The Clear Conversations Project
Trial statusRecruiting
Trial phaseNot listed
Trial typeObservational
Biological sexAll
Age18-90
SponsorUniversity of Sheffield
About this trial
Understanding health information can be difficult. This means some people struggle to know how to manage their health. Also, people may not know what health services to use or when to use them. This can lead to poorer health.
It is therefore important health workers can communicate information clearly. This is so people using health services can understand it and know what to do. Having clear conversations with service users could help them to improve their health. More research is needed into this area. This is so we can understand and improve health conversations.
In this research project health workers will be provided with training. The training will teach them ways to improve their communication skills. Health workers will also receive support from a Health Literacy Officer. The Investigators want to see if this can improve service user outcomes and reduce health inequalities.
The investigators will ask health workers and service users from a Local Authority and an NHS service to take part. Service users will attend the health programmes as normal. Staff who have and have not received the training will deliver the programmes.
The investigators will ask service users to complete questionnaires. The investigators will also collect service user data from the programmes. This data will be collected before and after they attend. The investigators will compare this data with the previous year.
The investigators will observe health workers delivering the programmes. The investigators will use a check list to see how they use the skills they have learnt. The investigators will ask health workers to complete a questionnaire before and after they attend the training. The investigators will run focus groups with the health workers six months later. The investigators want to understand if the training was useful. The investigators also want to know if the health workers are using the skills they learnt in their practice.
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
• Public Health Intervention Advisors delivering the tier 2 weight management programme across Derbyshire.
Physiotherapists and specialist nurses involved in the assessment of patients and delivery of the six week DCHS NHS pulmonary rehabilitation programme.
Adults aged 18 or over who start the rolling 12 week tier two weight management programme during the intervention period.
Adults aged 18 or over, with Chronic Obstructive Pulmonary Disease, who are being assessed for and undertaking the six week pulmonary rehabilitation programme during the study intervention period.
Disqualifiers
• Service users attending the two service programmes outside of the data collection period.
Other pulmonary rehabilitation staff. i.e. staff who are not physiotherapists or specialist nurses.
Trial population
Physiotherapists and Health Improvement Advisors working in the pulmonary rehab programme and weight management programme respectively. Patients/services users attending either of the two programmes during the study period.
Trial design
Design model
Other
Time perspective
Prospective
Treatments tested in this trial
Verbal Health Literacy training session
Other interventionFive respiratory physiotherapists and half (6/12) weight management programme advisors, will receive a two hour Verbal Health Literacy training session. The training session will focus on three techniques: simple language, 'Teachback' and 'Chunk and check'. They will also receive implementation support from a Health Literacy Officer. All pulmonary rehab patients will attend programmes run by physiotherapists trained in Verbal Health Literacy techniques. Weight management programme service users will attend programmes run by trained and untrained staff.
Treatment groups
400 Participants
are divided into 2 treatment groupsGroup A: Pulmonary Rehab Programme1 intervention
Group B: Weight Management Programme1 intervention
Trial outcomes
Primary outcomes
1
The Chronic Respiratory Disease Questionnaire (CDRQ)
The CRQ is an interviewer-administered questionnaire measuring both physical and emotional aspects of chronic respiratory disease. The total score for the CRDQ ranges from 0 to 100, with higher scores indicating better HRQOL
Time frame
0, 6 weeks2
Weight in kilogrammes
Services attending the weight management programme will be weighed at the start and end of the programme
Time frame
0, 12, 26 weeksSecondary outcomes
1
The short Warwick and Edinburgh Mental Health and Well being Scale (weight management programme only)
A 7 point scale to enable the monitoring of mental wellbeing in the general population and the evaluation of projects, programmes and policies which aim to improve mental wellbeing. The total score range for SWEMWBS is 7-35. A higher score indicating better HRQL.
Time frame
0 and 12 weeks2
Incremental shuttle walking test in meters (Pulmonary Rehab prgramme only)
The patient is required to walk around two cones set 9 metres apart (so the final track is 10 metres) in time to a set of auditory beeps. The patient walks for as long as they can until they are either too breathless or can no longer keep up with the beeps, at which time the test ends.
Time frame
0, 6 weeks3
Lung Information Needs Questionnaire (LINQ) - pulmonary rehab programme
A brief questionnaire completed prior to the clinical encounter would assist health professionals identify areas of information need. The total score range is 0-25.A higher score indicates a greater need for information.
Time frame
0, 6 weeks4
Generalised Anxiety Disorder Assessment (GAD-7) - Pulmonary rehab programme
A self-administered patient questionnaire used as a screening tool and severity measure for generalised anxiety disorder. It measures severity of anxiety, mainly in outpatients.. The total score range is 0-21. A higher score indicating higher levels of anxiety.
Time frame
0, 6 weeksSponsors and contacts
Click on the lead sponsor to view all of their trials.
University of Sheffield
Lead sponsor
Derbyshire Community Health Services NHS Foundation Trust
Collaborator
Debyshire County Council
Collaborator
Source ClinicalTrials.gov