Scaling Telehealth Models to Improve Co-morbid Diabetes and Hypertension in Immigrant Populations (Phase II)
Study Overview
Status
Status
Conditions
Conditions
Intervention / Treatment
Intervention / Treatment
Study Type
Study Type
Enrollment (Estimated)
Enrollment
Phase
Phase
- Not Applicable
Contacts and Locations
Study Contact
Study Contact
- Name: Shinu Mammen
- Phone Number: 646-501-3484
- Email: Shinu.mammen@nyulangone.org
Study Contact Backup
- Name: Samara Khan
- Phone Number: 347-610-2431
- Email: Samara.khan@nyulangone.org
Study Locations
-
-
New York
-
New York, New York, United States, 10016
- NYU Langone Health
-
-
Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
- Adult
- Older Adult
Accepts Healthy Volunteers
Description
Inclusion Criteria:
- identified as of South Asian ethnicity
- at least 21 years of age
- a diagnosis of diabetes
- a diagnosis of hypertension
- an uncontrolled BP reading (>130/80mmHg) in the last 6 months
Exclusion Criteria:
- under the age of 21
- Women who are pregnant
- Type 1 diabetes or diabetes secondary to other conditions (e.g. steroid-induced, pancreatic insufficiency, or chemotherapy-induced)
- inability to perform unsupervised physical activity
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: None (Open Label)
Number of Arms
Arms and Interventions
Participant Group / ArmParticipant Group / Arm |
Intervention / TreatmentIntervention / Treatment |
|---|---|
|
Experimental: Community Health Workers (CHW) treatment group
There is a 6-month intervention period immediately following recruitment.
Participants enrolled in the intervention will complete 5 educational sessions and attend 2 one-on-one virtual meetings.
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Participants will undergo all 5 group-based health education sessions on hypertension and diabetes management and provide culturally and linguistically tailored health information and resources.
There will be two one-on-one virtual meetings, up to 9 follow-up phone calls to engage in goal-setting activities regarding changes to health behaviors, medication adherence, or other issues related to diabetes prevention as identified jointly by patient and CHW.
Participants will develop with the CHW and receive a copy of their long-term and short-term Participant Action Plan.
Referrals to other services available in the community (i.e.
exercise classes, social services, mental health, tobacco cessation, etc.
|
|
Active Comparator: Control group
The control participants will complete only the first educational session.
The control arm will receive usual care from their primary care physician (PCP) during the first 12 months of data collection.
After 12 months they will be invited to attend remaining group sessions.
|
Participants will attend only the first group-based health education session on hypertension and diabetes management.
|
What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Percent of participants achieving BP control, defined as <130/80 mmHg
Time Frame: Month 6
|
The primary outcome will be the proportion of eligible patients at a practice site to achieve BP control (130/80 mmHg) at six months.
|
Month 6
|
Secondary Outcome Measures
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Percent of participants achieving BP control, defined as <130/80 mmHg
Time Frame: Month 12
|
The primary outcome will be the proportion of eligible patients at a practice site to achieve BP control (130/80 mmHg) at twelve months.
|
Month 12
|
|
Change from Baseline in hemoglobin A1c (HbA1c) levels at Month 6
Time Frame: Baseline, Month 6
|
Change in HbA1c will be measured in participants of CHW intervention versus the control participants.
Clinical data will be retrieved from EHR.
|
Baseline, Month 6
|
|
Change from Baseline in HbA1c levels at Month 12
Time Frame: Baseline, Month 12
|
Change in HbA1c will be measured in participants of CHW intervention versus the control participants.
Clinical data will be retrieved from EHR.
|
Baseline, Month 12
|
|
Change from Baseline in Body mass index (BMI) at Month 6
Time Frame: Baseline, Month 6
|
Change in BMI will be measured in participants of CHW intervention versus the control participants.
Clinical data will be retrieved from EHR.
|
Baseline, Month 6
|
|
Change from Baseline in BMI at Month 12
Time Frame: Baseline, Month 12
|
Change in BMI will be measured in participants of CHW intervention versus the control participants.
Clinical data will be retrieved from EHR.
|
Baseline, Month 12
|
|
Change from Baseline in Systolic blood pressure (SBP) at Month 6
Time Frame: Baseline, Month 6
|
Change in SBP will be measured in participants of CHW intervention versus the control participants.
Clinical data will be retrieved from EHR.
|
Baseline, Month 6
|
|
Change from Baseline in SBP at Month 12
Time Frame: Baseline, Month 12
|
Change in SBP will be measured in participants of CHW intervention versus the control participants.
Clinical data will be retrieved from EHR.
|
Baseline, Month 12
|
|
Change from Baseline in Diastolic blood pressure (DBP) at Month 6
Time Frame: Baseline, Month 6
|
Change in DBP will be measured in participants of CHW intervention versus the control participants.
Clinical data will be retrieved from EHR.
|
Baseline, Month 6
|
|
Change from Baseline in DBP at Month 12
Time Frame: Baseline, Month 12
|
Change in DBP will be measured in participants of CHW intervention versus the control participants.
Clinical data will be retrieved from EHR.
|
Baseline, Month 12
|
Collaborators and Investigators
Sponsor
Sponsor
Collaborators
Collaborators
Investigators
Investigators
- Principal Investigator: Nadia Islam, PhD, NYU Langone Health
Study record dates
Study Major Dates
Study Start (Actual)
Study Start
Primary Completion (Estimated)
Primary Completion
Study Completion (Estimated)
Study Completion
Study Registration Dates
First Submitted
First Submitted
First Submitted That Met QC Criteria
First Submitted That Met QC Criteria
First Posted (Actual)
First Posted
Study Record Updates
Last Update Posted (Actual)
Last Update Posted
Last Update Submitted That Met QC Criteria
Last Update Submitted That Met QC Criteria
Last Verified
Last Verified
More Information
Terms related to this study
Additional Relevant MeSH Terms
Other Study ID Numbers
Other Study ID Numbers
- 19-01192-2
- 5R01MD018528-02 (U.S. NIH Grant/Contract)
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
IPD Plan Description
IPD Sharing Time Frame
IPD Sharing Access Criteria
IPD Sharing Supporting Information Type
- STUDY_PROTOCOL
- SAP
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
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