Health Literacy and Cardiovascular Knowledge Workshop in Women From Disadvantaged Communities

NCT03203018 | Completed

• 1 other identifier: 235HLT-HMO-CTIL
• Study Type: interventional
• Target: 407
• Locations: 1 country
• Sites: 1

Brief Summary

The current health literacy (HL) pilot intervention was designed through focus groups with women in low socio-economic status (SES) communities. The primary HL issue identified was communication challenges at doctors' visits. As a unique HL intervention tailored to the participants' preferences, this intervention can serve as a model for improving HL in similar communities worldwide. Objectives include increasing the percentage of women who utilize patient-doctor communication skills and increasing their cardiovascular disease (CVD) knowledge. A unique HL intervention tailored to the participants' preferences was designed which consisted of three workshops conducted in municipality-sponsored women's groups in low SES Jerusalem communities. Questionnaires were completed before and three months after the intervention. The study answers the following: Can HL workshops improve patient-doctor communication skills and CVD knowledge in low SES women?

Conditions

Health Literacy; Communication

Keywords

Cardiovascular Diseases (CVD); Community-based intervention; Socio-economic status (SES); Health literacy (HL)

Outcome Measures

Primary Outcomes (1)

• Change in preparation for doctor's visit

  Women complete self report survey indicating if whether or not they prepared for their doctor's visit, whether or not they prepared a list of questions for their doctor's visit, a list of symptoms, a list of medications, and their medical background information

  Before intervention and three months after intervention

Secondary Outcomes (4)

• Change in cardiovascular disease knowledge

  At baseline and three month after intervention

• Change in perceived efficacy in patient-physician interaction

  At baseline and three month after intervention

• Change in knowledge of health measures

  At baseline and three month after intervention

• Change in reading blood test results

  At baseline and three month after intervention

Study Arms (1)

Women participating in HL intervention

EXPERIMENTAL

Groups of women from disadvantaged communities will participate in a three session health literacy workshop

Behavioral: Interactive workshop based on community specific needs

Interventions

Interactive workshop based on community specific needs BEHAVIORAL

Intervention components will include lecture on women's CVD, workshop on how to prepare for a doctor's visit, patient's rights and patient-doctor communication skills, and a "know your numbers" workshop, including understanding blood test results.

Women participating in HL intervention

Eligibility Criteria

• Age: 20 Years - 90 Years
• Sex: female
• Healthy Volunteers: Yes
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• Women from Jerusalem
• Hebrew and Arabic speakers

You may not qualify if:

• None

Sponsors & Collaborators

• Hadassah Medical Organization: lead

Study Sites (1)

Hadassah Medical Organization, Jerusalem, Israel

Jerusalem, 91120, Israel

Location

Related Publications (8)

• Peerson A, Saunders M. Health literacy revisited: what do we mean and why does it matter? Health Promot Int. 2009 Sep;24(3):285-96. doi: 10.1093/heapro/dap014. Epub 2009 Apr 16.

  PMID: 19372101 BACKGROUND

• Safeer RS, Keenan J. Health literacy: the gap between physicians and patients. Am Fam Physician. 2005 Aug 1;72(3):463-8.

  PMID: 16100861 BACKGROUND

• Institute of Medicine (US) Committee on Health Literacy; Nielsen-Bohlman L, Panzer AM, Kindig DA, editors. Health Literacy: A Prescription to End Confusion. Washington (DC): National Academies Press (US); 2004. Available from http://www.ncbi.nlm.nih.gov/books/NBK216032/

  PMID: 25009856 BACKGROUND

• Williams MV, Davis T, Parker RM, Weiss BD. The role of health literacy in patient-physician communication. Fam Med. 2002 May;34(5):383-9.

  PMID: 12038721 BACKGROUND

• Dewalt DA, Berkman ND, Sheridan S, Lohr KN, Pignone MP. Literacy and health outcomes: a systematic review of the literature. J Gen Intern Med. 2004 Dec;19(12):1228-39. doi: 10.1111/j.1525-1497.2004.40153.x.

  PMID: 15610334 BACKGROUND

• Baker DW, Parker RM, Williams MV, Clark WS. Health literacy and the risk of hospital admission. J Gen Intern Med. 1998 Dec;13(12):791-8. doi: 10.1046/j.1525-1497.1998.00242.x.

  PMID: 9844076 BACKGROUND

• Martin LR, Williams SL, Haskard KB, Dimatteo MR. The challenge of patient adherence. Ther Clin Risk Manag. 2005 Sep;1(3):189-99.

  PMID: 18360559 BACKGROUND

• Greenberg KL, Leiter E, Donchin M, Agbaria N, Karjawally M, Zwas DR. Cardiovascular health literacy and patient-physician communication intervention in women from disadvantaged communities. Eur J Prev Cardiol. 2019 Nov;26(16):1762-1770. doi: 10.1177/2047487319853900. Epub 2019 Jun 12.

  PMID: 31189377 DERIVED

MeSH Terms

Conditions

Communication; Cardiovascular Diseases

Condition Hierarchy (Ancestors)

Behavior

Study Officials

• Donna Zwas, MD, MPH

  Hadassah Medical Organization

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: NA
• Masking: NONE
• Purpose: PREVENTION
• Intervention Model: SINGLE GROUP
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Director of Linda Joy Pollin Cardiovascular Wellness Center for Women

Model Details: This is a pre/post study.

Study Record Dates

• First Submitted: June 26, 2017
• First Posted: June 29, 2017
• Study Start: September 1, 2015
• Primary Completion: August 1, 2018
• Study Completion: August 1, 2018
• Last Updated: January 23, 2019

Record last verified: 2019-01

Data Sharing

• IPD Sharing: Will not share

Locations

IL (1)