Achieving Chronic Care equiTy by leVeraging the Telehealth Ecosystem

Description

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.

Conditions

Diabetes

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Study Overview

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Study Details

Study overview

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.

Achieving Chronic Care equiTy by leVeraging the Telehealth Ecosystem

Achieving Chronic Care equiTy by leVeraging the Telehealth Ecosystem

Condition
Diabetes
Intervention / Treatment

-

Contacts and Locations

San Francisco

Zuckerberg San Francisco General Hospital (ZSFG) & SF Department of Public Health (DPH), San Francisco, California, United States, 94110

Participation Criteria

Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.

For general information about clinical research, read Learn About Studies.

Eligibility Criteria

  • * ≥ 18 years of age
  • * English or Spanish-Speaking
  • * Have diabetes with a last A1C ≥ 8.0%
  • * At least 1 visit at a participating SFHN primary care site in the last 24 months
  • * Higher than average digital literacy, defined as an Digital Healthcare Literacy Scale (DHLS) score greater than 10, as determined prior to the baseline study visit; these patients may not benefit from a digital coaching intervention.
  • * Presence of co-morbid conditions that would make it inappropriate to focus on telehealth chronic disease management. Conditions may include: end-stage or terminal condition with limited life expectancy and severe mental illness.
  • * Lack of any working phone number
  • * Visual or hearing impairment that precludes use of telehealth for chronic disease management
  • * Cognitive impairment defined by the inability to restate study goals during the consent process
  • * Pregnant

Ages Eligible for Study

18 Years to

Sexes Eligible for Study

ALL

Accepts Healthy Volunteers

No

Collaborators and Investigators

University of California, San Francisco,

Delphine Tuot, MD MAS, PRINCIPAL_INVESTIGATOR, University of California, San Francisco

Study Record Dates

2028-09