The purpose of this study is to evaluate a multi-level approach to improve diabetes control via access to social service supports and online, culturally-tailored diabetes self-management education and support (DSMES) videos among a community of primarily Chinese and Latino/a immigrants. The study aims to assess patient uptake, provider adoption, and INSPIRE program acceptability, appropriateness, feasibility, fidelity, penetration/reach, and maintenance.
≥18 years old and ≤ 70 years old
Self-identify their primary language as English, Mandarin, Cantonese, or Spanish
Diagnosed with T2DM
Has their most recent HbA1c ≥8% or have a new diagnosis of T2DM within the past 6 months
Unable or unwilling to provide informed consent
Unable to participate meaningfully in the intervention (e.g. uncorrected sight and hearing impairment)
Is currently pregnant (Pregnant women will be excluded from this study because they may have special dietary restrictions that are not covered by our DSMES videos for the general population with T2DM.)
Parallel
CHW-enabled CCL
BehavioralThe FHCs has access to the CHW-enabled CCL. With this intervention, participants will be screened for social determinants of health (SDoH) and be referred to care and social services that address any identified needs.
Mobile health (mHealth) diabetes self-management education and support (DSMES) videos
BehavioralParticipants will receive 24 culturally tailored DSMES videos through text message.
Change in HbA1c levels
Level of satisfaction with community-clinic linkage (CCL) and mHealth
Participants are asked to rate satisfaction on a scale of 1 (not satisfied at all) to 10 (very satisfied).
Percentage of patients accepting Community Health Worker (CHW) support
Percentage of patients accepting mHealth
Percent completion of social service referrals
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