Effectiveness of Health Literacy Enhancement Program Among Older Persons With Physical Multimorbidity

Nantong University

Status: Completed

Conditions: Multiple Chronic Conditions；Diabetes；Hypertension

Treatments: Other: The Individual and Family Enhancement Program

Study type: Interventional

Funder types: Other

Identifiers

NCT06313138

NantongJS

Details and patient eligibility

About

The study aims to examine the effectiveness of individual and family health literacy enhancement program among older persons with physical multimorbidity.

Specific objectives are:

1. To compare self-management, treatment burden, and symptom burden of older persons with physical multimorbidity between before and after receiving the individual and family health literacy enhancement program.
2. To compare self-management, treatment burden, and symptom burden of older persons with physical multimorbidity between those receiving the individual and family health literacy enhancement program and those receiving usual care.

Participants in the control group will receive usual care by physician and nurses during the experimental period. The usual care consists of physical examination, regular treatment protocol, patient education and telephone follow-up by community nurses.

Participants in the interventional group will receive the program which is a group-based intervention developed by the researcher based on the Individual and Family Self-Management Theory (IFSMT) (self-management skills) and the principle of Medagogy (PITS model: Pathophysiology, Indications, Treatments, Specifies) to improve patients' and their families' understanding of disease-related information and self-management skills consisting of goal setting and action plan, self-monitoring, solving problems and decision-making, and emotional control.The program will be divided into 8 sessions. Each session will be lasted for 2 hours with 1 intermittent break (10 minutes), and it will be held twice a week, and the last session will be held 1 week after the 7th session. Therefore, it will last for 5 weeks in total.

Enrollment: 140 patients

Sex: All

Ages: 60 to 80 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• Age 60-80 years old;
• Having been diagnosed with hypertension and type 2 diabetes for at least 6 months;
• Being able to read and write Chinese language;
• Cognitive intact as measured by the Mini-Mental State Examination (MMSE) with the score ≥ 24;
• Physically independence as measured by the Barthel ADL Index and the score above 12 out of 20 ;
• Willing to participate in the study;
• Having at least a family member who is willing to participate in the study.

Exclusion criteria

• Having other diseases or severe complications from their health problems that making them unable to fully participate through all process of the program including ischemic heart disease, myocardial infarction, heart failure, stroke, acute renal failure, diabetic ketoacidosis, and diabetic coma;

Trial design

Primary purpose: Prevention

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Double Blind

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140 participants in 2 patient groups

Interventional group

Experimental group

Description:

The Individual and Family Enhancement Program Session 1(1st week): Assessment and exchange information and building trusting relationship between researcher and participants; Session 2-3(1st-2nd week): Information sharing based on PITS model (Pathophysiology, Symptoms, or signs) and evaluation participants' understanding based on UPP scale. Session 4-5(2nd-3rd week): Information sharing based on PITS model (treatment) and health maintenance skills. Session 6 (3rd week): Information sharing based on PITS model (specifics) and family role in self-management. Session7(4th week): Evaluation and summary. Session 8(5th week): Assess health literacy and information provision

Treatment:

Other: The Individual and Family Enhancement Program

control group

Other group

Description:

Community nurses provide usual care

Treatment:

Other: The Individual and Family Enhancement Program