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
Where in Bahrain
- Primary Health Care Centres, Ministry of HealthManama, BahrainNo 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?
Trial 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.