Effectiveness of Health Literacy Enhancement Program Among Older Persons With Physical Multimorbidity
- Conditions
- Multiple Chronic Conditions；Diabetes；Hypertension
- Interventions
- Other: The Individual and Family Enhancement Program
- Registration Number
- NCT06313138
- Lead Sponsor
- Nantong University
- Brief Summary
The study aims to examine the effectiveness of individual and family health literacy enhancement program among older persons with physical multimorbidity.
Specific objectives are:
1. To compare self-management, treatment burden, and symptom burden of older persons with physical multimorbidity between before and after receiving the individual and family health literacy enhancement program.
2. To compare self-management, treatment burden, and symptom burden of older persons with physical multimorbidity between those receiving the individual and family health literacy enhancement program and those receiving usual care.
Participants in the control group will receive usual care by physician and nurses during the experimental period. The usual care consists of physical examination, regular treatment protocol, patient education and telephone follow-up by community nurses.
Participants in the interventional group will receive the program which is a group-based intervention developed by the researcher based on the Individual and Family Self-Management Theory (IFSMT) (self-management skills) and the principle of Medagogy (PITS model: Pathophysiology, Indications, Treatments, Specifies) to improve patients' and their families' understanding of disease-related information and self-management skills consisting of goal setting and action plan, self-monitoring, solving problems and decision-making, and emotional control.The program will be divided into 8 sessions. Each session will be lasted for 2 hours with 1 intermittent break (10 minutes), and it will be held twice a week, and the last session will be held 1 week after the 7th session. Therefore, it will last for 5 weeks in total.
- Detailed Description
Not available
Recruitment & Eligibility
- Status
- COMPLETED
- Sex
- All
- Target Recruitment
- 140
- Age 60-80 years old;
- Having been diagnosed with hypertension and type 2 diabetes for at least 6 months;
- Being able to read and write Chinese language;
- Cognitive intact as measured by the Mini-Mental State Examination (MMSE) with the score ≥ 24;
- Physically independence as measured by the Barthel ADL Index and the score above 12 out of 20 ;
- Willing to participate in the study;
- Having at least a family member who is willing to participate in the study.
- Having other diseases or severe complications from their health problems that making them unable to fully participate through all process of the program including ischemic heart disease, myocardial infarction, heart failure, stroke, acute renal failure, diabetic ketoacidosis, and diabetic coma;
Study & Design
- Study Type
- INTERVENTIONAL
- Study Design
- PARALLEL
- Arm && Interventions
Group Intervention Description Interventional group The Individual and Family Enhancement Program The Individual and Family Enhancement Program Session 1(1st week): Assessment and exchange information and building trusting relationship between researcher and participants; Session 2-3(1st-2nd week): Information sharing based on PITS model (Pathophysiology, Symptoms, or signs) and evaluation participants' understanding based on UPP scale. Session 4-5(2nd-3rd week): Information sharing based on PITS model (treatment) and health maintenance skills. Session 6 (3rd week): Information sharing based on PITS model (specifics) and family role in self-management. Session7(4th week): Evaluation and summary. Session 8(5th week): Assess health literacy and information provision control group The Individual and Family Enhancement Program Community nurses provide usual care
- Primary Outcome Measures
Name Time Method Self-management 8 weeks after intervention completion Self-management will be measured by Partners in Health (PIH) Scale for older persons with physical multimorbidity which was originally developed by Battersby et al in 2003 and translated into Chinese by Chiu in 2017. The possible total score was between 0 and 96. A higher total score indicates patients with better self-management knowledge and behaviors.
Treatment burden 12 weeks after intervention completion Treatment burden will be measured by the Treatment Burden Questionnaire (TBQ) initially developed and validated in the France by Tran (2012) and translated into Chinese by Zhang (2021). Each item is scored from 0(not problem) to 10 (big problem) with total scores ranging from 0 (no burden) to 150(high burden). A higher score indicates higher treatment burden.
Symptom burden 12 weeks after intervention completion Symptom burden will be measured by The Memorial Symptom Assessment Scale Short Form MSAS(MSAS-SF) initially developed by Chang et al (2000) and translated into simplified Chinese language by Fu et al (2018). The total score is the average severity of symptoms within past week, with symptoms not experienced scored as a zero. A higher score equates to greater symptom burden.
- Secondary Outcome Measures
Name Time Method Health literacy 1 week after intervention completion Health literacy will be measured by the functional Communication Critical Health Literacy (FCCHL) for older persons with physical multimorbidity which was originally developed by Ishikawa et al (2008) and translated into Chinese by Zhao XY(2021). The total health literacy scale wasformed by adding all fourteen items. Each item is rated on a 4-point Likert scale, ranging from 1 (never) to 4 (often), with a higher score reflecting abundant health literacy.
be used to monitor the intermediate outcome of the program implementation and will be measured by the functional Communication Critical Health Literacy (FCCHL)(Ishikawa, Takeuchi, \& Yano, 2008) for older persons with physical multimorbidity which was originally developed by Ishikawa et al (2008) and translated into Chinese by Zhao XY(2021)
Trial Locations
- Locations (1)
Nantong University
🇨🇳Nantong, Jiang Su, China