Therapeutic Literacy Evaluation in Liver Transplanted Patients

Study Overview
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Brief Summary
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Health literacy is a new concept in therapeutic patient education. Health Literacy has been defined as the cognitive and social skills which determine the motivation and ability of individuals to gain access to, understand and use information in ways which promote and maintain good health. Health literacy seems predictive of adherence 's patients to treatment or positive health behavior. Liver transplanted patients need to modify their lifestyle and to perform new behaviors in order to improve their survival and their quality of life. Health literacy evaluation in these patients is necessary to know what they understand and to improve their intake. The Aim of the study is to evaluate health literacy among liver transplanted patient and to perform liver transplanted patient profiles related to their own health literacy. The second aim is to study the impact of health literacy on medication adherence and iatrogenic hospitalizations It is a monocentric non-randomized study. During the hepatologist consultation, the HLQ Health Literacy Questionnaire is performed to explore patient health understanding and perception. Then the pharmacist interviews the patient to explore motivations and brakes for their own healthcare; Furthermore, a cognitive and precarity evaluation is performed in order to analyze psychological or social factors which can influence health literacy.

Detailed Description
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Tests performed: Health Literacy Questionnaire: HLQ Montreal Cognitive Evaluation Assessment: MoCA EPICES: precarity test validated in French A qualitative interview

Official Title
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Therapeutic Literacy Evaluation in Liver Transplanted Patients

Conditions
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Health Literacy, Liver Transplantation

Intervention / Treatment
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* Other: HLQ (Health literacy questionnaire)
* Other: MoCA (Montreal Cognitive Assessment)


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Adult patient > 18 years Liver transplanted patient > 1 year at the start of the study patient who are followed-up by an hepatologist in the center patient who understands and speaks French Exclusion Criteria: patient not yet liver transplanted (on the waiting-list) patient who has not come back home yet patient who does not speak or understand French patient refusal to participate patient under supervision or guardianship

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
Intervention Model: Single Group Assignment
Masking: None (Open Label)


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: Cohort 1<br>liver transplanted patient | Other: HLQ (Health literacy questionnaire)<br>* each patient complete survey and self-assessment questionnaire before or after his medical consultation<br>Other: MoCA (Montreal Cognitive Assessment)<br>* each patient complete survey and self-assessment questionnaire before or after his medical consultation<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| health literacy questionnaire | a survey in 2 parts. Each part contains about twenty questions with Likert scale | day 1 | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| MoCA questionnaire | evaluation of cognitive assessment and detection mild cognitive dysfunction at the consultation | day 1 | 
| EPICES questionnaire | auto-evaluation of social and economic status | day 1 | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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Health literacy, liver transplanted patients, cognitive evaluation, social status