AI and community health workers team up to help diabetes patients after hospital stays
NCT ID NCT07599852
First seen Jun 24, 2026 · Last updated Jun 27, 2026 · Updated 1 time
Summary
This study tests whether a 3-month support program, led by a nurse and a community health worker and guided by an AI tool called MEDBRIDGE, can help people with type 2 diabetes manage their medications after leaving the hospital. The program aims to reduce confusion about medication changes and prevent emergency visits. Forty-five adults from two Alabama hospitals will take part to see if the program is practical and acceptable.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- nurse case manager and community health worker support program
- What this could lead to
- If it works, this could point toward a practical way to help people with diabetes avoid medication mix-ups and hospital readmissions after discharge.
- What could go wrong
- This is a very small, early feasibility study with only 45 participants, so results may not apply broadly. The program may not improve blood sugar or reduce emergency visits as hoped.
This is an AI summary of the original study and may miss details. Read our disclaimer.
Study facts
What this study's own registry entry says, in plain language.
- Phase
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Not a phased trial
Phase numbers describe drug development. The registry uses this when they do not apply, as it does for trials of devices, procedures or behaviour changes, and for observational studies.
- Participants
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About 45 people
The number the study aims to enrol. It can still change while the study runs.
- Expected to start
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May 2029
An estimate. Start dates often move.
- Expected to finish
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Apr 2031
An estimate. End dates often move.
- Lead sponsor
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Other sponsor
The registry's catch-all category, for sponsors it does not file as a company, a government agency, or a research network.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
- Ages
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18 years and older
- Sex
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Anyone
- Healthy volunteers
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Not accepted
This study is not open to healthy volunteers. The entry requirements below say who it is open to.
Show the full entry requirements Hide the full entry requirements
Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Inclusion Criteria: * Adults aged 18 years or older * Diagnosis of type 2 diabetes (HbA1c of 6.5% or higher or relevant ICD-10 codes including E11, E13, E14, R73, L97.509, K31.84) * Discharged from UAB Hospital or its emergency departments * Receiving primary care at Cooper Green Mercy Health Services or UAB Post Discharge Clinic * Identified as high risk by the MEDBRIDGE prediction tool based on elevated risk of HbA1c elevation, diabetes-related emergency department visits, or diabetes-related hospitalizations within 3 months post-discharge Exclusion Criteria: * Under age 18 * No indication of type 2 diabetes * Not affiliated with Cooper Green Mercy Health Services or UAB Post Discharge Clinic for primary care * Unable to provide informed consent * Currently enrolled in another post-discharge intervention study
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Conditions
The condition(s) this trial relates to.
As listed by the trial registrant
The condition terms exactly as the trial's registrant entered them.
How to take part
Only the study team decides who joins. These are the ways to reach them.
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The places running it
2 sites. The list below names each one and where it is.
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The official record
ClinicalTrials.gov lists the study team's own contact details, including names and phone numbers. We don't republish those.
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A doctor treating you
A doctor who knows your case can contact a study site on your behalf, and can tell you whether this study is worth pursuing at all.
Contacts and locations
Locations
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Cooper Green Mercy Health Services
Birmingham, Alabama, 35233, United States
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University of Alabama at Birmingham
Birmingham, Alabama, 35223, United States
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