Increasing the Uptake of DSMES Program and Addressing Social Needs in Low-Income Vulnerable Immigrants
NYU Langone Health
Summary
The purpose of this study is to evaluate a multi-level approach to improve diabetes control via access to social service supports and online, culturally-tailored diabetes self-management education and support (DSMES) videos among a community of primarily Chinese and Latino/a immigrants. The study aims to assess patient uptake, provider adoption, and INSPIRE program acceptability, appropriateness, feasibility, fidelity, penetration/reach, and maintenance.
Description
In stage 1, the 8 family health center (FHC) clinics will be randomized 1:1 into Experimental Cohort A, which will receive the Community Health Worker (CHW)-enabled community-clinic linkage model (CCL) or Control Cohort B, with FHCs that will not receive the CHW-enabled CCL. Then, in stage 2, patients in clinics that received the CHW-enabled CCL will be randomized in a 1:1 ratio to Arm A who will receive text-based mhealth diabetes education videos or Arm B who will not receive mhealth.
Eligibility
- Age range
- 18–70 years
- Sex
- All
- Healthy volunteers
- No
Inclusion Criteria: To be eligible to participate in this study, the patient participant must meet all the following criteria: 1. ≥18 years old and ≤ 70 years old 2. Self-identify their primary language as English, Mandarin, Cantonese, or Spanish 3. Diagnosed with T2DM 4. Has their most recent HbA1c ≥8% or have a new diagnosis of T2DM within the past 6 months For patient participants randomized to the mHealth cohort, they must meet the below inclusion criteria 1\. Willing to receive text messages with brief videos regarding T2DM management Exclusion Criteria: 1. Unable or unwilling to pr…
Interventions
- BehavioralCHW-enabled CCL
The FHCs has access to the CHW-enabled CCL. With this intervention, participants will be screened for social determinants of health (SDoH) and be referred to care and social services that address any identified needs.
- BehavioralMobile health (mHealth) diabetes self-management education and support (DSMES) videos
Participants will receive 24 culturally tailored DSMES videos through text message.
Location
- NYU Langone HealthNew York, New York