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| ID | Type | Description | Link |
|---|---|---|---|
| K23MD016439 | U.S. NIH Grant/Contract | View source |
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| Name | Class |
|---|---|
| National Institute on Minority Health and Health Disparities (NIMHD) | NIH |
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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.
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.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Digital Navigation | Experimental | Patients in this arm will receive 1:1 digital navigation support which will teach them about the functions of the patient portal and telehealth. |
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| Standard of Care | No Intervention | Patients in this arm will receive the standard of care which will be an educational sheet. |
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Digital Navigation | Other | 1:1 educational support at the bedside about the functions of the patient portal and telehealth that can help with care transitions. |
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| Measure | Description | Time Frame |
|---|---|---|
| Proportion of Participants Who Login to the Portal | Number of participants with at least 1 login to the portal in the 30 days after discharge | 30 days post-discharge |
| Measure | Description | Time Frame |
|---|---|---|
| Proportion of Participants that Perform Distinct Portal Functions | Proportion of participants that perform distinct portal functions (sending messages, requesting refill) | 30 days post-discharge |
| Proportion of participants that complete a telehealth |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Jorge A Rodriguez, MD | Contact | 617-732-7063 | bwhtelediabetes@partners.org |
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Brigham and Women's Hospital | Recruiting | Boston | Massachusetts | 02120 | United States |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 36795062 | Background | Rodriguez JA, Charles JP, Bates DW, Lyles C, Southworth B, Samal L. Digital healthcare equity in primary care: implementing an integrated digital health navigator. J Am Med Inform Assoc. 2023 Apr 19;30(5):965-970. doi: 10.1093/jamia/ocad015. |
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There is no current plan to share data with other researchers.
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| ID | Term |
|---|---|
| D003924 | Diabetes Mellitus, Type 2 |
| ID | Term |
|---|---|
| D003920 | Diabetes Mellitus |
| D044882 | Glucose Metabolism Disorders |
| D008659 | Metabolic Diseases |
| D009750 | Nutritional and Metabolic Diseases |
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Researchers will compare effectiveness between two arms: 1) patient education using a digital navigator on using digital tools after discharge and 2) usual care (educational sheet).
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Proportion of participants that complete a telehealth visit during post-discharge period
| 30 days post-discharge |
| Proportion of participants that are re-admitted | Proportion of participants that are re-admitted within 30 days after discharge | 30 days post-discharge |
| D004700 | Endocrine System Diseases |