Evidence mapPaperPMID 34013093Full record

ArticleContemporary clinical trials communications2021

Bridge to Health/ Puente a la Salud: Rationale and design of a pilot feasibility randomized trial to address diabetes self-management and unmet basic needs among racial/ethnic minority and low-income patients.

Dea Papajorgji-Taylor, Melanie Francisco, Jennifer L Schneider, Katie Vaughn, Nangel Lindberg, Ning Smith, Stephanie L Fitzpatrick

Registry-linked trialAbstract read
In one paragraph

Article in Contemporary clinical trials communications, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03802825 (Addressing Social Determinants of Health & Diabetes Self-Management in Vulnerable Populations), which is not on this map. Cited by 3 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed, 1 pooled it
field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT03802825 nacompletednot on this map

Addressing Social Determinants of Health & Diabetes Self-Management in Vulnerable Populations

TypeinterventionalSponsorKaiser PermanenteRan2019 to 2021Enrolled110ConditionsDiabetesArmsDiabetes Self-Management Training, Standard Patient Navigation
3 · Its place in the literature

Who cites it

3 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Trial
  3. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

Dea Papajorgji-TaylorKaiser Permanente Center for Health Research, 3800 N. Interstate Ave., Portland, OR, 97227, USA.
Melanie FranciscoKaiser Permanente Center for Health Research, 3800 N. Interstate Ave., Portland, OR, 97227, USA.
Jennifer L SchneiderKaiser Permanente Center for Health Research, 3800 N. Interstate Ave., Portland, OR, 97227, USA.
Katie VaughnKaiser Permanente Center for Health Research, 3800 N. Interstate Ave., Portland, OR, 97227, USA.
Nangel LindbergKaiser Permanente Center for Health Research, 3800 N. Interstate Ave., Portland, OR, 97227, USA.
Ning SmithKaiser Permanente Center for Health Research, 3800 N. Interstate Ave., Portland, OR, 97227, USA.
Stephanie L FitzpatrickKaiser Permanente Center for Health Research, 3800 N. Interstate Ave., Portland, OR, 97227, USA.

Funding

NIDDK NIH HHS R34 DK119853
6 · The paper itself

Abstract

introductionRacial/ethnic and socioeconomic disparities in diabetes prevalence and management persist. Unmet basic needs such as food insecurity and unstable housing interfere with optimal diabetes self-management. Bridge to Health/Puente a la Salud is a randomized pilot trial designed to examine the feasibility of testing the effectiveness of addressing unmet basic needs via navigation services versus navigation plus diabetes self-management support (DSMS) on improving diabetes-related outcomes among racial/ethnic minority and low-income patients with uncontrolled diabetes. MATERIAL AND

methodsWe recruited and randomized 110 African American, Hispanic, and Medicaid patients (any race/ethnicity) with diabetes and recent hemoglobin A1C ≥ 8% to one of two 6-month interventions: 1) Navigation only; or 2) Navigation + DSMS. In both arms, practice-embedded patient navigators help participants navigate social services and community-based resources to address unmet basic needs. In Navigation + DSMS, participants are also assigned to a community health worker (CHW) embedded in a local community-based organization who provides additional navigation support and delivers DSMS. A1C and unmet basic needs data are collected via routine lab and survey, respectively, at baseline and 6-month follow-up. Qualitative interviews with participants, health system leaders, CHWs, and patient navigators are conducted to explore intervention acceptability and determinants of implementation in a health care setting. DISCUSSION: Findings from this pilot feasibility study will enhance understanding about acceptability, preliminary clinical effectiveness, and facilitators and barriers to implementation of the Navigation only and Navigation + DSMS interventions and inform refinements of the overall study design for the larger, randomized clinical trial.

Indexed as

And community health workersDiabetesDiabetes self-managementNavigationUnmet basic needs

Identifiers

PMID34013093
PMCPMC8114052

What Socratic holds

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LicenceCC BY-NC-ND
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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.