Bridge to Health/ Puente a la Salud: Rationale and design of a pilot feasibility randomized trial to address diabetes self-management and unmet basic needs among racial/ethnic minority and low-income patients.
Bridge to Health/ Puente a la Salud: Rationale and design of a pilot feasibility randomized trial to address diabetes self-management and unmet basic needs among racial/ethnic minority and low-income patients.
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健康之桥/健康之桥：一项可行性随机试验的原理和设计，以解决少数民族和低收入患者的糖尿病自我管理和未满足的基本需求。
DOI：
10.1016/j.conctc.2021.100779
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发表时间：
2021-06
影响因子：
1.5
通讯作者：
Fitzpatrick SL
中科院分区：
文献类型：
--
作者：
Papajorgji-Taylor D;Francisco M;Schneider JL;Vaughn K;Lindberg N;Smith N;Fitzpatrick SL
Racial/ethnic and socioeconomic disparities in diabetes prevalence and management persist. Unmet basic needs such as food insecurity and unstable housing interfere with optimal diabetes self-management. Bridge to Health/Puente a la Salud is a randomized pilot trial designed to examine the feasibility of testing the effectiveness of addressing unmet basic needs via navigation services versus navigation plus diabetes self-management support (DSMS) on improving diabetes-related outcomes among racial/ethnic minority and low-income patients with uncontrolled diabetes. We recruited and randomized 110 African American, Hispanic, and Medicaid patients (any race/ethnicity) with diabetes and recent hemoglobin A1C ≥ 8% to one of two 6-month interventions: 1) Navigation only; or 2) Navigation + DSMS. In both arms, practice-embedded patient navigators help participants navigate social services and community-based resources to address unmet basic needs. In Navigation + DSMS, participants are also assigned to a community health worker (CHW) embedded in a local community-based organization who provides additional navigation support and delivers DSMS. A1C and unmet basic needs data are collected via routine lab and survey, respectively, at baseline and 6-month follow-up. Qualitative interviews with participants, health system leaders, CHWs, and patient navigators are conducted to explore intervention acceptability and determinants of implementation in a health care setting. Findings from this pilot feasibility study will enhance understanding about acceptability, preliminary clinical effectiveness, and facilitators and barriers to implementation of the Navigation only and Navigation + DSMS interventions and inform refinements of the overall study design for the larger, randomized clinical trial.
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影响因子：
5.5
作者：
Fichtenberg, Caroline M.;Alley, Dawn E.;Mistry, Kamila B.
通讯作者：
Mistry, Kamila B.
影响因子：
5.4
作者：
Berkowitz, Seth A.;Hulberg, A. Catherine;Atlas, Steven J.
通讯作者：
Atlas, Steven J.
影响因子：
3.4
作者：
Billimek, John;Sorkin, Dara H.
通讯作者：
Sorkin, Dara H.
DOI：
10.1111/dme.12896
发表时间：
2016-06
期刊：
Diabetic medicine : a journal of the British Diabetic Association
影响因子：
--
作者：
Heerman WJ;Wallston KA;Osborn CY;Bian A;Schlundt DG;Barto SD;Rothman RL
通讯作者：
Rothman RL
影响因子：
2.3
作者：
Ayala GX;Elder JP
通讯作者：
Elder JP