Evidence for Health Improvement in People With Diabetes Using One Touch & Partner Solutions

ECLIPSE (Evidence for health improvement in people with diabetes using One Touch \& Partner Solutions) is a large parallel arm digital health study that will allow people with diabetes (PWDs) the freedom to choose the solution that is right for them, rather than forcibly randomize subjects to a specific study intervention. The intention of this real world study design is to mimic the choice PWDs will have when selecting a diabetes \& digital health solution from the OneTouch Solutions website.

A target of 800 people with type 2 diabetes (PwT2Ds) will be recruited and offered one of four interventions with the aim of following 200 PWDs per study arm. Subjects in all four study arms will use a bluetooth connected OneTouch Verio Reflect blood glucose meter (BGM) which features a dynamic color range indicator (DCRI) and blood sugar mentor (BSM) insights. Subjects in three of the four study arms will also sync their Reflect BGM to the OneTouch Reveal (OTR) mobile diabetes app to enable further insights (PWDs in the Welldoc study arm will not use the OTR app).

The 4 unique study arms will also offer PWDs one of the following Partner offerings;

1. Cecelia Health, which offers guidance from certified Diabetes Care and Education Specialists
2. Fitbit, which offers activity and wellbeing insight from use of the Fitbit Inspire 2 tracker, and Fitbit Premium subscription
3. Noom, a psychology-based weight and wellness program
4. Welldoc, which offers personalized health coaching on multiple conditions, namely prediabetes, diabetes, hypertension and heart failure

ECLIPSE will gather glycemic measures, medication adherence, a variety of patient reported outcomes and partner app usage and app engagement analytics over one year. Health economic data (HECON) from PWDs from the year of participation in ECLIPSE will be analysed from a purchased dataset and a comparison will be made to HECON data from the same PWDs for the year prior to taking part in the study. In addition, a matched control group of PwT2D from the same purchased dataset will be compared to the data from all four study arms.

• Cecelia Health plus OneTouch Verio Reflect® BGM and OneTouch Reveal® mobile app (Device): Expert guidance via coaching
• Fitbit plus OneTouch Verio Reflect® BGM and OneTouch Reveal® mobile app (Device): Fitness and wellness guidance
• Noom plus OneTouch Verio Reflect® BGM and OneTouch Reveal® mobile app (Device): Behavioral weight loss program
• Welldoc plus OneTouch Verio Reflect® BGM and Welldoc app (Device): Multi condition support

Primary outcomes

• Changes in A1c from screening to 3 and 6 months in each of the OneTouch Solutions programs [3 and 6 months]

Secondary outcomes

• Change in mean blood glucose derived from blood glucose testing throughout the study in each of the OneTouch Solutions programs [3 and 6 months]
• Change from baseline in diabetes distress as assessed by the diabetes distress scale (DDS) after 3 and 6 months [3 and 6 months]
• Change from baseline in well-being as assessed by the WHO-5 survey after 3 and 6 months [3 and 6 months]
• Change from baseline in patient activation measures as assessed by PAM-13 survey after 3 and 6 months [3 and 6 months]
• Change from baseline in medication adherence as assessed by a medication adherence survey after 3 and 6 months [3 and 6 months]

Other outcomes

• Changes over time in the number of app sessions performed within each of the OneTouch Solutions programs [Over 1 year]
• Change from baseline in A1c as a function of the number of app sessions performed within each of the OneTouch Solutions programs [Over 1 year]
• Quantify the number of medical insurance claims made by subjects within each of the OneTouch Solutions programs using data harvested from a large medical insurance dataset [Over 1 year]

Sex: All, ages: 18 Years to any

Inclusion Criteria:

* Self reports a diagnosis of type 2 diabetes
* HbA1c ≥7.5% but ≤12% at screening
* Currently instructed by a health care provider (HCP) to use a blood glucose meter to test blood sugar
* Has a compatible smartphone and willing to redownload apps if they change phones during the study
* Has a stable and consistent home and/or office internet connection
* Currently on at least 1 oral (by mouth) or injected anti-diabetic medication (for lowering your blood glucose) with or without insulin therapy (insulin injections or an insulin pump) at screening

Exclusion Criteria:

* Currently pregnant or planning to be pregnant in the next 12 months
* Body Mass Index < 27
* Currently using a CGM (Continuous glucose monitor) or have used a personal CGM in the past 3 months
* Currently using a OneTouch Verio Reflect meter
* For FitBit arm only: Currently uses related fitness applications (e.g., MyFitnessPal, JEFIT, Fitness Coach, Yoga-Go, etc.) or wearable device (e.g., Fitbit, Apple Watch, Garmin, Withings, etc.) in the past 6 months

• Wei-Nchih Lee, PhD, Principal investigator, Evidation Health