Delivery Modality of BETTER Intervention
Conditions
Keywords
chronic disease, lifestyle, screening, physical activity, diet
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).
Interventions
OTHERIn-Person Prevention Practitioner Visit
BETTER Intervention visit with PP which will take place in-person at the PP's office.
OTHERVideo-Call Prevention Practitioner Visit
BETTER Intervention visit with PP which will take place virtually via a secure video system.
OTHERPhone Prevention Practitioner Visit
BETTER Intervention visit with PP which will take place via telephone.
Sponsors
Memorial University of Newfoundland
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
OTHER
Masking
SINGLE (Investigator)
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.
Eligibility
Sex/Gender
ALL
Age
40 Years to 70 Years
Healthy volunteers
Yes
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.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Readiness to Change (University of Rhode Island Change Assessment Scale: URICA) | Post-Visit (less than 1 week after visit) | To compare readiness to implement lifestyle change after telephone, video, and in-person BETTER Prevention visits. Min Score: 4 Max Score: 20 Higher scores indicate a higher readiness to change (better outcome) |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Satisfaction of Modalities (Client Satisfaction Questionnaire: CSQ-4) | Post-Visit (less than 1 week after visit) | To assess satisfaction with the three different delivery modalities. Min Score: 4 Max Score: 16 Higher scores indicate higher satisfaction (better outcome) |
| Acceptability | Enrollment (Pre-visit) | To assess acceptability of the three different delivery modalities. Assessed through enrollment questionnaire which will ask which delivery method they agree to. (Not scored on scale) |
| Accessibility | Enrollment (Pre-visit) | To assess accessibility of the three different delivery modalities. Assessed through enrollment questionnaire which will ask why they chose which delivery method they did. (Not scored on scale) |
Countries
Canada
Outcome results
None listed