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The Virtual BETTER Study

Not Applicable
Completed
Conditions
Delivery Modality of BETTER Intervention
Interventions
Other: Phone Prevention Practitioner Visit
Other: Video-Call Prevention Practitioner Visit
Other: In-Person Prevention Practitioner Visit
Registration Number
NCT05425797
Lead Sponsor
Memorial University of Newfoundland
Brief Summary

The focus of this project is to examine how delivering virtual care impacts health behaviour change for patients with chronic illnesses compared to in-person visits using a chronic disease prevention and screening (CDPS) program called BETTER (Building on Existing Tools To ImprovE Chronic Disease PRevention and Screening in Primary Care).

Detailed Description

While the current pandemic has launched a likely irreversible transition towards increased utilization of virtual methods for delivery of healthcare, we have only a very superficial understanding of how this shift will affect health outcomes and equity of access to health services. Several randomized trials comparing virtual to in-person delivery of health services have been completed, but none have examined the effect of interventions to address health behaviours, arguably one of the most challenging issues in healthcare and one that is most sensitive to the therapeutic relationship and modifiers to that relationship such as the mode of communication. The focus of this project is to examine how delivering virtual care impacts health behaviour change for patients with chronic illnesses compared to in-person visits using a chronic disease prevention and screening (CDPS) program called BETTER (Building on Existing Tools To ImprovE Chronic Disease PRevention and Screening in Primary Care).

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
92
Inclusion Criteria
  • Persons aged 40-70
  • Persons who are already booking a BETTER prevention visit.
Exclusion Criteria
  • Persons with the presence of a terminal illness
  • Persons in active treatment (i.e., systemic and/or radiation therapy) for cancer.
  • Persons who are unable to provide informed consent.

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
PhonePhone Prevention Practitioner VisitPrevention Practitioner visit that will take place through phone call
VideoVideo-Call Prevention Practitioner VisitPrevention Practitioner visit that will take place through video call
In-PersonIn-Person Prevention Practitioner VisitStandard Prevention Practitioner visit that will take place in-person
Primary Outcome Measures
NameTimeMethod
Readiness to Change (University of Rhode Island Change Assessment Scale: URICA)Post-Visit (less than 1 week after visit)

To compare readiness to implement lifestyle change after telephone, video, and in-person BETTER Prevention visits.

Min Score: 4 Max Score: 20

Higher scores indicate a higher readiness to change (better outcome)

Secondary Outcome Measures
NameTimeMethod
AcceptabilityEnrollment (Pre-visit)

To assess acceptability of the three different delivery modalities.

Assessed through enrollment questionnaire which will ask which delivery method they agree to. (Not scored on scale)

AccessibilityEnrollment (Pre-visit)

To assess accessibility of the three different delivery modalities.

Assessed through enrollment questionnaire which will ask why they chose which delivery method they did. (Not scored on scale)

Satisfaction of Modalities (Client Satisfaction Questionnaire: CSQ-4)Post-Visit (less than 1 week after visit)

To assess satisfaction with the three different delivery modalities.

Min Score: 4 Max Score: 16

Higher scores indicate higher satisfaction (better outcome)

Trial Locations

Locations (1)

Health Sciences Centre

🇨🇦

Saint John's, Newfoundland and Labrador, Canada

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