Technology to Improve the Health of Resource-poor Hispanics With Diabetes
| Status: | Recruiting |
|---|---|
| Conditions: | Diabetes, Diabetes |
| Therapuetic Areas: | Endocrinology |
| Healthy: | No |
| Age Range: | 18 - Any |
| Updated: | 7/25/2018 |
| Start Date: | January 13, 2018 |
| End Date: | March 31, 2022 |
| Contact: | Elizabeth Vaughan, DO |
| Email: | Elizabeth.vaughan@bcm.edu |
| Phone: | 1-713-873-3560 |
This study evaluates the effect of diabetes group visits that are led by Community Health
Workers (CHWs). Half of the subjects will be randomized to receive a 6-month, CHW-led group
visit program (intervention) and the other half will be randomized to receive 6-months of
treatment as usual in the clinic followed by the group visit program (wait list control). The
CHWs will receive training and support via telemedicine.
Workers (CHWs). Half of the subjects will be randomized to receive a 6-month, CHW-led group
visit program (intervention) and the other half will be randomized to receive 6-months of
treatment as usual in the clinic followed by the group visit program (wait list control). The
CHWs will receive training and support via telemedicine.
The number of Hispanics diagnosed with diabetes is escalating in the US with
disproportionately higher prevalence and complication rates than other ethnicities. Community
Health Workers (CHWs) are a well-established and culturally sensitive means to bridge gaps in
care to individuals with diabetes. However CHWs are often left unsupported, placing patients
at risk of substandard care or harm. Telemedicine is a term used to describe a range of
technologies to support healthcare delivery via communication with the patient or a member of
the healthcare delivery team. Though telemedicine has been implemented into diabetes programs
for many years, there is a paucity of data showing the use of telemedicine for CHW training
and support. In a pilot study, the investigators initiated a CHW-led diabetes program for
resource-poor Hispanics with in-person support for CHWs. The current study utilizes pilot
data to evaluate the use of telemedicine support for CHWs who lead diabetes programs for
resource-poor Hispanics. Specifically, the investigators will conduct a randomized controlled
trial in 4 cohort waves with 176 adults diagnosed with type 2 diabetes. The study will
compare clinical outcomes and treatment satisfaction of subjects who receive a CHW-led
diabetes group visit program incorporating telemedicine support (intervention, n=88) to
subjects who receive usual care (wait list control, n=88). In addition, we will analyze the
acceptability of telemedicine use for CHWs.
disproportionately higher prevalence and complication rates than other ethnicities. Community
Health Workers (CHWs) are a well-established and culturally sensitive means to bridge gaps in
care to individuals with diabetes. However CHWs are often left unsupported, placing patients
at risk of substandard care or harm. Telemedicine is a term used to describe a range of
technologies to support healthcare delivery via communication with the patient or a member of
the healthcare delivery team. Though telemedicine has been implemented into diabetes programs
for many years, there is a paucity of data showing the use of telemedicine for CHW training
and support. In a pilot study, the investigators initiated a CHW-led diabetes program for
resource-poor Hispanics with in-person support for CHWs. The current study utilizes pilot
data to evaluate the use of telemedicine support for CHWs who lead diabetes programs for
resource-poor Hispanics. Specifically, the investigators will conduct a randomized controlled
trial in 4 cohort waves with 176 adults diagnosed with type 2 diabetes. The study will
compare clinical outcomes and treatment satisfaction of subjects who receive a CHW-led
diabetes group visit program incorporating telemedicine support (intervention, n=88) to
subjects who receive usual care (wait list control, n=88). In addition, we will analyze the
acceptability of telemedicine use for CHWs.
Inclusion Criteria:
- Hispanic adults with diabetes, low-income (earn less than/equal to 250% federal
poverty level)
Exclusion Criteria:
- not able to understand Spanish, group visit is not appropriate for care i.e., need
individualized care, pregnancy, etc
We found this trial at
1
site
1200 Moursund Street
Houston, Texas 77030
Houston, Texas 77030
(713) 798-4951
Phone: 713-873-3560
Baylor College of Medicine Baylor College of Medicine in Houston, the only private medical school...
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