Impact of Health Literacy on Outcomes and Effectiveness of Shared Decision Making Programs in Patients With Chronic Diseases
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 187
- 试验地点
- 1
- 主要终点
- cardiovascular disease knowledge assessment score
研究概览
简要总结
Study objective was to explore the impact of health literacy on effectiveness of an educational intervention describing life-style and behavior modification for patients "Living with Coronary Artery Disease." Our hypothesis was that a VHS/DVD version of this educational program would be "superior" to printed material alone in its impact on patients' knowledge about coronary artery disease and important life-style changes. Furthermore, we believed this effect would be most notable among patients with low health literacy. We also were interested in the impact of the interventions on secondary outcomes including - health behaviors, health outcomes and patients' subjective experiences.
详细描述
187 patients with coronary artery disease (CAD) were randomized to one of two educational interventions prior to scheduled ambulatory visit: VHS/DVD plus printed booklet; or booklet alone. Main measures included health literacy, CAD knowledge assessment; clinical outcomes and health behaviors including - blood pressure, weight, smoking status, exercise and dietary habits.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Supportive Care
- 盲法
- None
入排标准
- 年龄范围
- 18 Years 至 87 Years（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Age >= 18,
- •Diagnosis of ischemic heart disease.
排除标准
- •Nursing home resident,
- •Did not speak English, or
- •Had a significant visual impairment that precluded their ability to read or watch television.
研究组 & 干预措施
Educational Intervention - Video & Text
Educational Intervention - Video & Text describing "Living with Coronary Artery Disease."
干预措施: Educational Intervention - Text plus DVD/VHS (Behavioral)
Educational Intervention - Text Only
Educational Intervention - Text Only describing "Living with Coronary Artery Disease."
干预措施: Educational Intervention - Text Only (Behavioral)
结局指标
主要结局
cardiovascular disease knowledge assessment score
时间窗: immediate and 6 months
knowledge assessment performed prior to educational intervention, immediately after educational intervention and clinician visit, and once more at approximately 6 months
次要结局
- Blood Pressure(over 6 months of study)
- Weight(over 6 month study)
- Diet(Over six months of study)
- Smoking status(over 6 months of study)
- Exercise(Over 6 months of study)
研究者
Mark Eckman, M.D.
Professor Emeritus
University of Cincinnati