Achieving Chronic Care equiTy by leVeraging the Telehealth Ecosystem
Recruiting · NCT06598436 · Interventional (participants receive a specific treatment) · Lead sponsor: University of California, San Francisco
View the official record on ClinicalTrials.gov →Interventions studied
Digital Health Coaching (Patient-Level Intervention)Practice Facilitation (Clinic-Level Intervention)
What this trial is about
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.
Who can take part
Age range
18 Years and older
Sex
All (male and female)
Healthy volunteers
No - a diagnosis or condition is required
Phase
Not applicable (e.g. observational or device study)
Study type
Interventional (participants receive a specific treatment)
Inclusion criteria
- ≥ 18 years of age
- English or Spanish-Speaking
- Have uncontrolled diabetes defined as a listed diagnosis of diabetes with a recorded A1C ≥ 8.0% in the past two years or have uncontrolled HTN defined as a listed diagnosis of HTN and last recorded documented SBP \>140 mmHg
- At least 2 visits at a participating SFHN primary care site in the last 24 months
Exclusion criteria
- 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
Where it is running
1 location listed across 1 US state.
- Zuckerberg San Francisco General Hospital (ZSFG) & SF Department of Public Health (DPH) - San Francisco, California, United States