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SMART Pilot Trial of Glycemic Screening Outreach
Sponsor: University of California, Los Angeles
Summary
Approximately 130 million Americans have prediabetes or type 2 diabetes (T2D) but remain unscreened and/or unaware of their diagnosis. While prediabetes/T2D screening, also known as glycemic screening, is endorsed in national guidelines, there is almost no research on how to increase screening rates, or evaluations of interventions testing the effectiveness of screening promotion strategies. The American Medical Association has published prediabetes quality measures that apply to UCLA Health as well as all other health systems, specifically tracking the percentage of adult patients with risk factors for T2D due for glycemic screening for whom the screening process was initiated. However, there is no current systemic effort underway at UCLA, or most other health systems, to encourage glycemic screening. We are proposing a pilot trial of the first SMART (Sequential Multiple Assignment Randomized Trial) for glycemic screening. Our SMART experiment will provide preliminary feasibility and acceptability data for a larger, multisite trial that will provide vital guidance to optimize screening approaches for a growing number of screening-eligible patients so that they may seek earlier detection, treatment, and/or access to lifestyle programs and interventions for T2D or prediabetes.
Key Details
Gender
All
Age Range
35 Years - 70 Years
Study Type
INTERVENTIONAL
Enrollment
105
Start Date
2025-07-08
Completion Date
2025-11-08
Last Updated
2025-07-17
Healthy Volunteers
No
Conditions
Interventions
Text message
Participants receive a text message encouraging glycemic screening
Patient portal message
Participants receive a patient portal message encouraging glycemic screening
Mailed letter
Participants receive a mailed letter encouraging glycemic screening
Locations (1)
University of California, Los Angeles
Los Angeles, California, United States