The e-SINCERE Study

Официальное название

Enhanced Digital Access to Bridge Social Needs and Reduce Health Disparities: The e-SINCERE Study

Обзор

The e-SINCERE study will evaluate whether providing stable cell phones and digital navigation assistance helps patients overcome ICT barriers and connect more successfully with community services. The study will begin with patients in the UHealth ED, with additional sites added in the future, and will involve working with community service providers and policy leaders to refine and implement the intervention. Findings from this study may guide the development of future programs and policies to improve access to services for patients facing economic and technological barriers.

Вмешательства

• Другое Standard Referral to 211
  Participants receive a standard referral to United Way 211 for assistance with social needs. 211 specialists contact referred patients, provide available service referrals, and follow up in an ad-hoc manner as per standard 211 protocols.
• Поведенческое e-SINCERE (Phone Support)
  Participants receive a study-provided cellphone to ensure stable phone access. Using this device, participants are connected to United Way 211 specialists, who provide referral services for identified social needs. This intervention focuses on overcoming communication barriers that might otherwise prevent successful service connection.
• Поведенческое e-SINCERE (Digital Navigation)
  Participants receive a study-provided TracFone and direct support from a trained Digital Navigator. The Digital Navigator assists participants with accessing United Way 211 services, troubleshooting barriers to phone or internet use, and reinforcing follow-through on referrals. This arm is designed to provide enhanced, structured navigation support to address digital access barriers and increase successful service connections.

Первичные конечные точки

• Successful connection to community social services (any service) [Срок оценки: 6 months after randomization]

Вторичные конечные точки (3)

• Health-related quality of life (PROMIS Global Health) [Срок оценки: Baseline, 2 weeks, 3 months, and 6 months after randomization]
• Emergency department utilization (all-cause ED visits) [Срок оценки: 6 months after randomization]
• Digital access stability (phone connectivity) [Срок оценки: 6 months after randomization]

Критерии участия

Критерии включения

• Community Advisory Board Members

Health system, governmental, and community service stakeholders

Able to understand English

Adult (> 18 years)

\- General screening population:

Any patient who completes the SINCERE screener.

Able to understand or read English or Spanish.

\- Survey study inclusion criteria:

Any patient who completes the SINCERE screener who has connected with 211 for service outreach

Able to understand or read English or Spanish.

Adult (> 18 years)

Критерии исключения

• Those unable to communicate verbally in English or Spanish
• Those living in nursing facilities, or those who are not otherwise responsible for self-care

Критерии приведены из реестра в оригинале (на английском). Окончательную оценку соответствия проводит исследовательский центр.

Здоровые добровольцы: Да

Дизайн исследования

Распределение

Рандомизированное

Модель

Параллельные группы

Маскирование

Открытое

Основная цель

Организация здравоохранения

Центры проведения

США · 1 центр

• University of Utah — Salt Lake City

Публикации

• Wallace AS, Luther BL, Simonsen SE, Jackson S, Grigorian E, Wong B. Evaluating the impact of stable cellphone access and digital navigation on 6-month health outcomes and service connection in emergency care: protocol for a randomised controlled trial. BMJ Open. 2026 Jul 24;16(7):e113945. doi: 10.1136/bmjopen-2025-113945. PMID 42498479

Идентификаторы

NCT: NCT07174466 · 00181891 · 1R01NR021501-01

Первоисточники (государственные реестры)

• ClinicalTrials.gov (NIH, США)

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