The e-SINCERE Study

Andrea Wallace

Status: Enrolling

Conditions: Digital Health Literacy; Social Determinants of Health (SDOH); Health Services Utilization

Treatments: Behavioral: e-SINCERE (Phone Support); Behavioral: e-SINCERE (Digital Navigation); Other: Standard Referral to 211

Study type: Interventional

Funder types: Other; NIH

Identifiers

NCT07174466

1R01NR021501-01 (U.S. NIH Grant/Contract)

00181891

Details and patient eligibility

About

The e-SINCERE study will evaluate whether providing stable cell phones and digital navigation assistance helps patients overcome ICT barriers and connect more successfully with community services. The study will begin with patients in the UHealth ED, with additional sites added in the future, and will involve working with community service providers and policy leaders to refine and implement the intervention. Findings from this study may guide the development of future programs and policies to improve access to services for patients facing economic and technological barriers.

Enrollment: 600 estimated patients

Sex: All

Ages: 18+ years old

Volunteers: Accepts Healthy Volunteers

Inclusion criteria

• Community Advisory Board Members

Health system, governmental, and community service stakeholders

Able to understand English

Adult (> 18 years)

- General screening population:

Any patient who completes the SINCERE screener.

Able to understand or read English or Spanish.

- Survey study inclusion criteria:

Any patient who completes the SINCERE screener who has connected with 211 for service outreach

Able to understand or read English or Spanish.

Adult (> 18 years)

Exclusion criteria

• Those unable to communicate verbally in English or Spanish
• Those living in nursing facilities, or those who are not otherwise responsible for self-care

Trial design

Primary purpose: Health Services Research

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: None (Open label)

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600 participants in 3 patient groups

Arm 1: Control - Standard Referral to 211

Active Comparator group

Description:

Participants receive usual care plus a referral to United Way 211 for assistance with social needs. No additional study-provided phone or navigation support is given.

Treatment:

Other: Standard Referral to 211

Arm 2: Phone - Bridge Phone to 211

Experimental group

Description:

Participants receive a study-provided cellphone to ensure stable phone access. They are connected by phone to United Way 211 for assistance with social needs.

Treatment:

Behavioral: e-SINCERE (Phone Support)

Arm 3: Navigation - Digital Navigator + 211

Experimental group

Description:

Participants receive a study-provided cellphone and direct support from a Digital Navigator. The Navigator assists participants in accessing United Way 211 and helps troubleshoot barriers to connecting with services.

Treatment:

Behavioral: e-SINCERE (Digital Navigation)