Impact of Health Literacy on Outcomes and Effectiveness of Shared Decision Making Programs in Patients With Chronic Diseases
Overview
- Phase
- Not Applicable
- Intervention
- Not specified
- Conditions
- Coronary Artery Disease
- Sponsor
- University of Cincinnati
- Enrollment
- 187
- Locations
- 1
- Primary Endpoint
- cardiovascular disease knowledge assessment score
- Status
- Completed
- Last Updated
- 2 years ago
Overview
Brief Summary
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.
Detailed Description
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.
Investigators
Mark Eckman, M.D.
Professor Emeritus
University of Cincinnati
Eligibility Criteria
Inclusion Criteria
- •Age \>= 18,
- •Diagnosis of ischemic heart disease.
Exclusion Criteria
- •Nursing home resident,
- •Did not speak English, or
- •Had a significant visual impairment that precluded their ability to read or watch television.
Outcomes
Primary Outcomes
cardiovascular disease knowledge assessment score
Time Frame: 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
Secondary Outcomes
- Blood Pressure(over 6 months of study)
- Weight(over 6 month study)
- Exercise(Over 6 months of study)
- Diet(Over six months of study)
- Smoking status(over 6 months of study)