Identifying Risk Factors for Poor Glycemic Control Among Emergency Department Patients and Improving Linkage to Outpatient Care
试验速览
- 阶段
- 不适用
- 状态
- 招募中
- 入组人数
- 200
- 试验地点
- 1
- 主要终点
- Percent of Patients who Complete at least One In-Person Follow-up Outpatient Visit
研究概览
简要总结
This goal of this NIH funded R01 study is to identify risk factors for not being able to follow-up for a new diagnosis of diabetes in the emergency department and improve linkage of these newly diagnosed patients to appropriate outpatient care. Its three aims will be accomplished through 1) a retrospective chart review of emergency department (ED) patients screened for diabetes, 2) a series of prospective qualitative interviews among ED patients with newly diagnosed diabetes who fail to follow-up for outpatient care, and 3) a simple randomized controlled trial to test the efficacy of telehealth bridge visits to connect ED patients with newly diagnosed diabetes to outpatient primary care.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Health Services Research
- 盲法
- Single (Outcomes Assessor)
入排标准
- 年龄范围
- 20 Years 至 70 Years（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Emergency patient receiving lab tests with an initial HbA1c test result of ≥ 6.5%
- •Residential address in New York City or Long Island
- •Primary language is English or Spanish
- •Able to provide informed consent
排除标准
- •No prior history of diabetes
- •No medical condition that would result in a spurious HbA1c test (e.g., sickle cell, recent blood loss)
研究组 & 干预措施
Telehealth Bridge Visits
Patients in the experimental arm will receive post-emergency department telehealth bridge visits to connect ED patients with newly diagnosed diabetes to outpatient primary care.
干预措施: Telehealth Bridge Visits (Other)
Control
Patients in the control arm will receive standard of care.
干预措施: Standard of Care (Other)
结局指标
主要结局
Percent of Patients who Complete at least One In-Person Follow-up Outpatient Visit
时间窗: Up to Month 6 Post-Diagnosis
A follow-up outpatient visit excludes the telehealth visits assigned to the experimental group. This outcome will be tracked using phone calls and data from Healthix, a regional health information exchange.
次要结局
- Percent of Patients who Complete at least One Follow-Up Hemoglobin A1C (HbA1c) Test within 6 Months of Diagnosis(Up to Month 6 Post-Diagnosis)
- Percent of Patients who Complete at least One Follow-Up Hemoglobin A1C (HbA1c) Test within 12 Months of Diagnosis(Up to Month 12 Post-Diagnosis)
- Percent of Patients who Start on Diabetes Medications within 6 Months of Diagnosis(Up to Month 6 Post-Diagnosis)