Advancing Diabetes Management for People With Physical Disabilities Optimally Through Primary Care-Based Telehealth (ADDOPT)

The purpose of the study is to compare 2 primary care based telehealth interventions- 1) digital health coaching and 2) remote patient monitoring for improving glycemic (blood sugar levels) control and overall health outcomes in individuals with physical disabilities, type 2 diabetes (T2DM) and at least one chronic condition. The project aims to determine which intervention is more effective in reducing blood sugar levels, improving patient-reported outcomes such as diabetes-related distress, and facilitating the implementation of these approaches in real-world primary care settings serving vulnerable populations. The findings intend to inform about optimal telehealth strategies for managing multiple chronic conditions in underserved groups, there by supporting improved health equity and quality of care.

Inclusion Criteria: 1. Physical Disability 2. Diagnosed with Type 2 Diabetes 3. Hemoglobin A1c ≥7% within 3 months of screening 4. Must have at least 1 additional chronic conditions from the list below Hypertension Congestive Heart Failure Coronary Artery Disease Hyperlipidemia Stroke Arthritis Asthma Cancer Chronic Kidney Disease (Stages 1-4) COPD Osteoporosis Multiple Sclerosis Parkinsons Exclusion Criteria: 1. Intellectual, Learning, Developmental Disabilities 2. Non-english speakers 3. Currently pregnant 4. Significant vision loss preventing use of phone/tablet for interventions 5. Received Remote Patient Monitoring or Digital Health Coaching for T2DM management within 30 days of enrollment 6. End-stage kidney disease (on dialysis) 7. Does not report having a physical disability 8. Perceived unwillingness or inability to participate