NCT06831162

Evaluating the Effectiveness of a Multi-level Health-Related Social Needs Initiative

Enrolling by Invitation
NAAges 18+InterventionalHealth services
Vanderbilt University Medical Center
~4,809 participants
Updated 2026-03-11 on ClinicalTrials.gov
What's tested:Multi-level HRSN initiative

At a glance

Recruiting sites
0 of 1 listed site is recruiting right now
RecruitingSuspended, closed, or not yet open
What they're measuring
Change in glycemic control
Measured over Baseline and 12 months post-baseline
Type 2 Diabetes
Hypertension
Hyperlipidemia
Health-related Social Problems
1 sites across 1 states
Tennessee1
  • Sunil Kripalani, MD, MSc · PRINCIPAL_INVESTIGATOR · Vanderbilt University Medical Center

This trial hasn't published a contact. View it on ClinicalTrials.gov

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Eligibility criteria

Inclusion

18 years of age or older
Completed the health-related social needs (HRSN) screener as part of a primary care visit
Diagnosed with type 2 diabetes, plus hypertension and/or hyperlipidemia as reflected by ICD-10 billing codes
Receive care at one of six partner Vanderbilt University Medical Center primary care clinics: South One Hundred Oaks, North One Hundred Oaks, Green Hills, Hillsboro Medical Group, Melrose, Bellevue
18 years of age or older
Completed the HRSN screener as part of a primary care visit
Diagnosed with type 2 diabetes
Receive care at one of six partner Vanderbilt University Medical Center primary care clinics: South One Hundred Oaks, North One Hundred Oaks, Green Hills, Hillsboro Medical Group, Melrose, Bellevue
English-speaking

Exclusion

Blindness
Hearing impairment
Conditions that would interfere with survey completion (e.g., significant dementia, active psychosis or mania)
Being near the end of life (hospice or home hospice)
  • Change in glycemic controlBaseline and 12 months post-baseline

    Hemoglobin A1c extracted from the electronic health record where higher values indicate worse glycemic control.