About this trial
Health literacy refers to personal and relational factors affecting a persons ability to aquire, understand and use health information and health services. In a need assessment study, it was found that there is a need to focus on health literacy factors in the follow-up of people with cancer in the health care services.
Thus, this project evaluate the effect of a health literacy intervention in cancer. The intervention provides patients with nurse-led tailored follow-up by phone/digital/personal meetings that addresses their individual HL needs, particularly those needs that impact their quality of life, symptom burden, self-management, and health economic costs. Our main goal is to improve the patients' health literacy, with secondary goals of improving their quality of life, symptom burden, and self-management, and reducing their health care costs.
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
Diagnosed with cancer
Above 18 years old
Receiving treatment at the main intervention hospital
Disqualifiers
Not diagnosed with cancer
Not above 18 years old
Not in treatment at the intervention hospital
Trial design
Parallel
Treatments tested in this trial
Tailored Health Literacy follow-up in cancer
Behavioral1. Participants are invited to a consultation with the project nurse where the project nurse will use baseline data to identify the patient's HL needs, QOL, symptom burden and issues related to self-management of their cancer and treatment. These data will be used together with an interview questionnaire specifically developed to communicate HL needs (i.e. CHAT), which form the basis for the individualized HL support. 2. Actions: Based on results of the consultation, the project nurse and the patient will use a worksheet of possible actions to identify those most relevant to the patient's individual needs. Based on this, different self-management tasks and actions will be offered, and an individual tailored follow-up plan will be made. The patient and the project nurse will use a workbook containing information on the follow-up plan that will be added into medical record. 3. Telephone/digital conversations with the project every second month for a period of 9 months.
Treatment groups
Trial outcomes
Primary outcomes
General Health literacy measured with the Health Literacy Questionnaire (HLQ)
Change of Health Literacy questionnaire
Secondary outcomes
Electronic Health Literacy measured with the electronic Health Literacy Questionnaire (eHLQ)
Change of electronic Health Literacy questionnaire
General symptoms measured with the Edmonton Symptom Assessment System (ESAS)
Change of symptom burden questionnaire
Oral symptoms measured with four items selected from the European Organization for REsearch and Treatment of Cancer-oral health 15 (EORTC-OH 15)
Change in oral symptoms
Self-management measured with the Health Education Impact Questionnaire (HeiQ)
Change of self-management questionnaire
Sponsors and contacts
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Lovisenberg Diakonale Hospital
Lead sponsor
University of Oslo
Collaborator