Digital Health Navigation for Latino Patients With Type II Diabetes

Mass General Brigham

Status: Enrolling

Conditions: Type 2 Diabetes

Treatments: Other: Digital Navigation

Study type: Interventional

Funder types: Other; NIH

Identifiers

NCT06283992

2024p000095

K23MD016439 (U.S. NIH Grant/Contract)

Details and patient eligibility

About

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.

Full 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.

Enrollment: 84 estimated patients

Sex: All

Ages: 18+ years old

Volunteers: No Healthy Volunteers

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

Trial design

Primary purpose: Health Services Research

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Double Blind

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84 participants in 2 patient groups

Digital Navigation

Experimental group

Description:

Patients in this arm will receive 1:1 digital navigation support which will teach them about the functions of the patient portal and telehealth.

Treatment:

Other: Digital Navigation

Standard of Care

No Intervention group

Description:

Patients in this arm will receive the standard of care which will be an educational sheet.