision-making and patients use a mobile app to record medication preferences; and a control group receiving standard diabetes care without these additional strategies. The doctors in the intervention group adjust their advice based on patient preferences recorded through the app. All participants are followed for 6 months. During the study, researchers will measure changes in blood sugar control using glycated hemoglobin (HbA1c) levels, assess diabetes self-management ability through a questionnaire at baseline, 3 months, and 6 months, and evaluate shared decision-making scores at the start. Personal information is kept confidential, safety is monitored, and participants may withdraw at any time. The study lasts 6 months from enrollment to final assessments.

CONDITIONS

Brief Title

Nudge-Based Shared Decision Making and Self-Management in Type 2 Diabetes: A Randomized Trial

Who Can Participate

Age: 18Years +
All Genders

Eligibility Criteria

Eligible

You may qualify if you...

  • Confirmed diagnosis of type 2 diabetes
  • Age 18 years or older
  • Normal cognitive function (Mini-Cog score of 3 or higher)
  • Ability to use a smartphone independently (including WeChat)
  • Willing to participate and provide informed consent
Not Eligible

You will not qualify if you...

  • Severe acute complications such as ketoacidosis or hyperosmolar coma
  • Documented cognitive impairment including dementia or Alzheimer's disease
  • Currently participating in other clinical trials
  • Life expectancy less than 6 months
  • Pregnancy or lactation

AI-Screening

AI-Powered Screening

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Your Study Journey

Screening

Duration - 2 to 4 weeks

Participants are screened for eligibility to participate in the trial.

Outpatient Treatment

Duration - 6 months

Participants receive either communication training with a medication preference app or routine diabetes management.

Visits and assessments at baseline, Month 3, and Month 6

Trial Site Locations

Total: 1 location

1

Xiang'an Hospital Affiliated to Xiamen University

Xiamen, Fujian, China, 0592361101

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Research Team

W

Wei WANG, M.D.

Y

Yunxuan Li, Master Candidate

How is the study designed?

Study Type

INTERVENTIONAL

Masking

NONE

Allocation

RANDOMIZED

Model

PARALLEL

Primary Purpose

HEALTH_SERVICES_RESEARCH

Number of Arms

2

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