Clinical trial NCT05425797: The Virtual BETTER Study
Official title: Building on Existing Tools To Improve Chronic Disease Prevention and Screening in Primary Care Virtually: the Virtual BETTER Study
Study type: INTERVENTIONAL
Overall status: COMPLETED
Phase: NA
Conditions: Delivery Modality of BETTER Intervention
Keywords: chronic disease
lifestyle
screening
physical activity
diet
Lead sponsor: Memorial University of Newfoundland
Sponsor class: OTHER
First posted: 2022-06-21
Enrollment: 92
Sex: ALL
Minimum age (years): 40
Maximum age (years): 70
Standard ages: ADULT
OLDER_ADULT
Accepts healthy volunteers: yes
Allocation: RANDOMIZED
Intervention model: PARALLEL
Intervention model description: We will study two experimental groups (telephone and video) compared to the control group of in-person BETTER intervention delivery. Mode of delivery will be randomized between patients. If it is not feasible yo offer all three (e.g. PP only has capacity to offer virtual appointments, study population lives greater than 30 minutes travel from PP location), a subset of the three will be offered.
Primary purpose: OTHER

Brief summary: The focus of this project is to examine how delivering virtual care impacts health behaviour change for patients with chronic illnesses compared to in-person visits using a chronic disease prevention and screening (CDPS) program called BETTER (Building on Existing Tools To ImprovE Chronic Disease PRevention and Screening in Primary Care).

Detailed description: While the current pandemic has launched a likely irreversible transition towards increased utilization of virtual methods for delivery of healthcare, we have only a very superficial understanding of how this shift will affect health outcomes and equity of access to health services. Several randomized trials comparing virtual to in-person delivery of health services have been completed, but none have examined the effect of interventions to address health behaviours, arguably one of the most challenging issues in healthcare and one that is most sensitive to the therapeutic relationship and modifiers to that relationship such as the mode of communication. The focus of this project is to examine how delivering virtual care impacts health behaviour change for patients with chronic illnesses compared to in-person visits using a chronic disease prevention and screening (CDPS) program called BETTER (Building on Existing Tools To ImprovE Chronic Disease PRevention and Screening in Primary Care).

Eligibility criteria: Inclusion Criteria:

* Persons aged 40-70
* Persons who are already booking a BETTER prevention visit.

Exclusion Criteria:

* Persons with the presence of a terminal illness
* Persons in active treatment (i.e., systemic and/or radiation therapy) for cancer.
* Persons who are unable to provide informed consent.

Primary outcomes:
measure: Readiness to Change (University of Rhode Island Change Assessment Scale: URICA)
timeFrame: Post-Visit (less than 1 week after visit)
Secondary outcomes:
measure: Satisfaction of Modalities (Client Satisfaction Questionnaire: CSQ-4)
timeFrame: Post-Visit (less than 1 week after visit)
measure: Acceptability
timeFrame: Enrollment (Pre-visit)
measure: Accessibility
timeFrame: Enrollment (Pre-visit)
Other outcomes:
Locations:
city: Saint John's
country: Canada
facility: Health Sciences Centre
state: Newfoundland and Labrador
Study officials:
affiliation: Memorial University of Newfoundland
name: Kris Aubrey-Bassler, MD
role: PRINCIPAL_INVESTIGATOR
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