Dulce Digital 2.0 - Innovative Diabetes Self-Management in the Digital Age

Status: Recruiting
Location: See all (2) locations...
Intervention Type: Behavioral
Study Type: Interventional
Study Phase: Not Applicable
SUMMARY

The proposed research, Dulce Digital 2.0, will evaluate two mHealth adaptions of Project Dulce that are designed to improve digital health literacy, increase underserved individuals' capacity to access and engage with vital digital health information, and in turn, improve clinical and behavioral outcomes in at-risk adults with diabetes. Expanding access to care in populations faced with challenges of low socioeconomic status and health literacy is a step toward reducing health disparities and positively affecting care. The literature shows that identifying which groups of participants are most likely to benefit from telehealth interventions is an important factor in improving the evidence base for digital health literacy. Dulce Digital 2.0 is highly scalable once the technical infrastructure is built. More importantly, by helping to reduce existing inequities in access to diabetes care and accurate digital health information the model could help to improve health outcomes on a larger scale. The use of digital technology in the delivery of healthcare interventions is increasingly common. Barriers to engagement in digital technology exist among those in underserved populations due to language, access to equipment and internet, education level, exposure to and comfort with technology, and pre-existing deficits in health literacy. The proposed research will investigate the effectiveness of two digital approaches to improving the self-management and digital health skills of underserved participants with diabetes compared to tradition in-person self-management education: 1) live self-management education, traditional in-person classes; 2) live self-management education using a telehealth distance learning platform; and 3) a series of text-based messages, not requiring a smart phone or internet connection, that encourage healthy self-management behaviors.

Eligibility
Participation Requirements
Sex: All
Minimum Age: 18
Healthy Volunteers: f
View:

• Hispanic/Latino adults who are registered patients of Scripps Health

• Diagnosis of Type 2 Diabetes

• HbA1c greater than or equal to 8% within the last 60 days

Locations
United States
California
Scripps Chula Vista Diabetes Center
RECRUITING
Chula Vista
Scripps Whittier Diabetes Institute
RECRUITING
San Diego
Contact Information
Primary
Athena Philis-Tsimikas, MD
philis-tsimikas.athena@scrippshealth.org
858-678-7046
Backup
Monica Ruiz, MA
ruiz.monica@scrippshealth.org
619-813-6747
Time Frame
Start Date: 2023-03-23
Estimated Completion Date: 2026-01-31
Participants
Target number of participants: 150
Treatments
Experimental: Dulce Digital
Patients will participate in a text-based diabetes self-management educational and support (DSME/S) program and receive ongoing support via text messages designed to improve knowledge, health beliefs, self-management behaviors and clinical outcomes.
Experimental: Project Dulce Telehealth DSME/S
Patients will participate in live a peer-led Telehealth diabetes self-management education and support program.
Experimental: Project Dulce Live DSME/S
Patients will participate in live a peer-led Telehealth diabetes self-management education and support program.
Related Therapeutic Areas
Sponsors
Leads: Scripps Whittier Diabetes Institute

This content was sourced from clinicaltrials.gov

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