Health Literacy in People With Chronic Obstructive Pulmonary Disease

NCT03216603 | Completed

• 1 other identifier: 298
• Study Type: interventional
• Target: 130
• Locations: 1 country
• Sites: 1

Brief Summary

Health literacy refers to personal and relational factors affecting a person's ability to acquire, understand and use information about health and health services. In a need assessment study it was found that, the health services need to focus on health literacy factors in the follow up of patients with chronic obstructive pulmonary disease (COPD). Thus, this project evaluate the effect a of a health literacy partnership health promotion intervention (hospital, municipalities, university) after discharge from hospital with the use of motivational interviewing and tailored follow-ups on re-admission, health literacy, self-management quality of life and cost in people with COPD compared with usual care.

Conditions

Chronic Obstructive Pulmonary Disease

Keywords

Health literacy

Outcome Measures

Primary Outcomes (1)

• Change of admissions

  Number of re-admissions

  Eight weeks, six months and one year

Secondary Outcomes (7)

• Change of health literacy

  Eight weeks, six months and one year

• Change of disease specific quality of life

  Eight weeks, six months and one year

• Change of e-Health

  Eight weeks, six months and one year

• Change of physical function

  Eight weeks, six months and one year

• Change of self-management

  Eight weeks, six months and one year

Study Arms (2)

Health literacy intervention group

EXPERIMENTAL

Health literacy intervention group will receive self-management help using a motivating interviewing technique delivered by nurses trained on motivating interviewing technique and COPD.

Behavioral: Health literacy intervention group

Usual care group

NO INTERVENTION

Usual care group will receive usual follow up

Interventions

Health literacy intervention group BEHAVIORAL

In the health literacy intervention group all patients will receive self-management help using a motivating interviewing (MI) technique delivered by two MI and COPD trained nurses once a week for eight weeks after hospitalization. Subsequently, the contact between the patients and the nurses will be by follow up motivational telephone calls once a month or more if needed for four months (i.a a total of six months intervention period).

Health literacy intervention group

Eligibility Criteria

• Age: 18 Years+
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• Diagnosed with COPD,
• Above 18 years,
• Admitted to a medical department at the main intervention hospital, l
• Live in the sites belonging to the intervention hospital.

You may not qualify if:

• Not diagnosed with COPD,
• Not above 18 years,
• Not admitted to a medical department at the main intervention hospital, and
• Not living in the sites belonging to the intervention hospital.
• Cognitive failure
• Patients that are investigated or treated for cancer

Sponsors & Collaborators

• Lovisenberg Diakonale Hospital: lead
• University of Oslo: collaborator
• Norwegian Extra Foundation for Health and Rehabilitation: collaborator

Study Sites (1)

Lovisenberg Diakonale Hospital

Oslo, 0440, Norway

Location

Related Publications (2)

• Larsen MH, Wahl AK, Borge CR. Patients' and healthcare personnel's experiences of a health-literacy intervention in chronic obstructive pulmonary disease - a qualitative study. BMC Health Serv Res. 2025 Sep 30;25(1):1256. doi: 10.1186/s12913-025-13299-z.

  PMID: 41029694 DERIVED

• Borge CR, Larsen MH, Osborne RH, Aas E, Kolle IT, Reinertsen R, Lein MP, Thorn M, Lind RM, Groth M, Strand O, Andersen MH, Moum T, Engebretsen E, Wahl AK. Impacts of a health literacy-informed intervention in people with chronic obstructive pulmonary disease (COPD) on hospitalization, health literacy, self-management, quality of life, and health costs - A randomized controlled trial. Patient Educ Couns. 2024 Jun;123:108220. doi: 10.1016/j.pec.2024.108220. Epub 2024 Feb 16.

  PMID: 38458089 DERIVED

MeSH Terms

Conditions

Pulmonary Disease, Chronic Obstructive

Condition Hierarchy (Ancestors)

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

Study Officials

• Christine Borge, Phd

  University of Oslo and Lovisenberg Diaconal Hospital

  PRINCIPAL INVESTIGATOR

• Astrid K. Wahl, Phd

  University of Oslo

  STUDY CHAIR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: NONE
• Purpose: SUPPORTIVE CARE
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Researcher

Study Record Dates

• First Submitted: July 7, 2017
• First Posted: July 13, 2017
• Study Start: November 1, 2017
• Primary Completion: December 31, 2020
• Study Completion: December 31, 2020
• Last Updated: December 14, 2021

Record last verified: 2021-12

Data Sharing

• IPD Sharing: Will not share

Locations

NO (1)