Diabetes Management Intervention For South Asians

NYU Langone Health

Status: Completed

Conditions: Diabetes; HbA1c

Treatments: Behavioral: Community Health Worker (CHW)-Led Health Coaching; Other: EHR-Embedded Alerts

Study type: Interventional

Funder types: Other; NIH

Identifiers

NCT03333044

17-01479

U54MD000538-15 (U.S. NIH Grant/Contract)

Details and patient eligibility

About

The goal of this study is to evaluate the effectiveness and implementation process of a multi-level, integrated intervention to decrease HbA1c among South Asians with uncontrolled diabetes, including four components: 1) an EHR-based registry function to increase identification of South Asian patients with uncontrolled diabetes; 2) CHW-led health coaching of registered patients to promote health behavior change; 3) HIT-enabled and CHW-facilitated identification and referral to culturally relevant community resources for patients; and 4) HIT-enabled care coordination between the CHW and other members of the healthcare team.

Enrollment: 859 patients

Sex: All

Ages: 21 to 75 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• South Asian ethnicity (identified through a race and language code available in the EHR);
• an appointment with a physician for routine non-emergent primary care in the last 12 months
• diagnosis of diabetes
• an HbA1c reading of >7 in the last 12 months

Exclusion criteria

• Pregnant women and visits to obstetrician/gynecologist are excluded from the study

Trial design

Primary purpose: Supportive Care

Allocation: Randomized

Interventional model: Sequential Assignment

Masking: None (Open label)

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859 participants in 2 patient groups

CHW-Led Health Coaching

Experimental group

Description:

Participants in the treatment group will be randomized to receive the CHW group education session intervention in either the first or second round.

Treatment:

Other: EHR-Embedded Alerts

Behavioral: Community Health Worker (CHW)-Led Health Coaching

Wait-List Control

No Intervention group

Description:

Participants in the wait-list control group will be receive care as usual during the first round for data abstraction and offered CHW group education sessions during the second round as a point of service (i.e., not for research purposes).