Changing the Healthcare Delivery Model (C4H)
Diabetes Type 2
About this trial
This is an interventional health services research trial for Diabetes Type 2 focused on measuring self care of diabetes type 2 patients, mobile health cell phone application impact on health, community health workers impact on health
Eligibility Criteria
Inclusion Criteria:
- Age 21 to 75 years old
- Medicaid insurance coverage, Medicare insurance coverage or Affordable Health Care Act insurance coverage
- Fluent in English or Spanish and able to read a text message
- Diagnosed with diabetes mellitus type 2 and A1C is > 8%
Acceptable values will be either :
- A1c obtained within one month prior to baseline (as long as there were no diabetes changes made during that month) or
- A new A1c measured at the baseline screening visit.
- Meets < 10 of the wellness behaviors and clinical goals if diagnosed with hypertension Meets < 9 of the wellness behaviors and clinical goals if not diagnosed with hypertension
Exclusion Criteria:
- Stage 5 chronic kidney disease or end stage renal disease on dialysis
- Terminal illness (expected survival of less than one year)
- Severe dementia or uncontrolled mental illness
- Gestational diabetes mellitus
- Use of an insulin pump
- Inability to use a cellular phone
- Unable to use software application on cellular phone
- Pregnant or planning to get pregnant
Sites / Locations
- Medical Faculty Assoc Inc, GWUniv
Arms of the Study
Arm 1
Arm 2
Arm 3
Active Comparator
Active Comparator
Experimental
Mobile health care application
Community Health Worker (CHW)
CHWs and mobile health care application
Patients will be assisted with managing their health by a cell phone application used to promote self care for patients with diabetes.
CHWs assist study patients in managing there health care in various ways.
Patients will receive assistance in managing their health from both CHWs and the mobile health cell phone application