Achieving Chronic Care equiTy by leVeraging the Telehealth Ecosystem

Part of paid clinical trials in San Francisco, California.

Sponsor
University of California, San Francisco
Study ID
NCT06598436
Status
Recruiting
Apply to this trial

Conditions

  • Diabetes

Eligibility Criteria

Sex
ALL
Age
18 Years - N/A
Healthy Volunteers
Not accepted

Interventions

  • Digital Health Coaching (Patient-Level Intervention) — OTHER
    The patient-level intervention combines the role of digital health navigator and chronic disease health coach to facilitate access to devices and broadband, offer digital skills training, and provide chronic disease health coaching focused on telehealth modalities.
  • Practice Facilitation (Clinic-Level Intervention) — OTHER
    The clinic-level intervention includes primary care clinic support through practice facilitation that empowers team members to address racial/ethnic disparities in telehealth use through consistent review of telehealth equity data and input from clinic-specific Patient Advisory Councils (PACs).

Study Details

This study examines the impact of a multi-level intervention aiming to improve telehealth access for low-income patients managing chronic health conditions, such as hypertension and diabetes. The multi-level intervention includes clinic-level practice facilitation and patient-level digital health coaching.

Key Dates

Start date
Nov 4, 2024
Status verified
Jan 2026
Primary completion
Sep 30, 2028
Completion
Sep 30, 2028

Study Design

Enrollment
600 participants (estimated)
Allocation
RANDOMIZED
Intervention model
FACTORIAL
Primary purpose
HEALTH_SERVICES_RESEARCH

Arms

  • Experimental: Patient Intervention + Clinic Intervention
    Digital coach navigator + Clinic Intervention
  • No Intervention: Patient Usual Care + Clinic Usual Care
    Usual Care (Patient-Level) + Clinic Usual Care
  • Experimental: Patient Intervention + Clinic Usual Care
    Digital coach navigator + Clinic Usual Care
  • Experimental: Patient Usual Care + Clinic Intervention
    Usual Care (Patient-Level) + Clinic Intervention

Primary Outcome Measure

Change in Patient-Level Hemoglobin A1C [ Time Frame: Baseline, month 3, month 6, and month 12 ]

Central Contacts

Locations (1)

FacilityCityStateZIPSite coordinators
Zuckerberg San Francisco General Hospital (ZSFG) & SF Department of Public Health (DPH)San FranciscoCalifornia94110
Andy Ramirez, BS
[email protected]
415-562-4509
Alexandra Velasquez, MS
[email protected]
415-562-4509
Delphine Tuot, MD MAS (PRINCIPAL_INVESTIGATOR)
Anjana Sharma, MD (SUB_INVESTIGATOR)

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Zuckerberg San Francisco General Hospital (ZSFG) & SF Department of Public Health (DPH)· San Francisco, CA

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