Optimizing Navigation for Wellness And Resources Utilization in Youth With Type 2 Diabetes
University of Pittsburgh
Summary
The goal of this clinical trial is to pilot test different strategies to address health related social needs (HRSN) experienced by adolescent and young adult patients with type 2 diabetes and their families. The main questions it aims to answer are: * How feasible are the strategies? * How acceptable are the strategies? * How reliably and consistently can the strategies be implemented? Participants will: Attend regularly scheduled diabetes clinic visits. Complete surveys and interviews. Be connected to community resources and organizations to help address HRSN.
Eligibility
- Age range
- 13+ years
- Sex
- All
- Healthy volunteers
- Yes
Adolescent-Caregiver Dyads will be recruited together. Adolescent Inclusion Criteria: * Age 13 to 22 years old * known diagnosis of type 2 diabetes * followed clinically at UPMC Children's Hospital of Pittsburgh * able to provide assent/consent Caregiver Inclusion Criteria: * Adult (18 years or older) identifying as a primary caretaker of an adolescent or young adult with type 2 diabetes * Has an adolescent/young adult who agrees to participate in the study * able to provide consent Exclusion Criteria: * Inability to complete study questionnaires in English
Interventions
- BehavioralTailored Resources
Participants will be offered resource lists and warm referrals specific to health-related social needs (HRSN) on a screener. Their clinical team will be sent screener results and asked to talk about and address HRSN at the visit without additional guidance. Participants will be offered physical resources related to disclosed HRSN (e.g., food box for food insecurity).
- BehavioralUniversal Empowerment
Regardless of disclosed health-related social needs (HRSN), participants will be offered resource lists and warm referral links for food, housing, and transportation needs. At clinic visit, all will be offered physical resources and the opportunity to meet with a social worker. In place of screening results, the clinical team will be sent a message requesting that, when seeing the patient in clinic, they use the provided, easily accessible empowering script about HRSN.
- BehavioralText Messages
Participants will receive text messages once per month for 3 months. Messages will state that community-based resources to address health-related social needs (HRSN) are available if needed, with a link to opt-in to resource lists and warm referral links. Messages will include contact information for the study and clinical teams for optional HRSN discussion. Community Health Worker will not be assigned.
- BehavioralCommunity Health Workers (CHW)
Participants will be assigned a trained CHW to support connection with resources to address HRSN.
Location
- UPMC Children's Hospital of PittsburghPittsburgh, Pennsylvania