Study of Team-Based Care and E-Health to Improve Diabetes Control and Mental Health in Latino Adults

What this Trial Is About

Researchers are evaluating a patient-centered, team-based primary care approach enhanced with E-Health tools to improve blood sugar control and reduce psychological distress in Latino adults with type 2 diabetes. This randomized controlled trial RCT focuses on a large, high-risk US population within a federally qualified health center setting, aiming to better understand effective diabetes healthcare services. The study includes 600 participants, with 400 enrolled in the RCT and 200 additional matched controls for medical record review only. The trial has two main groups the LUNA Group, which offers coordinated care involving a Care Coordinator trained in electronic health records, a Behavioral Health Provider addressing psychosocial aspects, primary care provider integration, and diabetes education through video sessions and the Care Coordination Group, which continues usual primary care while adding brief sessions with a care coordinator for health education, appointments, referrals, and medication review. The LUNA Group also includes virtual integrated visits with the care team to ensure coordinated care. Participants will undergo biological and clinical tests, including hemoglobin A1C measurements, medication adherence checks, weight monitoring, and psychosocial assessments at baseline, 3, 6, and 12 months. The main outcomes measured at six months are blood sugar control and psychological distress depression and anxiety. The study will track health behaviors and use questionnaires to monitor progress, with data from medical records collected for non-intervention controls. Total participation spans up to one year.

Latinos Understanding the Need for Adherence in Diabetes Using E-Health