Educational Interventions for Chronic Obstructive Pulmonary Disease (COPD) Self-management in Ethno-cultural Communities

NCT01474707 | Completed DMC

• 1 other identifier: H09-02069
• Study Type: interventional
• Target: 120
• Locations: 1 country
• Sites: 2

Brief Summary

Goal: The main goal of this study is to develop and validate educational materials that aim to improve self-management knowledge and practices about COPD among patients in Mandarin and Cantonese-speaking communities in the Greater Vancouver Area (GVA). Objectives: "1." To assess the current landscape of COPD beliefs, perceptions and practices, as well as health literacy as it relates to Chinese Mandarin and Cantonese-speaking patients; "2." To develop effective partnerships within primary care physicians serving Chinese newcomers in the GVA' "3." To conduct focus group sessions with collaborative primary care physicians to identify common factors that contribute to under service and access barriers among patients in the target communities; "4." To assess the effectiveness of the educational materials on patients' beliefs, perceptions, practices, and health literacy related to COPD control and self-management; and "5." To improve the capacity of physicians and allied health workers in primary care settings in educating patients and their families about self-management of COPD. The implementation of the project will include the following phases: "1." Build and strengthen established partnerships with primary care practices serving newcomers in GVA; "2." Conduct an environmental scan and needs assessment (literature review, interviews and focus groups with community members and key-informants); "3." Development of story scripts, video clips and other educational materials, and relevant measurement tools; "4." Application of the video clips and other educational materials to test their effectiveness on health literacy, beliefs, and knowledge among COPD patients from the target communities; and "5." Evaluation of the usefulness of videos and other educational materials, and the project's process and outcomes.

Conditions

Chronic Obstructive Pulmonary Disease (COPD)

Keywords

COPD; Educational materials; Cultural background; Instructional videos; Patient education handouts; Lung age

Outcome Measures

Primary Outcomes (1)

• Using study questionnaire to measure knowledge about COPD control and self-management

  The investigators will assess participants knowledge about COPD management and control at initial visit (baseline), and will then assess it again two more times: at month two (post-test) and month six (follow-up post-test). The investigators will then compare the changes in the participants' knowledge within this six-month period; from initial visit to follow-up post-test.

  Six months

Secondary Outcomes (2)

• Assessing the target community cultural beliefs and practices and systemic barriers that are likely interfere Chinese patients to manage their COPD

  Four months

• Educational materials development

  Four months

Study Arms (4)

Group one

EXPERIMENTAL

Group1 will view the knowledge-based video only

Behavioral: Group one

Group two

EXPERIMENTAL

Group two will view the motivational video only

Behavioral: Group two

Group three

EXPERIMENTAL

Group three will view both knowledge-based and motivational videos

Behavioral: Group three

Group four

EXPERIMENTAL

Group four will view the printed educational pamphlet and will not view either video

Behavioral: Group four

Interventions

Group one BEHAVIORAL

Group 1 will view the knowledge-based video only

Group one

Group two BEHAVIORAL

Group two will view the motivational video only

Group two

Group three BEHAVIORAL

Group three will view both knowledge-based and motivational videos

Group three

Group four BEHAVIORAL

Group four will view the printed educational pamphlet and will not view either video

Group four

Eligibility Criteria

• Age: 21 Years+
• Sex: all
• Healthy Volunteers: Yes
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• A physician diagnosed COPD patients
• Be at least 21 years old
• Speaks Mandarin or Cantonese
• Immigrated to Canada in the past 15 years from mainland China or Hong Kong

You may not qualify if:

• Self-reported patients
• Person under 21 years old
• Person who lives in a nursing home
• Unwilling to participate in the study

Sponsors & Collaborators

• University of British Columbia: lead
• Vancouver Coastal Health: collaborator
• Main Line Health: collaborator
• Provincial Health Services Authority British Columbia: collaborator
• Vancouver Foundation: collaborator
• Heart and Stroke Foundation of Canada: collaborator
• Canadian Institutes of Health Research (CIHR): collaborator

Study Sites (2)

Centre for Clinical Epidemiology and Evaluation, Vancouver Coastal Health Research Institute

Vancouver, British Columbia, V5Z 1M9, Canada

Location

University of British Columbia - Vancouver Coastal Health

Vancouver, British Columbia, V5Z 1M9, Canada

Location

Related Publications (1)

• Poureslami I, Kwan S, Lam S, Khan NA, FitzGerald JM. Assessing the effect of culturally specific audiovisual educational interventions on attaining self-management skills for chronic obstructive pulmonary disease in Mandarin- and Cantonese-speaking patients: a randomized controlled trial. Int J Chron Obstruct Pulmon Dis. 2016 Aug 3;11:1811-22. doi: 10.2147/COPD.S105408. eCollection 2016.

  PMID: 27536093 RESULT

Related Links

• UBC Lung Centre
• UBC Institute for Heart and Lung Health

MeSH Terms

Conditions

Pulmonary Disease, Chronic Obstructive

Interventions

One-Carbon Group Transferases

Condition Hierarchy (Ancestors)

Lung Diseases, Obstructive; Lung Diseases; Respiratory Tract Diseases; Chronic Disease; Disease Attributes; Pathologic Processes; Pathological Conditions, Signs and Symptoms

Intervention Hierarchy (Ancestors)

Transferases; Enzymes; Enzymes and Coenzymes

Study Officials

• Mark J FitzGerald, M.D.

  University of British Columbia

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: SINGLE
• Who Masked: PARTICIPANT
• Purpose: PREVENTION
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Principal Investigator

Study Record Dates

• First Submitted: November 3, 2011
• First Posted: November 18, 2011
• Study Start: January 1, 2011
• Primary Completion: December 1, 2014
• Study Completion: January 1, 2015
• Last Updated: November 28, 2017

Record last verified: 2017-11

Locations

CA (2)