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Re-Engineered Discharge for Diabetes Care Transitions

Re-Engineered Discharge for Diabetes Care Transitions: Screening and Addressing Social Determinants of Health Needs at Hospital Discharge

Who can join

Ages 18 and older · All sexes

Inclusion Criteria:

* adult aged 18 years or older
* diagnosed with type 2 diabetes
* hospitalized at Univ of Massachusetts-affiliated hospital
* endorsed at least 1 unmet social need via screening survey

Exclusion Criteria:

* pregnancy
* discharge to short or long-term nursing facility or hospital
* medical contraindication
* cognitive impairment
* unable to provide informed consent

About the study

The goal of this project is to test a novel bedside SDOH screening intervention coupled with post-discharge navigation for hospitalized patients with a diabetes diagnosis to reduce unmet social needs, compared to usual care.

What is being tested

• REDDCAT2 Post-Discharge Navigation (behavioral)
• Treatment as Usual (TAU) (other)

Sponsor: University of Massachusetts, Worcester · Participants: 412 · Started: Jun 8, 2026

Contact the study team

• Suzanne Mitchell, MD, MS · Phone: 774-441-6225
• Barbara De La Cruz · Phone: 774-443-2246

Official record on ClinicalTrials.gov — NCT06869057

Locations in the U.S.

Conditions

• Type 2 Diabetes
• Diabetes

From ClinicalTrials.gov, data retrieved Sep 30, 2026. Each study sets its own eligibility; the study team decides who can join.