Financial Navigation and Peer Support to Improve Diabetes Outcomes

Launched by UNIVERSITY OF MICHIGAN · Sep 27, 2024

Keywords

ClinConnect Summary

This clinical trial is looking at a new way to help people with diabetes manage their condition and the financial burdens that come with it. The study is testing a combined approach that includes financial help through technology and support from peers who understand the challenges of living with diabetes. Researchers want to see if this combination is more effective than just financial help alone in improving blood sugar levels (measured by A1c tests), blood pressure, and overall well-being.

To participate, you need to be between 18 and 75 years old, have a diabetes diagnosis, and currently be taking medication for it. You also should have had a recent A1c level above a certain point and be experiencing financial stress related to your diabetes care. Participants will complete surveys and health checks over the phone at the start of the study and again at 3 and 6 months. You'll be randomly assigned to either the financial help group or the group that also includes peer support. This trial is currently recruiting participants and aims to find out how effective this combined support can be in managing diabetes and improving quality of life.

Gender

ALL

Eligibility criteria

• Inclusion Criteria:
• Participants:
• • 18-75 years of age
• • diagnosis of diabetes with prescribed anti-hyperglycemic medication
• • most recent (within the past 6 months) recorded hemoglobin A1c (HbA1c) level of ≥7.5% for individuals ≤70 years and \>8.0% for individuals between 70-75 years in age
• • positive report of financial burden or cost-related non-adherence (CRN) using screening questions developed and validated from prior work 20-22
• • be willing to provide personal health information in order to effectively participate in the intervention
• Peer Supporters:
• • International Classification of Diseases (ICD)-10 code for diabetes
• • In the past had A1cs\' \> 8.0% but whose most recent A1c in the prior 12 months is \<8.0%.
• • Past experience with economic burden or unmet social risk factors
• • Adults 18-75 years
• Exclusion Criteria:
• Participants:
• • a diagnosis of a serious psychiatric disorder (e.g., schizophrenia)
• • active alcohol or illicit drug use
• • current pregnancy or planning pregnancy
• • taking a medication that alters glucose metabolism (e.g., oral steroids)
• • report a comorbidity expected to limit life span to \< 3 years
• • Participation in another diabetes study, but the investigators will ask them if they would like to be peer supporters
• Peer Supporters:
• • A diagnosis of a serious psychiatric disorder (e.g., schizophrenia)
• • Active alcohol or illicit drug use
• • Current pregnancy or planning pregnancy