Pilot-Testing Strategies to Improve Outcomes for Youth With Type 2 Diabetes by Addressing Health-Related Social Needs

Conditions studied

Diabetes in Adolescence, Type 2 Diabetes, Social Needs

About this study

The goal of this clinical trial is to pilot test different strategies to address health related social needs (HRSN) experienced by adolescent and young adult patients with type 2 diabetes and their families. The main questions it aims to answer are: * How feasible are the strategies? * How acceptable are the strategies? * How reliably and consistently can the strategies be implemented? Participants will: Attend regularly scheduled diabetes clinic visits. Complete surveys and interviews. Be connected to community resources and organizations to help address HRSN.

Interventions

• Behavioral: Tailored Resources — Participants will be offered resource lists and warm referrals specific to health-related social needs (HRSN) on a screener. Their clinical team will be sent screener results and asked to talk about and address HRSN at the visit without additional guidance. Participants will be offered physical resources related to disclosed HRSN (e.g., food box for food insecurity).
• Behavioral: Universal Empowerment — Regardless of disclosed health-related social needs (HRSN), participants will be offered resource lists and warm referral links for food, housing, and transportation needs. At clinic visit, all will be offered physical resources and the opportunity to meet with a social worker. In place of screening results, the clinical team will be sent a message requesting that, when seeing the patient in clinic, they use the provided, easily accessible empowering script about HRSN.
• Behavioral: Text Messages — Participants will receive text messages once per month for 3 months. Messages will state that community-based resources to address health-related social needs (HRSN) are available if needed, with a link to opt-in to resource lists and warm referral links. Messages will include contact information for the study and clinical teams for optional HRSN discussion. Community Health Worker will not be assigned.
• Behavioral: Community Health Workers (CHW) — Participants will be assigned a trained CHW to support connection with resources to address HRSN.

Primary outcomes

• Acceptability of Intervention: Health-Related Social Needs Screener (at baseline clinic visit)
• Acceptability of Intervention: Tailored Approach to Address Health-Related Social Needs (1-week after baseline; 3 months)
• Acceptability of Intervention: Universal Empowerment Approach to Address Health-Related Social Needs (at baseline visit; 1-week after baseline; 3 months)
• Acceptability of Intervention: Text Messages to Address Health-Related Social Needs (3 months)
• Acceptability of Intervention: Community Health Workers to Address Health-Related Social Needs (3 months)
• Fidelity of Intervention (1-week after baseline; 3 months; 6 months)

Eligibility information

Study locations

• UPMC Children's Hospital of Pittsburgh, Pittsburgh, Pennsylvania 15224 United States