Re-Engineered Discharge for Diabetes Care Transitions

Recruiting now · Not applicable

Conditions studied: Diabetes Mellitus Type 2, Social Determinants of Health (SDOH), Hospital Readmission

In brief

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.

Key facts

Study ID

NCT06869057

Run by

University of Massachusetts, Worcester

People needed

412

Starts

2026-06-08

Expected to finish

2029-05-30

Last updated by the study team

2026-06-30

Who can join

Age: 18 and older. Sex: any. Healthy volunteers: not accepted.

You may qualify if…

• 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

You may not qualify if…

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

Where it is running

• UMASS Memorial Healthcare System — Worcester, Massachusetts, United States (enrolling)

Full record on ClinicalTrials.gov

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