The e-SINCERE Study

Not Applicable

Recruiting

• Conditions: Social Determinants of Health (SDOH); Digital Health Literacy; Health Services Utilization

• Registration Number: NCT07174466
• Lead Sponsor: Andrea Wallace

Brief Summary

The e-SINCERE study will evaluate whether providing stable cell phones and digital navigation assistance helps patients overcome ICT barriers and connect more successfully with community services. The study will begin with patients in the UHealth ED, with additional sites added in the future, and will involve working with community service providers and policy leaders to refine and implement the intervention. Findings from this study may guide the development of future programs and policies to improve access to services for patients facing economic and technological barriers.

Detailed Description

Not available

Study Timeline

• Study Start: 2025-08-08
• Status Verified: 2025-09
• Study First Submitted: 2025-09-12
• Study First Submitted QC: 2025-09-12
• Last Update Submitted: 2025-09-12
• Study First Posted: 2025-09-16
• Last Update Posted: 2025-09-16
• Primary Completion: 2028-08-31
• Study Completion: 2029-08-31

Recruitment & Eligibility

• Status: RECRUITING
• Sex: All
• Target Recruitment: 600

Inclusion Criteria

• Community Advisory Board Members

Health system, governmental, and community service stakeholders

Able to understand English

Adult (> 18 years)

- General screening population:

Any patient who completes the SINCERE screener.

Able to understand or read English or Spanish.

- Survey study inclusion criteria:

Any patient who completes the SINCERE screener who has connected with 211 for service outreach

Able to understand or read English or Spanish.

Adult (> 18 years)

Exclusion Criteria

• Those unable to communicate verbally in English or Spanish
• Those living in nursing facilities, or those who are not otherwise responsible for self-care

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Primary Outcome Measures

Name	Time	Method
Successful connection to community social services (any service)	6 months after randomization	Proportion of participants who have at least one documented successful connection to a community social service (e.g., housing assistance, utilities, food support, transportation) within 6 months. Successful connection is defined as a recorded positive outcome in 211 or ServicePoint (client reached and service initiated) or participant self-report confirmed by case notes.

Secondary Outcome Measures

Name	Time	Method
Health-related quality of life (PROMIS Global Health)	Baseline, 2 weeks, 3 months, and 6 months after randomization	Change in PROMIS Global Health T-score from baseline to 6 months. Higher scores indicate better overall physical and mental health. Analysis will compare mean change between arms.
Emergency department utilization (all-cause ED visits)	6 months after randomization	Number of all-cause ED visits per participant during the 6-month follow-up period, obtained from the institution's EDW and participant self-report for non-UHealth visits. Analysis will compare mean visits and proportion with any ED revisit between arms.
Digital access stability (phone connectivity)	6 months after randomization	Proportion of participants in the phone/navigation arms with continuous phone connectivity (TracFone active and reachable) for at least 5 of 6 months. Connectivity assessed via phone service logs and navigator contact attempts.

Trial Locations

Locations (1)

University of Utah; 🇺🇸 Salt Lake City, Utah, United States