Controlling Hyperglycemia Among Minority Population
Controlling Hyperglycemia Among Minority Population
The purpose of this study is to compare the efficacy of three approaches in diabetes
 management: (1) community health worker (CHW) education; (2) text messaging; and (3) usual
 hospital-based care. The goal is to determine the most cost-effective method of diabetes
 management among an economically-disadvantaged, minority population.
The CHAMP study will test the efficacy of two interventions designed to decrease uncontrolled
 hyperglycemia (defined as Hemoglobin-A1C (A1C) at or above 9%) among adults with diabetes.
 Patients from a safety-net hospital will be randomized into three groups: 1) a control group,
 2) an intervention providing diabetes self-care text messages, or 3) an intervention using
 community health workers to provide diabetes education and linkage to care. Secondary
 objectives include increasing diabetes knowledge, improving diabetes self-management, and
 increasing use of primary care (i.e., make one visit to the physician in 6 months) among the
 intervention participants. A cost-effectiveness analysis will determine the most appropriate
 way to reduce the burden of uncontrolled diabetes.
Inclusion Criteria:

 *Hyperglycemia with A1C ≥9%

 Exclusion Criteria:

 -  Lives greater than 20 miles driving distance from Mount Sinai Hospital

 -  Pregnant women with gestational diabetes

 -  Advanced end-organ complications due to diabetes that include: end-stage renal
 disease, stroke with paresis, Congestive Heart Failure (NYHA class III or IV), or
 other major end-organ complication of diabetes

 -  Receiving treatment for a major psychiatric disorder (i.e. schizophrenia)

 -  Unable to understand and give informed consent in either English or Spanish

 -  Currently or previously participated in a diabetes research study

 -  Family member currently enrolled in a diabetes research study

 -  Previously received diabetes care related cell phone text messages

 -  Unable to receive text messages 3-4 times per week

 -  Living in a homeless shelter or temporary housing

 -  Plans to travel outside of the United States for more than 3 months in next year