Latinos Understanding the Need for Adherence in Diabetes Using E-Health (LUNA-E)
Type 2 Diabetes, Glycemic Control, Psychological Distress
About this trial
This is an interventional treatment trial for Type 2 Diabetes
Eligibility Criteria
Inclusion Criteria:
- Self identify as Hispanic/Latino ethnicity of any race
- Registered patient of federally qualified health center
- 18 years of age or older
- Type 2 diabetes with hemoglobin A1C (HbA1c) >8% in past 90 days
- Approval from primary care provider
- Not currently enrolled/participating in any other diabetes intervention program(s)
Exclusion Criteria:
- Actively being treated for cancer or Parkinson's Disease
- Pregnant or nursing (temporary exclusion, may qualify 6-months postpartum)
- Have plans to move out of the area in the next 12 months
- Have other existing mental or physical health problems so severe as to prohibit informed consent and participation
- Have severe diabetes complications (e.g., renal disease, or on dialysis)
Sites / Locations
- South Bay Latino Research CenterRecruiting
Arms of the Study
Arm 1
Arm 2
Experimental
No Intervention
LUNA Group
Care Coordination
The LUNA Group is a culturally appropriate, E-Health enhanced, patient-centered, team-care model that includes: 1) care coordination by a Care Coordinator (CC) trained in electronic health records (EHR) clinical decision support and health promotion methods; 2) visits with a specially trained Behavioral Health Provider (BHP) with knowledge of diabetes and psychosocial aspects of diabetes; 3) care integration with primary care provider (PCP) implemented using the clinical decision support dashboard and/or synchronous communication during visits; and 4) a video adapted, evidence-based diabetes self-management education and support curriculum delivered through a learning management system.
The Care Coordination group applies the current methods of the federally qualified health center (FHQC) Patient Centered Medical Home initiative. Participants assigned to the care coordination group will continue with their regular medical visits with their primary care provider. In addition, they will receive care coordination and brief targeted health education provided by a specially trained medical assistant/care coordinator. This will involve 1 or more brief sessions with a care coordinator to provide health education, assist with appointments and referrals, and review medications. The care coordinator will work closely with their primary care provider. The care coordinator will also assist with referrals to behavioral health that may be initiated by the primary care provider.