Digital Health Navigation for Latino Patients With Type II Diabetes

Type 2 Diabetes Clinical Trial

Official title:

Digital Health Navigation for Latino Patients With Type II Diabetes: A Randomized Controlled Trial

Clinical Trial Details — Status: Recruiting

Administrative data

• NCT number: NCT06283992
• Other study ID #: 2024p000095
• Secondary ID: K23MD016439
• Status: Recruiting
• Phase: N/A
• Start date: March 31, 2024
• Est. completion date: May 31, 2027

Study information

• Verified date: May 2024
• Source: Brigham and Women's Hospital
• Contact: Jorge A Rodriguez, MD
• Phone: 617-732-7063
• Email: bwhtelediabetes[@]partners.org
• Is FDA regulated: No
• Study type: Interventional

Clinical Trial Summary

The goal of this clinical trial is to learn about digital literacy training in adult, Latino patient with type II diabetes. The main question it aims to answer is: Can providing digital literacy training during a hospital admission can help patients with their after-hospital care by using the patient portal and telehealth? Participants will receive digital literacy training by a digital navigator that focuses on the main patient portal functions. Researchers will compare patients who receive digital literacy training to those who receive standard of care (educational sheet) to see if it impacts their use of the patient portal after discharge.

Description:

Latinos have the second-highest age-adjusted prevalence and among the highest incidence of diabetes. Latinos also experience worse glycemic control and diabetes-related complications, including diabetic retinopathy and chronic renal disease. These findings are concerning since Latinos are the largest minority group in the U.S and will account for 25% of the population by 2045. Digital tools, like patient portals and telemedicine, offer an opportunity to address some of the challenges that lead to these disparities, especially during care transitions. However, Latinos, especially those who are Spanish-speaking are less likely to use digital health tools. Findings from previous health information technology work have highlighted barriers, including 1) digital access and literacy, 2) interface usability, 3) privacy, and 4) patient preference. One promising intervention to address digital literacy gaps is the use digital navigators. This study aims are to assess a digital health navigation intervention focused on increasing patient portal use after discharge among Latino patients with type II diabetes admitted to the general medicine inpatient floor.

Recruitment information / eligibility

• Status: Recruiting
• Enrollment: 84
• Est. completion date: May 31, 2027
• Est. primary completion date: May 31, 2026
• Accepts healthy volunteers: No
• Gender: All
• Age group: 18 Years and older

Eligibility

Inclusion Criteria:

• Self-identified Latino adult patients with type II diabetes
• Admitted to general medicine floors at Brigham and Women's Hospital
• Preferred language: English or Spanish

Exclusion Criteria:

• Critical illness
• dementia, delirium, or other condition that limits ability to participate in education and consent process

Related Conditions & MeSH terms

• Diabetes Mellitus
• Diabetes Mellitus, Type 2
• Type 2 Diabetes

Intervention

Other:
• Digital Navigation
1:1 educational support at the bedside about the functions of the patient portal and telehealth that can help with care transitions.

Locations

Country	Name	City	State
United States	Brigham and Women's Hospital	Boston	Massachusetts

Sponsors (2)

Lead Sponsor	Collaborator
Brigham and Women's Hospital	National Institute on Minority Health and Health Disparities (NIMHD)

Country where clinical trial is conducted

United States, 

References & Publications (1)

Rodriguez JA, Charles JP, Bates DW, Lyles C, Southworth B, Samal L. Digital healthcare equity in primary care: implementing an integrated digital health navigator. J Am Med Inform Assoc. 2023 Apr 19;30(5):965-970. doi: 10.1093/jamia/ocad015. — View Citation

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	Proportion of Participants Who Login to the Portal	Number of participants with at least 1 login to the portal in the 30 days after discharge	30 days post-discharge
Secondary	Proportion of Participants that Perform Distinct Portal Functions	Proportion of participants that perform distinct portal functions (sending messages, requesting refill)	30 days post-discharge
Secondary	Proportion of participants that complete a telehealth	Proportion of participants that complete a telehealth visit during post-discharge period	30 days post-discharge
Secondary	Proportion of participants that are re-admitted	Proportion of participants that are re-admitted within 30 days after discharge	30 days post-discharge