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Re-Engineered Discharge for Diabetes Care Transitions

Re-Engineered Discharge for Diabetes Care Transitions: Screening and Addressing Social Determinants of Health Needs at Hospital Discharge

Who can join

As published by the study on ClinicalTrials.gov. "Not stated" means the study hasn't said — ask the study team.

Age
18 Years and older
Sex
All sexes
Healthy volunteers
Not accepted
Compensation
Not stated

Other requirements are listed under Eligibility below. Only the study team can confirm whether you can join.

What to expect

No one can promise a trial will help you personally — that is what the research is trying to find out.

What participation involves

  • Time periods mentioned: 90 days
  • Procedures mentioned: Questionnaires

Only what the study's summary and detailed description on ClinicalTrials.gov say. Time periods may describe the whole study or a part of it — ask the study team what applies to you.

Show the study's own words
  • "Participants who join this research will be asked to complete a screening survey about their health."
  • "Then, participants will be randomly assigned (like pulling a name out of a hat) to one of two groups: * Those in Group 1 will be partnered with a patient navigator whose role will be to review the results of the screening survey and help coordinate care before leaving the hospital and for 90 days after. * Those in Group 2 will receive treatment as usual."
  • "Participants in both groups will complete surveys at the beginning of the study and again at 30 and 90 days after leaving the hospital."
Compensation
Not stated
  • Study-related exams and procedures are typically provided at no cost. This is how many trials work in general — confirm the details for this study with the study team.
  • Participants are monitored closely by the research team throughout the study.
  • Some participants may receive access to an investigational treatment, which is still being studied.
  • Your participation helps researchers learn whether this approach could help future patients.

About this study

The goal of this project is to test a novel bedside SDOH screening intervention coupled with post-discharge navigation for hospitalized patients with a diabetes diagnosis to reduce unmet social needs, compared to usual care.

Compensation is read from the study's own description and may be missing — always confirm with the study team.

Eligibility

Official eligibility criteria

Inclusion Criteria: * adult aged 18 years or older * diagnosed with type 2 diabetes * hospitalized at Univ of Massachusetts-affiliated hospital * endorsed at least 1 unmet social need via screening survey Exclusion Criteria: * pregnancy * discharge to short or long-term nursing facility or hospital * medical contraindication * cognitive impairment * unable to provide informed consent

Study sites (1)

MA