SPARK-CGM: Boosting CGM Use in Primary Care

Is this trial a fit for you?

A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.

What this trial studies

SPARK-CGM is a hybrid effectiveness-implementation project that provides education, streamlined prescribing, insurance workflows, and staff training to increase new CGM prescriptions in adult diabetes patients treated with insulin at Montefiore primary care sites. The study uses a stepped-wedge cluster randomized design, where clinics gradually transition from usual care to the SPARK-CGM approach over time. The goal is to see if the intervention improves CGM uptake, reduces administrative barriers, and supports better glycemic management in real-world primary care settings. Outcomes include prescribing rates and integration of CGM workflows across clinics and providers.

Why it matters

Who can join: the full rules

Inclusion Criteria:

Clinic level:

* All adult Montefiore primary care sites
* Clinician and clinic staff will be eligible if they provide direct patient care or are involved in CGM prescribing, authorization, onboarding, or education at participating primary care clinics. Eligible clinicians include physicians, nurse practitioners, physician assistants, and clinicians in training. Eligible clinic staff may include nurses, medical assistants, and other relevant administrative staff

Patient level:

* Age 18 years or older
* Receive primary care at participating sites
* Diagnosis of any diabetes mellitus
* Treated with insulin therapy

Exclusion Criteria:

Clinic level:

\- Sites participating in pilot phase of CGM initiative

Patient level:

\- Existing CGM prescription within 24 months before the study start

Where it's running

• Montefiore Medical Group (MMG)
  The Bronx, New York, United States Recruiting

Study contacts

• Principal investigator: Jovan Milosavljevic, MD — Montefiore Medical Center
• Study coordinator: Rosina Antwi
• Email: rosina.antwi@einsteinmed.edu
• Phone: 646-515-8399

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How to take part

1. Review the eligibility criteria above with your treating physician.
2. Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
3. Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.