Digital Health and Community Health Worker Support for Diabetes Management: a Randomized Controlled Trial.

ABSTRACT:

Objective

The aim of this study was to evaluate the effectiveness of a digital health intervention plus community health worker (CHW) support on self-monitoring of blood glucose and glycosylated hemoglobin (HbA1c) among adult Medicaid beneficiaries with diabetes.

Design

Randomized controlled trial.

Setting

Urban outpatient clinic.

Participants

Adult Medicaid beneficiaries living with diabetes and treated with insulin and who had a HbA1c ≥ 9%.

Intervention

Participants were randomly assigned to one of three arms. Participants in the usual-care arm received a wireless glucometer if needed. Those in the digital arm received a lottery incentive for daily glucose monitoring. Those in the hybrid arm received the lottery plus support from a CHW if they had low

SUBMITTER: Whitehouse CR 

PROVIDER: S-EPMC9113615 | biostudies-literature | 2023 Jan

REPOSITORIES: biostudies-literature