Clear Conversations: Evaluating a Verbal Health Literacy Intervention in Derbyshire
试验速览
- 阶段
- 不适用
- 状态
- 招募中
- 入组人数
- 400
- 试验地点
- 2
- 主要终点
- The Chronic Respiratory Disease Questionnaire (CDRQ)
研究概览
简要总结
Understanding health information can be difficult. This means some people struggle to know how to manage their health. Also, people may not know what health services to use or when to use them. This can lead to poorer health.
It is therefore important health workers can communicate information clearly. This is so people using health services can understand it and know what to do. Having clear conversations with service users could help them to improve their health. More research is needed into this area. This is so we can understand and improve health conversations.
In this research project health workers will be provided with training. The training will teach them ways to improve their communication skills. Health workers will also receive support from a Health Literacy Officer. The Investigators want to see if this can improve service user outcomes and reduce health inequalities.
The investigators will ask health workers and service users from a Local Authority and an NHS service to take part. Service users will attend the health programmes as normal. Staff who have and have not received the training will deliver the programmes.
The investigators will ask service users to complete questionnaires. The investigators will also collect service user data from the programmes. This data will be collected before and after they attend. The investigators will compare this data with the previous year.
The investigators will observe health workers delivering the programmes. The investigators will use a check list to see how they use the skills they have learnt. The investigators will ask health workers to complete a questionnaire before and after they attend the training. The investigators will run focus groups with the health workers six months later. The investigators want to understand if the training was useful. The investigators also want to know if the health workers are using the skills they learnt in their practice.
详细描述
Health Literacy is important so people can understand how to access healthcare services and receive and understand the help that they need.
It is known that people who struggle to understand health information often have lower education levels and are from poorer areas. They are likely to have worse health outcomes.
Interventions to improve Health Literacy should be aimed at those with lower levels of education, living in poorer parts of the country or with a long term health condition or disability.
In Derbyshire six out of ten people and three out of nine areas are thought to be below the UK average for reading and maths. It is therefore important to address Health Literacy in this region to improve the health of the region and reduce health inequalities.
Research to improve people's Health Literacy has been undertaken. Most of these studies have focused on written health information. Studies that have focused on Verbal (communication) Health Literacy skills have only looked at short term outcomes. They have also failed to focus on how healthcare staff can use the skills in practice.
研究设计
- 研究类型
- Observational
- 观察模型
- Other
- 时间视角
- Prospective
入排标准
- 年龄范围
- 18 Years 至 90 Years（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •• Public Health Intervention Advisors delivering the tier 2 weight management programme across Derbyshire.
- •Physiotherapists and specialist nurses involved in the assessment of patients and delivery of the six week DCHS NHS pulmonary rehabilitation programme.
- •Adults aged 18 or over who start the rolling 12 week tier two weight management programme during the intervention period.
- •Adults aged 18 or over, with Chronic Obstructive Pulmonary Disease, who are being assessed for and undertaking the six week pulmonary rehabilitation programme during the study intervention period.
- •For the staff questionnaire only - Healthcare staff from other services that attend Verbal Health Literacy training, during the study period in 2024, will also be eligible
排除标准
- •• Service users attending the two service programmes outside of the data collection period.
- •Other pulmonary rehabilitation staff. i.e. staff who are not physiotherapists or specialist nurses.
结局指标
主要结局
The Chronic Respiratory Disease Questionnaire (CDRQ)
时间窗: 0, 6 weeks
The CRQ is an interviewer-administered questionnaire measuring both physical and emotional aspects of chronic respiratory disease. The total score for the CRDQ ranges from 0 to 100, with higher scores indicating better HRQOL
Weight in kilogrammes
时间窗: 0, 12, 26 weeks
Services attending the weight management programme will be weighed at the start and end of the programme
次要结局
- The short Warwick and Edinburgh Mental Health and Well being Scale (weight management programme only)(0 and 12 weeks)
- Patient Health Questionnaire (PHQ-9) - Pumonary rehab programme(0-6weeks)
- Lung Information Needs Questionnaire (LINQ) - pulmonary rehab programme(0, 6 weeks)
- Incremental shuttle walking test in meters (Pulmonary Rehab prgramme only)(0, 6 weeks)
- Generalised Anxiety Disorder Assessment (GAD-7) - Pulmonary rehab programme(0, 6 weeks)