Nurse-guided app coaching to help adults with type 2 diabetes manage blood sugar
Tests a nurse-guided smartphone coaching program in adults with type 2 diabetes.
Plain-language title generated from the registry record
Registry title: A Nurse-Led Digital Coaching Program to Improve Blood Sugar Control in Adults With Type 2 Diabetes
Key facts
- Where
- Manama, BahrainSee the site
AI summary: who the study is looking for
From the trial's eligibility criteria. Machine-read from the registry text on this page, so it can be wrong. The registry text below and the trial team decide who can take part.
The trial is looking for adults with type 2 diabetes whose blood sugar is not well controlled and who get diabetes care at a participating primary health care centre. They need a smartphone to use the ChronoCoach app.
- Age
- 18 years or older
- Sex
- All sexes can join.
- Disease stage
- Type 2 diabetes diagnosed at least 1 year ago, with the most recent HbA1c of 7.0% (53 mmol/mol) or higher within the previous 3 months.
- Earlier treatment
- Receiving outpatient diabetes care at a participating primary health care centre.
- Biomarker or test result
- Most recent HbA1c of 7.0% (53 mmol/mol) or higher within the previous 3 months.
Main reasons for not taking part
- Acute or unstable condition needing urgent or hospital care at recruitment
- Health, thinking or mental problems that stop informed consent or safe use of the digital program
- Cannot use the digital platform even after training and support
- Taking part in another study that may affect blood sugar control or diabetes self-management
- Pregnant or planning pregnancy during the study
Read by machine on 12 November 2026.
Where in Bahrain
- Primary Health Care Centres, Ministry of HealthManama, BahrainContact: Toqa BusebaiaNo longer taking part
Questions to ask the study team
- How often do I need to come in, and for how long each time?
- Are travel costs paid?
- Can I keep my own doctor?
- What happens if I want to stop?
Contact the study team: see the registry record → Contacts and Locations
Print a page for my doctorTrial details
- Who runs it
- Alexandria University
- Trial code
- NCT07916584
- Record updated
- 4 November 2026
- Original description
The goal of this clinical trial is to learn whether ChronoCoach, a nurse-led multidisciplinary digital coaching program, improves blood sugar control and self-management in adults with type 2 diabetes attending primary health care diabetes services in Bahrain. The main question it aims to answer is: Does ChronoCoach plus usual care lower HbA1c more than usual care alone after 3 months? Researchers will also compare diabetes self-care, self-efficacy, family involvement, quality of life and satisfaction, and will explore feasibility and acceptability.Read full original descriptionShow less
ChronoCoach: A Nurse-Led Multidisciplinary Digital Intervention to Improve Glycemic Control and Self-Management Among Adults With Type 2 Diabetes Mellitus: A Randomized Controlled Trial
The goal of this clinical trial is to learn whether ChronoCoach, a nurse-led multidisciplinary digital coaching program, improves blood sugar control and self-management in adults with type 2 diabetes attending primary health care diabetes services in Bahrain. The main question it aims to answer is: Does ChronoCoach plus usual care lower HbA1c more than usual care alone after 3 months? Researchers will also compare diabetes self-care, self-efficacy, family involvement, quality of life and satisfaction, and will explore feasibility and acceptability.
Participants will be randomly assigned to ChronoCoach or usual care. ChronoCoach participants will use a smartphone app for 3 months to record blood glucose, medicines, symptoms, food and activity, and will receive structured coaching from a diabetes nurse with pharmacy, nutrition, exercise, psychological and physician input when needed. All participants continue usual care and complete HbA1c testing and questionnaires at baseline, 3 months and 6 months.
Research hypothesis:
* Participants allocated to ChronoCoach will have a greater reduction in HbA1c than participants receiving usual care, after adjusting for baseline HbA1c.
Inclusion: Adults aged 18 years or older; Clinical diagnosis of type 2 diabetes mellitus for at least 1 year; Most recent HbA1c of 7.0% or higher within the previous 3 months; Receiving outpatient diabetes care at a participating primary health care centre; Owns or has regular access to a compatible smartphone and is able to use the ChronoCoach app, independently or with support from a family member; Able to communicate in Arabic or English; Able to provide written informed consent and attend follow-up at 3 and 6 months.
Exclusion: Acute or unstable clinical condition requiring urgent or inpatient management at recruitment; Clinical, cognitive or psychiatric impairment preventing informed consent or safe participation in the digital intervention; Current participation in another intervention study likely to influence glycemic control or diabetes self-management; Unable to use the digital platform despite reasonable training and support; Participation in the ChronoCoach pilot (usability) phase; Pregnancy or planning pregnancy during the study period.