N/A Completed N=150 Randomized Single-blind Health Services Research

Using Digital Health, Financial Incentives, and Community Health Worker Support to Change Health Behavior

Diabetes

Source: ClinicalTrials.gov NCT03939793 ↗

Enrolled (actual)

150

Serious AEs

26.7%

Results posted

Sep 2024

Primary outcomePrimary: Glucose Self-monitoring Adherence — 65; 70; 72 percentage of days

Summary

This randomized controlled trial tests how digital health monitoring with financial incentives (DFI) and community health worker (CHW) support may affect how a person manages their diabetes. Participants will be randomized to one of three arms: 1) DFI intervention, 2) hybrid DFI/CHW intervention, or 3) usual care. Investigators hypothesize that compared to usual care and DFI alone, the hybrid intervention will lead to more glucose self-monitoring and greater improvements in glycosylated hemoglobin.

Outcome Measures

Outcome	Result	p-value
PRIMARY Glucose Self-monitoring Adherence	65; 70; 72	—

Eligibility Criteria

Inclusion Criteria

Penn Medicine patients diagnosed with diabetes mellitus.
Glycosylated hemoglobin >=9% within the past 6 months.
Requires insulin.
Uninsured/publicly insured.
Residents of high-poverty ZIP codes in West/Southwest Philadelphia.
Have access to a cellphone with unlimited text message capabilities.

Exclusion Criteria

Already have a continuous glucose monitor.
Previously enrolled in the study.
Currently have an outpatient CHW.
Unwilling/unable to provide informed consent.
In another study that asks participants to monitor their blood sugar.

View full record on ClinicalTrials.gov →

Data sourced from ClinicalTrials.gov (NCT03939793). Outcome figures and adverse-event rates are extracted automatically from the registry's posted results and are provided for clinician reference, not as a substitute for the primary publication. Informational only — not medical advice.