Health Literacy in People With Chronic Obstructive Pulmonary Disease

Study Overview
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Brief Summary
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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.

Official Title
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Health Literacy. An Intervention on Organized Information and Health Care for People With Chronic Obstructive Pulmonary Disease (COPD)

Conditions
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Chronic Obstructive Pulmonary Disease

Intervention / Treatment
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* Behavioral: Health literacy intervention group


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: 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. Exclusion Criteria: 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

Ages Eligible for Study
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Minimum Age: 18 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: Supportive Care
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: None (Open Label)


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: Health literacy intervention group<br>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<br>* 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).<br>|
| No Intervention: Usual care group<br>Usual care group will receive usual follow up | |

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Change of admissions | Number of re-admissions | Eight weeks, six months and one year | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Change of health literacy | Questionnaire | Eight weeks, six months and one year | 
| Change of disease specific quality of life | Questionnaire | Eight weeks, six months and one year | 
| Change of e-Health | Questionnaire | Eight weeks, six months and one year | 
| Change of physical function | Questionnaire | Eight weeks, six months and one year | 
| Change of self-management | Questionnaire | Eight weeks, six months and one year | 
| Change of psychological stress | Questionnaire | Eight weeks, six months and one year | 
| Change of self-efficacy | Questionnaire | Eight weeks, six months and one year | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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Health literacy