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Re-Engineered Discharge for Diabetes Care Transitions

RECRUITINGN/ASponsored by University of Massachusetts, Worcester
Actively Recruiting
PhaseN/A
SponsorUniversity of Massachusetts, Worcester
Started2026-06-08
Est. completion2028-12-01
Eligibility
Age18 Years+
Healthy vol.Accepted
Locations1 site

Summary

The goal of this project is to test a novel bedside SDOH screening intervention coupled with post-discharge navigation for hospitalized patients with a diabetes diagnosis to reduce unmet social needs, compared to usual care.

Eligibility

Age: 18 Years+Healthy volunteers accepted
Inclusion Criteria:

* adult aged 18 years or older
* diagnosed with type 2 diabetes
* hospitalized at Univ of Massachusetts-affiliated hospital
* endorsed at least 1 unmet social need via screening survey

Exclusion Criteria:

* pregnancy
* discharge to short or long-term nursing facility or hospital
* medical contraindication
* cognitive impairment
* unable to provide informed consent

Conditions4

DiabetesDiabetes Mellitus, Type 2Hospital ReadmissionSocial Determinants of Health (SDOH)

Locations1 site

UMASS Memorial Healthcare System
Worcester, Massachusetts, 01665
Suzanne Mitchell774-442-3748REDDCAT2@umassmed.edu

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