e-SINCERE for Health Care Accessibility
(e-SINCERE Trial)
What You Need to Know Before You Apply
What is the purpose of this trial?
This trial aims to determine if providing stable cell phones and tech assistance can enhance access to community services. It will test three groups: one receiving only a referral to a community service hotline, another receiving a phone, and a third receiving both a phone and digital assistance. The trial seeks patients who have completed an initial service screener and can read or understand English or Spanish. Participants should also be self-sufficient and not reside in nursing facilities. The findings could inform future programs to better support individuals facing economic and technology challenges. As an unphased trial, this study offers a unique opportunity to contribute to innovative solutions for improving access to essential services.
Will I have to stop taking my current medications?
The trial information does not specify whether you need to stop taking your current medications.
What prior data suggests that this intervention is safe for improving health care accessibility?
In a previous study, researchers explored digital tools to help people connect with community services. These tools have improved access to resources, leading to better health outcomes. The e-SINCERE study builds on this idea by providing stable cell phones and assistance with using digital tools.
Regarding safety, no medical treatment is involved, so the focus is on the ease and effectiveness of the tools. The technology resembles everyday smartphones, which most people find easy to use. No reports of harmful effects have emerged from using phones or digital tools in these settings.
While e-SINCERE is not a traditional medical treatment, it offers a safe way to help people access the services they need.12345Why are researchers excited about this trial?
Researchers are excited about the e-SINCERE approach because it aims to enhance healthcare accessibility in innovative ways. Unlike the typical process of simply referring patients to services like the United Way 211, e-SINCERE introduces new layers of support. One group in the trial receives a study-provided cellphone to ensure they can reliably connect with 211 support, addressing a common barrier to access. Another group benefits from a Digital Navigator who not only assists them in accessing 211 but also helps overcome obstacles in connecting to necessary services. This trial is looking to find out how these additional supports can improve access to social services, potentially leading to better overall health outcomes.
What evidence suggests that the e-SINCERE intervention is effective for improving access to community services?
Research has shown that digital health tools simplify access to healthcare and connect individuals with necessary services. These tools particularly enhance health and quality of life for people with disabilities. They also help identify and address social needs such as food, housing, and transportation. By serving many people simultaneously, these tools increase healthcare efficiency. This trial will evaluate the effectiveness of various approaches, including the e-SINCERE digital health solution, in improving connections to community services and support.678910
Who Is on the Research Team?
Andrea Wallace, PhD
Principal Investigator
University of Utah
Are You a Good Fit for This Trial?
The e-SINCERE Study is for patients who face economic and technological barriers to healthcare access. It's designed to help those struggling with Information and Communication Technology (ICT) challenges by providing them with stable cell phones and support.Inclusion Criteria
Exclusion Criteria
Timeline for a Trial Participant
Screening
Participants are screened for eligibility to participate in the trial
Intervention
Participants receive either a standard referral, a study-provided cellphone, or a cellphone with digital navigation assistance to connect with community services
Follow-up
Participants are monitored for successful connection to community services and health-related quality of life
What Are the Treatments Tested in This Trial?
Interventions
- e-SINCERE
Trial Overview
This study tests if giving out stable cell phones along with digital navigation assistance or phone support can improve connections with community services. Participants will be compared based on the type of intervention they receive.
How Is the Trial Designed?
3
Treatment groups
Experimental Treatment
Active Control
Participants receive a study-provided cellphone and direct support from a Digital Navigator. The Navigator assists participants in accessing United Way 211 and helps troubleshoot barriers to connecting with services.
Participants receive a study-provided cellphone to ensure stable phone access. They are connected by phone to United Way 211 for assistance with social needs.
Participants receive usual care plus a referral to United Way 211 for assistance with social needs. No additional study-provided phone or navigation support is given.
Find a Clinic Near You
Who Is Running the Clinical Trial?
Andrea Wallace
Lead Sponsor
National Institute of Nursing Research (NINR)
Collaborator
Citations
Digital Health Interventions to Improve Access to and Quality ...
This scoping review explored how digital health solutions aid PHC delivery and UHC realization by examining the context, mechanisms, and outcomes of eHealth ...
Effectiveness of digital health interventions for chronic ...
Digital health interventions have not yet demonstrated substantial benefits over traditional care for chronic disease management in European primary care.
Digital health interventions for individuals with disabilities ...
Digital health interventions offer promising avenues for enhancing health outcomes, the quality of life, and social participation among individuals with ...
Evaluating digital health interventions: key questions and ...
Digital health interventions (DHI) have enormous potential as scalable tools to improve health and healthcare delivery by improving effectiveness, efficiency, ...
5.
ncqa.org
ncqa.org/blog/social-need-new-hedis-measure-uses-electronic-data-to-look-at-screening-intervention/Social Need: New HEDIS Measure Uses Electronic Data to ...
The new HEDIS SNS measure uses electronic data to screen for unmet needs in food, housing, and transportation, and measures interventions ...
Reducing Health Disparities through Enhanced Mobility ...
Enhanced Digital Access to Bridge Social Needs and Reduce Health Disparities: The e-SINCERE Study ... Social Determinants of Health Data. 212, 5F31MD017471 ...
7.
cms.gov
cms.gov/priorities/innovation/key-concepts/social-drivers-health-and-health-related-social-needsSocial Drivers of Health and Health-Related Social Needs
Examples of SDOH include economic stability, access to quality education and health care, and the neighborhood and built environment.
8.
aspe.hhs.gov
aspe.hhs.gov/sites/default/files/documents/3e2f6140d0087435cc6832bf8cf32618/hhs-call-to-action-health-related-social-needs.pdfRelated Social Needs in Communities Across the Nation
Action: Public health departments possess ample knowledge on data, surveillance, evaluation, and community needs assessment that are needed to support community.
Integrating Social Needs into Health Care
Emergent evidence demonstrates the potential for awareness and assistance interventions to improve access to community resources, reduce health ...
How to Unleash the Power of Health-Related Social Needs ...
By integrating HRSN data into electronic health records (EHRs), providers can identify patterns and trends at scale across communities that may ...
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