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Diabetes Multimorbidity Typology, Trajectory, and Feasibility of an Audio Diary Mobile Application to Support Self-management

The goal of this clinical trial is to evaluate whether an audio diary mobile application (Fabla-diabetesMM) is feasible to use and may support self-management in older adults with type 1 or 2 diabetes and multimorbidity. The main questions it aims to answer are: * Is it feasible to adapt and implement the Fabla-diabetesMM audio diary mobile app among 30 older adults with diabetes and multimorbidity * Does the use of the audio diary mobile app affect self-management outcomes

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ClinicalTrials.gov IDNCT07474376

PhaseNA

Enrollment30

SponsorEmory University

Age65 Years and older

SexALL

I'm interested View official listing

Conditions studied

Diabetes Mellitus, Type 2, Diabetes Mellitus, Type 1

About this study

Interventions

Other: Fabla Mobile App — Participants will use an adapted audio diary mobile application (Fabla-diabetesMM) designed to collect daily structured and semi-structured audio reflections on health conditions, symptoms, self-management strategies, goal attainment, and feasibility feedback. The app is tailored for older adults, including adjustments to interface, font, navigation, and question wording. Intervention Components: * Daily audio diary entries for 7 days, with optional continued use up to 1 or 3 months * Structured survey items integrated into the app (e.g., symptoms, self-regulation, self-efficacy, healthcare use) * Semi-structured audio prompts about daily experiences, self-management, and health changes * Reminder notifications to encourage diary completion * Video instructions on how to use the app

Primary outcomes

Feasibility of the Audio Diary Mobile App (Day 1-7; Day 7-1 or 3 months)
Expressiveness (Day 1-7; Day 7-1 or 3 months)
Acceptability, Appropriateness, and Feasibility Measures (Day 1-7; Day 7-1 or 3 months)
System Usability Scale (Day 1-7; Day 7-1 or 3 months)
Rates of interest (Screening)
Rates of eligibility (Screening)
Rates of completion (Day 1; Day 1-7; Day 7; Day 7-1 or 3 months; 1 month; 3 months)
Linguistic Inquiry and Word Count (LIWC) analysis of the audio diaries (Day 1-7; Day 7-1 or 3 months)

Eligibility information

Inclusion Criteria: * Diagnosed type 1 or 2 diabetes and at least one comorbidity (eg, obesity, HIV, heart failure, polycystic ovary syndrome, obstructive sleep apnea, and prediabetes with and without hypertension) * Being able to fill in the Redcap surveys, and install and use the audio diary app. Exclusion Criteria: •Those who cannot use (e.g., no mobile phone, incompatible system), read, type, speak, or understand English in Redcap or the audio diary mobile app.

Study locations

Emory Healthcare, Atlanta, Georgia 30329 United States

Before you participate: Varda Clinical is an independent discovery tool, not the study sponsor or a medical provider. Eligibility can only be determined by the official study team. Discuss potential risks and benefits with a qualified healthcare professional.

Source: ClinicalTrials.gov. Record last refreshed by Varda Clinical: 2026-09-27.