NOT-MD-20-022

The goal of the project is to adapt, implement and evaluate a multi-level intervention to mitigate the multi-dimensional toll of COVID-19 among Latino immigrant communities in Philadelphia.

This project will assess the effect of providing an enhanced digital texting intervention-Dulce Digital-COVID Aware (DD-CA) to Hispanic patients with type 2 diabetes upon discharge from recent hospitalization. Key outcomes will assess the impact of DD-CA on hospital readmissions at 30 and 90 days post-discharge, glucose control, and patient reported outcomes at 90 days post-discharge, while also assessing COVID status.

Reduced routine access to health care providers and prescribed medications, coupled with risky health behaviors during the pandemic, may substantially exasperate existing disparities in healthcare utilization, non-adherence to management of chronic conditions, unhealthy lifestyles, and poorer health outcomes among underserved African American older adults.

COVID-19 has made traveling as a blind or visually impaired person much riskier and more difficult than before the pandemic. As a result, people with visual impairments may limit their essential travel such as trips to the doctor’s office, the pharmacy and grocery shopping and walks for exercise or leisure.

This intervention involves community members and youth leaders assessing child and youth thriving in their neighborhood, using a community-developed Child/Youth Thriving Matrix tool to engage in structured dialogue on neighborhood transformation, racial and gender equity, youth engagement, and organizing for social change.