Digital Health and Community Health Worker Support for Diabetes Management: a Randomized Controlled Trial.
community health worker
diabetes
digital health
randomized trials
self-monitoring
Journal
Journal of general internal medicine
ISSN: 1525-1497
Titre abrégé: J Gen Intern Med
Pays: United States
ID NLM: 8605834
Informations de publication
Date de publication:
01 2023
01 2023
Historique:
received:
10
12
2021
accepted:
22
04
2022
pubmed:
18
5
2022
medline:
21
1
2023
entrez:
17
5
2022
Statut:
ppublish
Résumé
The aim of this study was to evaluate the effectiveness of a digital health intervention plus community health worker (CHW) support on self-monitoring of blood glucose and glycosylated hemoglobin (HbA1c) among adult Medicaid beneficiaries with diabetes. Randomized controlled trial. Urban outpatient clinic. Adult Medicaid beneficiaries living with diabetes and treated with insulin and who had a HbA1c ≥ 9%. Participants were randomly assigned to one of three arms. Participants in the usual-care arm received a wireless glucometer if needed. Those in the digital arm received a lottery incentive for daily glucose monitoring. Those in the hybrid arm received the lottery plus support from a CHW if they had low adherence or high blood glucose levels. The primary outcome was the difference in adherence to daily glucose self-monitoring at 3 months between the hybrid and usual-care arms. The secondary outcome was difference in HbA1c from baseline at 6 months. A total of 150 participants were enrolled in the study. A total of 102 participants (68%) completed the study. At 3 months, glucose self-monitoring rates in the hybrid versus usual-care arms were 0.72 vs 0.65, p = 0.23. At 6 months, change in HbA1c in the hybrid versus usual-care arms was - 0.74% vs - 0.49%, p = 0.69. There were no statistically significant differences between the hybrid and usual care in glucose self-monitoring adherence or improvements in HbA1C. This trial is registered with clinicaltrials.gov identifier: NCT03939793.
Identifiants
pubmed: 35581452
doi: 10.1007/s11606-022-07639-6
pii: 10.1007/s11606-022-07639-6
pmc: PMC9113615
doi:
Substances chimiques
Blood Glucose
0
Glycated Hemoglobin
0
Banques de données
ClinicalTrials.gov
['NCT03939793']
Types de publication
Randomized Controlled Trial
Journal Article
Research Support, N.I.H., Extramural
Research Support, Non-U.S. Gov't
Langues
eng
Sous-ensembles de citation
IM
Pagination
131-137Subventions
Organisme : NHLBI NIH HHS
ID : K23 HL128837
Pays : United States
Organisme : NIH HHS
ID : K23-HL128837
Pays : United States
Informations de copyright
© 2022. The Author(s), under exclusive licence to Society of General Internal Medicine.
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