Using the 'Support' online training and peer program for adults with type 1 diabetes

Using the Support Online Platform for Self-management Education of Adults Living With Type 1 Diabetes as Part of Usual Care or Independently: an Implementation Study

This project will test whether adults with type 1 diabetes who get access to the online 'Support' training and peer platform through their diabetes clinic manage their diabetes better than those who use the platform on their own.

Quick facts

• Phase: NA
• Study type: Interventional
• Enrollment: 322 (estimated)
• Ages: 18 Years and up
• Sex: All
• Sponsor: McGill University (other)
• Locations: 4 sites (Montreal, Quebec and 3 other locations)
• Trial ID: NCT06069583 on ClinicalTrials.gov

What this trial studies

This mixed-method, multi-centre trial compares two ways of using an online training and peer support platform called 'Support' — one arm where diabetes clinics integrate and refer patients to the platform, and another arm where adults with T1D access the platform independently. Adults with T1D living in Canada will have 12 months of access and complete online questionnaires at baseline, 6 months and 12 months, and will share glucose reader data with the research team. A subgroup of participants and healthcare professionals from four Quebec clinics will take part in individual interviews to identify barriers and facilitators to integrating 'Support' into routine care. The study combines effectiveness outcomes on self-management and glycemic data with implementation measures to understand both patient benefit and real-world adoption.

Who should consider this trial

Good fit: Adults in Canada with a diagnosis of type 1 diabetes (including LADA), who can read English or French, have internet access and an active email address, and are able to use the online platform are ideal candidates.

Not a fit: People without reliable internet or who are unable to use the online platform, those who prefer only in-person education, or patients with severe cognitive or sensory impairments may not benefit from this intervention.

Why it matters

Potential benefit: If successful, integrating 'Support' into routine care could improve self-management skills, glucose control (A1c), and patient access to up-to-date education and peer support.

How similar studies have performed: Previous diabetes self-management education programs and some online peer-support interventions have shown improvements in self-management and A1c in adults with diabetes, but results vary and real-world implementation has been inconsistent.

Eligibility criteria

Inclusion Criteria:

* Diagnosis of T1D (including LADA - latent autoimmune diabetes in adults)
* Have access to Internet
* Use of an active email address
* Comprehension of English or French
* Live in Canada

Exclusion Criteria:

\- Unable to use the Support platform

Where this trial is running

Montreal, Quebec and 3 other locations

• Institut de recherches cliniques de Montréal — Montreal, Quebec, Canada (RECRUITING)
• Centre hospitalier de l'université de Montreal — Montreal, Quebec, Canada (RECRUITING)
• Centre hospitalier de Quebec, Université Laval — Québec, Quebec, Canada (RECRUITING)
• Centre de médecine métabolique de Lanaudière — Terrebonne, Quebec, Canada (RECRUITING)

Study contacts

• Principal investigator: Anne-Sophie Brazeau, PhD — School of human nutrition - McGill University
• Study coordinator: Anne-Sophie Brazeau, PhD

Conditions: Type 1 Diabetes, Metabolic Disease, Endocrine System Diseases, Autoimmune Diseases, Immune System Diseases, self-management education, Hemaglobin A1c, Online education