Digital Health Navigation for Latino Patients With Type II Diabetes

NCT ID: NCT06283992

Last Updated: 2025-09-16

Basic Information

• Recruitment Status: RECRUITING
• Clinical Phase: NA
• Total Enrollment: 84 participants
• Study Classification: INTERVENTIONAL
• Study Start Date: 2024-03-31
• Study Completion Date: 2027-05-31

Brief Summary

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.

Detailed Description

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.

Conditions

Type 2 Diabetes

Study Design

• Allocation Method: RANDOMIZED
• Intervention Model: PARALLEL
• Primary Study Purpose: HEALTH_SERVICES_RESEARCH
• Blinding Strategy: DOUBLE

Study Groups

Digital Navigation

Patients in this arm will receive 1:1 digital navigation support which will teach them about the functions of the patient portal and telehealth.

Group Type: EXPERIMENTAL

Digital Navigation

Intervention Type: OTHER

1:1 educational support at the bedside about the functions of the patient portal and telehealth that can help with care transitions.

Standard of Care

Patients in this arm will receive the standard of care which will be an educational sheet.

Group Type: NO_INTERVENTION

No interventions assigned to this group

Interventions

Digital Navigation

1:1 educational support at the bedside about the functions of the patient portal and telehealth that can help with care transitions.

Intervention Type: OTHER

Eligibility Criteria

Inclusion Criteria

• Self-identified Latino adult patients with type II diabetes
• Admitted to general medicine floors at Brigham and Women's Hospital
• Preferred language: English or Spanish

Exclusion Criteria

• Critical illness
• dementia, delirium, or other condition that limits ability to participate in education and consent process

• Minimum Eligible Age: 18 Years
• Eligible Sex: ALL
• Accepts Healthy Volunteers: No

Sponsors

National Institute on Minority Health and Health Disparities (NIMHD)

NIH

Sponsor Role: collaborator

Brigham and Women's Hospital

OTHER

Sponsor Role: lead

Responsible Party

Jorge A. Rodriguez, MD

Assistant Professor

Responsibility Role: PRINCIPAL_INVESTIGATOR

Locations

Brigham and Women's Hospital

Boston, Massachusetts, United States

Site Status: RECRUITING

Countries

United States

Central Contacts

Jorge A Rodriguez, MD

Role: CONTACT

bwhtelediabetes@partners.org

617-732-7063

Facility Contacts

Jorge A Rodriguez, MD

Role: primary

References

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.

Reference Type: BACKGROUND

PMID: 36795062 (View on PubMed)

Other Identifiers

K23MD016439

Identifier Type: NIH

Identifier Source: secondary_id

View Link

2024p000095

Identifier Type: -

Identifier Source: org_study_id