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DiabetesLINKDNCT07676188

Leveraging Interventions for Needs and Knowledge in Diabetes

A study testing FindHelp, Peer Support and Social Work in people with Diabetes, run by University of Michigan at 1 site in United States.

Recruiting

Looking for participants now. Contact the study team or a site below to ask about taking part.

Sites and contacts
Official record
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Trial summary

Unmet social needs and economic burden persist as key reasons why one-third of people with diabetes have poor disease control. The purpose of this study is to learn whether different tools and types of support may help people manage diabetes and related challenges. Read more about this study

Who is it for?
Ages 18 years and older
Conditions the study is for
Diabetes
What is being tested?
FindHelp, Peer Support and Social Work
Could I receive a placebo?
No, everyone receives an active treatment
How many people
694 participants
Where
1 siteUnited States
Study dates
3 Aug 2026to 31 Jul 2030
Phase
Interventional
Are there results?
Not yet: the study is under way

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 18 years and older
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Participants:
  • Age: 18 years of age or older
  • Diabetes diagnosis: Documented diagnosis of diabetes (Type 1 or Type 2) with prescribed anti-hyperglycemic medication
  • Glycemic control: Most recent (within the past 6 months) recorded hemoglobin A1c (HbA1c) level of: ≥7.5% for individuals ≤70 years of age and ≥8.0% for individuals between 70-75 years of age Prior study participation: Did not participate in the CareAvenue trial (R01DK116715)
  • Financial burden and/or social needs (meeting ONE or more of the following):
  • Positive report of financial burden using validated screening questions; Medicaid or dual Medicare/Medicaid coverage; Income ≤250% of the federal poverty level; Self-identified as ALICE (Asset-Limited, Income-Constrained, Employed): income above Medicaid threshold but reporting difficulty affording basic needs; Underinsured: high-deductible plan (≥$1,500 individual/$3,000 family) with self-reported difficulty affording healthcare costs; Positive screen for one or more social risk factors on PRAPARE or equivalent (food insecurity, housing instability, transportation barriers, utility insecurity);
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  • Financial decision-making: Self-identifies as primarily responsible for making own healthcare financial decisions (to address concerns about young adults dependent on family support).
  • Interest in assistance: Expresses interest in receiving assistance with unmet social needs.
  • Ability to participate: Able to complete the screening process in English (or Spanish/Arabic if materials available) on behalf of self.
  • Healthcare access: Receives or is able to receive care at Michigan Medicine (required for potential social worker referral).
  • Peer Supporters:
  • Age: 18 years of age or older
  • Diabetes diagnosis: Self-reported diagnosis of diabetes (Type 1 or Type 2)
  • Glycemic control: Within the past three years, have had at least one hemoglobin A1c (HbA1c) level of: ≥7.5% for individuals ≤70 years of age and ≥8.0% for individuals ≥71 years of age AND A1c levels <7.5% for individuals ≤70 years of age and <8.0% for individuals ≥71 years of age
  • Experience navigating social or financial resources: Self-reported success in navigating financial assistance or social services resources
  • Ability to participate: Able to provide peer support in English (option to additionally provide support in Spanish and/or Arabic); Able to complete training; Able to make calls every other week with assigned participants; Able to submit call logs; Able to complete a brief survey about experience throughout participation.
  • Confidence in diabetes self-management: Self-reported confidence in ability to manage diabetes

Who cannot join

  • Participants:
  • Serious psychiatric disorder: Active diagnosis of schizophrenia, active psychosis, or other serious mental illness that would impair ability to engage in intervention (as determined by medical record review)
  • Cognitive impairment: Documented moderate to severe cognitive impairment that would prevent meaningful participation in study activities (as determined by medical record review)
  • Active substance use: Current active illicit drug use that would interfere with study participation (as determined by medical record review)
  • Pregnancy: Currently pregnant or planning pregnancy during the study period (due to expected A1c changes) (as determined by medical record review)
  • Glucose-altering medications: Currently taking medications that alter glucose metabolism as a side effect rather than for diabetes management, including: Chronic oral corticosteroids (≥2 weeks continuous use); Antipsychotic medications known to affect glucose; Other medications affecting glucose when NOT prescribed for diabetes management Note: GLP-1 agonists, SGLT2 inhibitors, and other diabetes medications are NOT excluded, regardless of whether they are also used for weight management
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  • Limited life expectancy: Self-reported or documented comorbidity expected to limit life span to less than 3 years
  • Concurrent diabetes study participation: Currently enrolled in another diabetes intervention study
  • Institutionalized: Currently residing in a nursing home, assisted living facility, correctional facility, or another group setting that prevents them from participating on their own behalf
  • Peer Supporters:
  • Cognitive impairment: Self-reported cognitive impairment that would prevent meaningful participation in study activities
  • Participation Concerns or Barriers: Self-reported concerns that would prevent meaningful participation in study activities
  • Limited life expectancy: Self-reported or documented comorbidity expected to limit life span to less than 3 years
  • Institutionalized: Currently residing in a nursing home, assisted living facility, correctional facility, or another group setting that prevents them from participating on their own

Trial locations and contacts

1 site in 1 country. Contact the study team or a site near you to ask about taking part.

Minal R Patel contact

734-763-0087

minalrp@umich.edu

United States1 site, 1 recruiting
  • University of Michigan

    Ann Arbor, Michigan, 48109

    Minal R Patel, 734-763-0087, minalrp@umich.edu

    Recruiting

Other trials in United States

About this study

Official title: Improving Diabetes Outcomes and Health Disparities by Addressing Unmet Resource Needs- A Sequential Multiple Assignment, Randomized Trial

Unmet social needs and economic burden persist as key reasons why one-third of people with diabetes have poor disease control. The purpose of this study is to learn whether different tools and types of support may help people manage diabetes and related challenges. The study will compare several approaches to understand how they affect people's experiences and health over time. Completion of the study aims will lead to an optimized intervention to improve the health and social well-being of people with diabetes.

Participants will be randomly assigned to one or more interventions aimed at addressing social and financial needs and will complete multiple surveys over the course of a year. The study team will collect information about their blood pressure and HbA1c (blood glucose).

Findings will advance the field by determining the effectiveness of supportive interventions to address both social needs and diabetes self-care, and by informing protocols for the optimal sequencing of these strategies, a critical evidence gap in healthcare settings.

Read the detailed description

Multiple adverse social risks (e.g. food and/or housing insecurity, transportation challenges, social isolation) and out-of-pocket, disease-related expenses are key reasons 1/3 of people with diabetes have high A1cs. Through the CareAvenue mHealth intervention (R01DK116715), the investigators enhanced the original intervention of screening for social risks and connecting people with diabetes to resources by adding features for observational learning, autonomy support, action planning, and self-monitoring. The investigators observed low engagement with the intervention and effectiveness for only 5% of participants. Social support interventions (e.g. peer support, financial navigators, social workers) are more effective in addressing unmet social needs and self- care challenges than stand-alone technology tools. However, these strategies are more resource- and labor- intensive. Rather than dispensing the same fixed package of treatment components to all patients, an adaptive approach can conserve resources by initiating autonomy-supportive treatment, and stepping up treatments for those with suboptimal uptake. This R01 builds on the productivity, infrastructure, and investment of their prior work to address key knowledge gaps for uptake of social care assistance to improve disease outcomes.

The overarching goal of this study is to identify what type of supportive components are optimal for addressing unmet social needs and diabetes self-care, and which of five adaptive sequences of treatment results in better outcomes. The investigators will recruit 594 people with diabetes who have high A1cs, unmet social needs, and want assistance with their needs. They will use a Sequential Multiple Assignment Randomized Trial (SMART) design with 12-month follow-up to conduct this research. In Aim 1, they will determine which of five adaptive intervention sequences is optimal for reducing A1c compared to social needs app only (usual care): 1) App + peer support; 2) App + social worker; 3) App + technology-supported financial navigation; 4) App + peer support + social worker; 5) App + peer support + technology-supported financial navigation. In Aim 2, they will determine which of two augmented treatment adaptations is optimal for reducing A1c among non-responders: social worker or technology-supported financial navigation. In exploratory Aim 2A, they will identify patient-level moderators of treatment effect to inform personalized, resource-efficient protocols. In Aim 3, they will estimate the cost-effectiveness of five adaptive intervention sequences.

The result of this SMART study will be an optimized, adaptive intervention to improve the health and social well-being of people with diabetes by determining the most effective intervention strategies.

Conditions
Diabetes
Being tested
FindHelp, Peer Support, Social Work, Financial Navigation
Keywords
Diabetes, Intervention Strategies, Social Support, Financial Support, Disease Management
Medical subject headings
Diabetes Mellitus

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • FindHelpBehavioural

    All study participants will be assigned to engage FindHelp (www.FindHelp.org), either as a stand-alone intervention (usual care) or in combination with Peer Support and/or second-stage interventions, as applicable. FindHelp is a free website/app that connects people to local resources.

  • Peer SupportBehavioural

    Some participants will be assigned to receive the peer support intervention, which will involve pairing participants with a peer supporter whose experience with diabetes management may help them better manage their own condition.

    Peer supporters will be matched with participants based on shared demographic characteristics, diabetes type, and language. Peer supporters will be trained in key peer support skills, including motivational interviewing, to help participants explore and work toward their goals.

  • Social WorkBehavioural

    Participants will be referred to social workers within our health system, specifically with the Guest Assistance Program through Michigan Medicine. GAP connects patients with social workers knowledgeable about community and University of Michigan resources to work with them and problem-solve concerns affecting their health.

  • Financial NavigationBehavioural

    Participants will connect with the Patient Advocate Foundation's Case Management Program. PAF Case Management is a national program that provides free one-on-one support to eligible patients dealing with challenges related to a chronic health condition. Their case managers help people work through real-life issues, including access to medical treatment, understanding health insurance coverage, and applying for programs that may help with living expenses.

Study groups in NCT07676188
Study groupRoleWhat they receive
FindHelpExperimentalNot described
Receives: Behavioral: FindHelp
FindHelp with Social WorkerExperimentalNot described
Receives: Behavioral: FindHelp; Behavioral: Social Work
FindHelp with Financial NavigationExperimentalNot described
Receives: Behavioral: FindHelp; Behavioral: Financial Navigation
FindHelp + Peer SupportExperimentalNot described
Receives: Behavioral: FindHelp; Behavioral: Peer Support
FindHelp + Peer Support with Social WorkerExperimentalNot described
Receives: Behavioral: FindHelp; Behavioral: Peer Support; Behavioral: Social Work
FindHelp + Peer Support w/ Financial NavigationExperimentalNot described
Receives: Behavioral: FindHelp; Behavioral: Peer Support; Behavioral: Financial Navigation
Peer SupportersOtherUp to 100 peer supporters will be recruited, matched, and provide ongoing support to 1-4 study participants.
Receives: Behavioral: Peer Support

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. HbA1c

    This clinical marker of diabetes control will be measured via laboratory tests (blood draw)

    Measured: Labs will be drawn at 4 assessment points: At baseline, 3-months, 6-months, and 12-months

  2. Blood Pressure

    All participants will receive an at-home Omron blood pressure monitor and will take two readings during each assessment

    Measured: Readings will be taken at 4 assessment points: At baseline, 3-months, 6-months, and 12-months

Secondary outcomes (5)
  1. Diabetes self-care behaviors

    Survey will utilize questions adapted from the Diabetes Self-Management Questionnaire - Revised (DSMQ-R)

    Measured: This outcome will be assessed at 4 assessment points: At baseline, 3-months, 6-months, and 12-months

  2. Uptake of social care assistance

    Survey items assessing intervention utilization and resource uptake

    Measured: This outcome will be assessed at 3 assessment points: At 3-months, 6-months, and 12-months

  3. Successfully addressing social/financial need

    Survey items will assess the extent to which participants social and/or financial needs are being addressed

    Measured: This outcome will be assessed at 3 assessment points: At 3-months, 6-months, and 12-months

  4. Treatment-related financial stress

    Survey will utilize the COST-FACIT scale (de Souza et al., 2017), adapted for diabetes

    Measured: This outcome will be assessed at 4 assessment points: At baseline, 3-months, 6-months, and 12-months

  5. Cost-related non-adherence behaviors

    Survey questions adapted from Medicare Current Beneficiary Survey (MCBS) \& National Health Interview Survey (NHIS)

    Measured: This outcome will be assessed at 4 assessment points: At baseline, 3-months, 6-months, and 12-months

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted30 Jun 2026
  2. Study start3 Aug 2026
  3. Primary completion31 Jan 2030 (estimated)
  4. Study completion31 Jul 2030 (estimated)

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase N/A
Primary purpose
Health services research
Allocation
Randomised
Intervention model
Sequential
Model description
Sequential Multiple Assignment Randomized Trial (SMART) design
Masking
Double blind
Who is masked
Investigator, Outcomes assessor
Enrolment
694 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT07676188
Sponsor's protocol ID
HUM00284695
Other IDs
1R01DK142645-01A1
Acronym
LINKD
Status last verified
Aug 2026
First submitted
23 Jun 2026
Last updated
16 Oct 2026
Results posted
No
Data monitoring committee
Yes
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
Yes: All de-identified clinical data will be made available upon request. Protocols and details on instrument settings, data transformation, and analysis will be available in the accompanying plain-text README. A data dictionary will be provided for the clinical dataset, defining units of measurement as necessary to understand and reuse it. Underlying Primary Data that is de-identified will be made broadly available through an appropriate data repository, in compliance with extant data use agreements. When permitted by data use agreements with our partnering agencies, underlying primary data will be shared simultaneously with Publication and made immediately accessible through release under the Creative Commons Attribution 4.0 Generic License or an equivalent license, or otherwise dedicated to the public domain. Study protocols, survey instruments, codebooks, and consent forms will be made available to facilitate the interpretation of the scientific data.

Questions about this trial

What is this clinical trial studying?

A study testing FindHelp, Peer Support and Social Work in people with Diabetes, run by University of Michigan at 1 site in United States.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 17 inclusion and 14 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: looking for participants now, as of the sponsor's last update on 16 Oct 2026. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 1 site in United States. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

Are results available for this study?

This study is still under way. Results are not available in the source record yet.

How can a doctor refer a patient or contact the research team?

Contact Minal R Patel (734-763-0087, minalrp@umich.edu), or a site near the patient. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

HbA1c (time frame: Labs will be drawn at 4 assessment points: At baseline, 3-months, 6-months, and 12-months). The study lists 2 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?
Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 16 Oct 2026.

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