Controlling Hyperglycemia Among Minority Population
| Status: | Completed |
|---|---|
| Conditions: | Diabetes |
| Therapuetic Areas: | Endocrinology |
| Healthy: | No |
| Age Range: | 18 - 64 |
| Updated: | 1/28/2018 |
| Start Date: | January 2016 |
| End Date: | September 2017 |
Controlling Hyperglycemia Among Minority Population (CHAMP): A Randomized Controlled Trial of Two Diabetes Interventions for Underserved Communities
The purpose of this study is to compare the efficacy of three approaches in diabetes
management: (1) community health worker (CHW) education; (2) text messaging; and (3) usual
hospital-based care. The goal is to determine the most cost-effective method of diabetes
management among an economically-disadvantaged, minority population.
management: (1) community health worker (CHW) education; (2) text messaging; and (3) usual
hospital-based care. The goal is to determine the most cost-effective method of diabetes
management among an economically-disadvantaged, minority population.
The CHAMP study will test the efficacy of two interventions designed to decrease uncontrolled
hyperglycemia (defined as Hemoglobin-A1C (A1C) at or above 9%) among adults with diabetes.
Patients from a safety-net hospital will be randomized into three groups: 1) a control group,
2) an intervention providing diabetes self-care text messages, or 3) an intervention using
community health workers to provide diabetes education and linkage to care. Secondary
objectives include increasing diabetes knowledge, improving diabetes self-management, and
increasing use of primary care (i.e., make one visit to the physician in 6 months) among the
intervention participants. A cost-effectiveness analysis will determine the most appropriate
way to reduce the burden of uncontrolled diabetes.
hyperglycemia (defined as Hemoglobin-A1C (A1C) at or above 9%) among adults with diabetes.
Patients from a safety-net hospital will be randomized into three groups: 1) a control group,
2) an intervention providing diabetes self-care text messages, or 3) an intervention using
community health workers to provide diabetes education and linkage to care. Secondary
objectives include increasing diabetes knowledge, improving diabetes self-management, and
increasing use of primary care (i.e., make one visit to the physician in 6 months) among the
intervention participants. A cost-effectiveness analysis will determine the most appropriate
way to reduce the burden of uncontrolled diabetes.
Inclusion Criteria:
*Hyperglycemia with A1C ≥9%
Exclusion Criteria:
- Lives greater than 20 miles driving distance from Mount Sinai Hospital
- Pregnant women with gestational diabetes
- Advanced end-organ complications due to diabetes that include: end-stage renal
disease, stroke with paresis, Congestive Heart Failure (NYHA class III or IV), or
other major end-organ complication of diabetes
- Receiving treatment for a major psychiatric disorder (i.e. schizophrenia)
- Unable to understand and give informed consent in either English or Spanish
- Currently or previously participated in a diabetes research study
- Family member currently enrolled in a diabetes research study
- Previously received diabetes care related cell phone text messages
- Unable to receive text messages 3-4 times per week
- Living in a homeless shelter or temporary housing
- Plans to travel outside of the United States for more than 3 months in next year
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