Initial Test of the Time to Talk CARDIO (Creating a Real Dialogue In the Office) Program

Study Overview
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Brief Summary
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This research focuses on communication practices between patients and health care professionals, like nurses, doctors, or physician assistants. The goal is to help improve communication about heart health issues. This pilot (or Beta) study is designed to test our ability to recruit an appropriate sample of participants, and determine our ability to deliver and evaluate the effects of a web-based intervention. The investigators hypothesize that exposure to the intervention will result in measurable changes in self-reported knowledge, attitudes and behavior regarding communication between patients and health care professionals. Participants in this research study are being recruited from the people who currently receive care at the Richmond Family Health Center of the Oregon Health & Science University. People who participate in this study will be between 55 and 70 years old, speak English as their preferred language, and have one of several possible diagnoses related to heart health. These could include, for example, hypertension, diabetes, asthma, or obesity. Additionally, the investigators are recruiting a small number of health care professionals from the Richmond Family Health Center. Their participation will be similar to but separate from the participation of patients. All participants will take two web-based surveys. Some participants will use a web-based tool that hopes to help improve communication between health care professionals and patients. The surveys contain questions that explore the knowledge, attitudes, and behaviors of participants related to heart health and communication between health care professionals and patients. Data analysis will focus upon identifying any changes that occurred in knowledge, attitudes, or behaviors with respect to health communication after using the web-based tool, as well as learning about what influences the quality and nature of communication between health care professionals and the patients they serve.

Official Title
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Beta Test of the Time to Talk CARDIO (Creating a Real Dialogue In the Office) Web-based Tool for Improving Communication Between Patients and Health Care Professionals

Conditions
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Cardiovascular Disease, Cardiovascular Risk Factors

Intervention / Treatment
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* Device: Time to Talk CARDIO website


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Age 55-70 years English is preferred language Has one or more chronic cardiovascular-related diagnosis or risk factor Has an appointment with Primary Care provider within 2 weeks of enrollment Exclusion Criteria: Inadequate vision or hearing to complete on-line assessment

Ages Eligible for Study
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Minimum Age: 55 Years
Maximum Age: 70 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Health Services Research
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: None (Open Label)


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: Web-based communication tool for health care professionals<br> | Device: Time to Talk CARDIO website<br>* This interactive web-based training device involves the completion of a brief survey regarding communication experiences between patients and health care professionals. The pattern of responses to the survey generates a personalized set of short instructional videos which demonstrate effective communication skills.<br>|
| Experimental: Web-based communication training tool for patients<br> | Device: Time to Talk CARDIO website<br>* This interactive web-based training device involves the completion of a brief survey regarding communication experiences between patients and health care professionals. The pattern of responses to the survey generates a personalized set of short instructional videos which demonstrate effective communication skills.<br>|
| No Intervention: Usual care for patient participants<br> | |

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Interpersonal communication knowledge, attitudes and behaviors exhibeted by patients and health care professionals during a patient-provider office visit |  | 2 weeks | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Patient and health care professional satisfaction with communication |  | 2 weeks | 
| Change in patient average blood pressure |  | 6 months | 
| Change in serum hemoglobin A1c value among patients with diabetes |  | 6 months | 
| change in average appointment length for health care professionals |  | 6 months | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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Health communication, Health literacy, Patient, Health Care Professional, Satisfaction