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Addressing Social Needs for People with Diabetes in Rural Communities

This study is testing a "Community-Clinical Intervention" to help people with diabetes in rural Kentucky. The goal is to improve how clinics screen for and connect patients with unmet social needs (like needing help with food or housing) to community resources. If you have diabetes and are a patient at one of the participating clinics, you might be eligible to join. The study will look at how many people are screened for social needs and how many referrals are made to community organizations over 12 months. This study is currently unclear about its recruitment status.

Study design
This study plans to enroll 12,000 participants and uses a design where different clinics will either receive the intervention or continue with usual care.
What's involved
Not specified in the trial record.
Compensation
Not stated in the trial record.
Follow-up
Participants will be followed for social needs screening and referrals at baseline, 6 months, and 12 months.

AI-generated from the public study record. Only the study team can confirm whether you're eligible — confirm details with them before making decisions.

NCT07196007

Leveraging Community-clinical Linkages to Address Unmet Social Needs for People With Diabetes

Recruiting
NAAges 18+InterventionalHealth services
Mary Lacy
~12,000 participants
Updated 2026-03-27 on ClinicalTrials.gov
What's tested:Community-Clinical Intervention

At a glance

Recruiting sites
1 of 1 listed site is recruiting right now
RecruitingSuspended, closed, or not yet open
What they're measuring
Number of participants screened for social needs
Measured over Baseline, month 6 and month 12
+1 more outcome measured

Conditions

Diabetes
Diabetes Mellitus

Explore related trials

Diabetes Mellitus

Where it's being run

1 sites across 1 states
Kentucky1

Study leadership

  • Beth Lacy Leigh · PRINCIPAL_INVESTIGATOR · University of Kentucky

Who to contact

Carol R White, MPH
[email protected]
859-562-2684
Email the study team

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Do you actually qualify for this trial?

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Eligibility criteria

Inclusion

staff at the intervention or comparison clinic
age 18 or older,
is a patient at the intervention or comparison clinic
diagnosed with diabetes

Exclusion

staff not at the intervention or comparison clinic
being under the age of 18,
not a patient at the intervention or comparison clinic
not diagnosed with diabetes

What this trial measures

  • Number of participants screened for social needsBaseline, month 6 and month 12

    Number of participants screened for social needs intervention compared to control

  • Number of referrals to community based organization by primary care clinicBaseline, month 6 and month 12

    Number of referrals to community based organization in intervention compared to control