Dulce Digital-COVID Aware (DD-CA) Discharge Texting Platform for US/Mexico Border Hispanics With Diabetes + COVID-19
Condition: Diabetes Mellitus, Type 2; Covid19
MeSH terms: COVID-19; Diabetes Mellitus; Diabetes Mellitus, Type 2
Intervention: Hospital: DD-CA; Hospital: Usual Care (UC)
Intervention description: In the DD-CA group, participants will be offered a proven digital texting platform in their language of preference (Spanish/English) as part of the diabetes transitions discharge program with educational, motivational and medication adherence messaging that is currently an arm of our parent DD-ME grant with added COVID support messages that provide information addressing identified barriers in Hispanic underserved communities (e.g. obtaining testing supplies and medications, accessing routine medical care, and completing other important diabetes self-management behaviors such as healthful eating, exercise, social distancing, quarantine, and stay-at-home/lockdown guidelines).; In the UC group, participants will not receive the added COVID support messages, both groups will have a referral placed to the Diabetes Transitions Service (DTS) at the time of discharge as part of usual care. Participants will be contacted by a peer health coach following protocol to coordinate care with outpatient health and other community resources.
Phase: Phase 3
Study type: Interventional
Primary purpose: Prevention
Allocation: Randomized
Intervention model: Parallel Assignment
Masking: Single (Outcomes Assessor)
Enrollment: 172.0
Sex: All
Minimum age: 18 Years
Healthy volunteers: No
Keywords: Type 2 Diabetes; COVID-19

Summary:

      The COVID-19 pandemic has triggered extremely high hospitalization rates where mitigation
      strategies are urgently necessary to aid vulnerable Hispanic and Latino populations who are
      experiencing health disparities as well as high type 2 diabetes (T2D) prevalence with poor
      clinical outcomes when compared to non-Hispanic populations. The supplemental Dulce
      Digital-COVID Aware (DD-CA) intervention addresses specific barriers in diverse underserved
      Hispanic and Latino communities to improve glucose control and lower transmission of COVID-19
      during a highly vulnerable period post hospitalization discharge, to reduce hospital
      readmission rates. This supplement will integrate COVID educational messaging with glucose
      management messaging within a low-cost, easily adoptable digital texting platform and offer
      critical information in a culturally and linguistically relevant manner to address specific
      barriers in diverse underserved communities.
    

Eligibility criteria:

        Inclusion Criteria:

          -  Are a patient admitted to a Scripps Mercy Hospital,

          -  Consider yourself Hispanic/Latino, of any race

          -  Are 18 years of age or older,

          -  Speak English or Spanish,

          -  Have type 2 diabetes and A1c ≥ 7% in the last 90 days, and

          -  Have a cellphone that can receive/send text messages.

        Exclusion Criteria:

          -  Are pregnant,

          -  Are currently participating in another diabetes or COVID-19 related study, or

          -  Do not meet all eligibility inclusion criteria.