- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT01474928
Asthma and Health Literacy in Newcomer Communities in the Greater Vancouver Area
Asthma and Health Literacy in Newcomer Communities in the Greater Vancouver Area (GVA): A Population-based Qualitative Study
Study Overview
Status
Conditions
Detailed Description
There is compelling evidence indicating that newcomers to Canada with limited English proficiency and low health literacy are facing systemic, linguistic and cultural barriers in accessing health information and treatment services pertaining to Asthma. The intent of this study is to develop and test the effectiveness of culturally appropriate asthma videos and other educational materials based on knowledge from this study and the investigators' previous elicitation studies, to recommend a practical framework and to develop a measure of asthma knowledge and health literacy among immigrants from the Punjabi and Chinese communities in the Greater Vancouver Area.
The objectives of the proposed research are: "1." to assess the knowledge, attitudes, beliefs, and practices related to asthma and relevant issues in selected individuals within the target communities; "2." to investigate access and utilization patterns of asthma-related services among participant communities; "3." to assess the effectiveness of culturally competent and participatory developed videos and written educational materials on individuals' knowledge and health literacy skills related to asthma; "4." to examine relationships between health literacy, culture, language and access to and utilization of asthma services among targeted newcomer individuals; "5." to build research capacity and community-university-service provider alliances, and contribute to the development of an integrated research-service agenda on newcomers' asthma self-management among target communities; and "6." to disseminate information to decision makers and knowledge-users , so the results of this study can be efficiently used in developing relevant services that meet newcomers' needs. The proposed research will use quantitative and qualitative methods including a full participatory approach that builds on the investigators' previous work with vulnerable ethno-cultural communities in BC.
The implementation of the project will include the following phases:
"1." Conduct environmental scan and needs assessment study (literature review and interviews); "2" Develop video clips, written materials, and relevant measurement tools; "3" Apply the video clips and written materials to test their effectiveness among individuals from the target communities in terms of asthma self-management; "4" Conduct quantitative and qualitative data analysis; and "5" Disseminate the findings to larger audiences, key-informants, knowledge users and policy makers across BC. This research will make theoretical, methodological and applied research contributions. It will establish strong community - academic connections for the development of the proposed framework. Community participation will be applied throughout the development of this study and educational materials, enhancing the potential of acquiring new knowledge about cultural and traditional practices of the sample population.
The investigators' approach will allow health care workers and policy makers to design appropriate health promotion initiatives targeted to diverse newcomer groups in relation to asthma. The investigators foresee findings that provide not only better ways to measure health literacy pertaining to asthma in the investigators' target groups, but that will also help develop materials and measures that can be applied to diverse cultural populations in BC and the rest of Canada. The investigators expect that the participatory approach used in this study will contribute to capacity building, improving newcomers' ability to access and use relevant asthma information (in terms of prevention, control and management) and to transfer and share the information learned with other members of the target communities. The proposed community consultation will also help the investigators to identify culturally appropriate communication mode(s) to deliver health promotion messages and determine practical adult learning approaches applicable to diverse communities in Canada.
Study Type
Enrollment (Actual)
Phase
- Not Applicable
Contacts and Locations
Study Locations
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British Columbia
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Vancouver, British Columbia, Canada, V6T 1Z3
- University of British Columbia
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Vancouver, British Columbia, Canada, V5Z 1M9
- Centre for Clinical Epidemiology and Evaluation, Vancouver Coastal Health Research Institute
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Participation Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Genders Eligible for Study
Description
Inclusion Criteria:
- Physician diagnosed mild to moderate asthma according to CTS criteria
- Asthmatics from Chinese and Punjabi communities in the Greater Vancouver Area (GVA), BC
- Age greater than 21 years
- Immigrated to Canada in the last 10 yrs
- Patients who are able to give informed consent and are willing to participate in the study
Exclusion Criteria:
- Age less than 21 years
- Other immigrants than Punjabi and Chinese
- Immigrated before 1998
- Patients who do not want to sign the consent form
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Prevention
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: Single
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
---|---|
Experimental: Group 2: community video group
In each community intervention group two subject viewed the patient role played community video
|
Group two viewed the patient role played community video
Group two viewed the patient role played community video
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Experimental: Group three: both videos group
In each community intervention group three subject viewed two videos (the patient role played community and physician-led knowledge videos)
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Group three viewed both the knowledge and community videos
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Active Comparator: Group four: pamphlet group
In each community intervention group four subject read an educational pamphlet only - act as active comparator group
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Group four read an educational pamphlet only
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Experimental: Group one: knowledge video group
In each community intervention group one subject viewed the physician-led knowledge video
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Group one viewed a physician-led knowledge video
Group one viewed a physician-led knowledge video
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What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
medication adherence
Time Frame: on year
|
Patients' understanding of physicians' instructions on how to follow their treatment regimen and regular use of inhalers were measured
|
on year
|
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Patients' beliefs, perceptions, and attitudes toward asthma self-management
Time Frame: 6 months
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The investigators aimed to explore both broad and specific issues and concerns about asthma and its management of the patients from the target communities
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6 months
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Educational materials and measurement tools development
Time Frame: 3 months
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The investigators involved end-users (i.e.
asthma patients, their family members, and community key-informants) in developing linguistically and culturally appropriate education materials (e.g., video clips and pictorial pamphlets) and measurement tools, and conducted community events and forums.
|
3 months
|
Collaborators and Investigators
Sponsor
Collaborators
Investigators
- Principal Investigator: Mark J FitzGerald, MD, University of British Columbia
Publications and helpful links
General Publications
- Poureslami I, Rootman I, Doyle-Waters MM, Nimmon L, Fitzgerald JM. Health literacy, language, and ethnicity-related factors in newcomer asthma patients to Canada: a qualitative study. J Immigr Minor Health. 2011 Apr;13(2):315-22. doi: 10.1007/s10903-010-9405-x.
- Poureslami I, Shum J, Nimmon L, FitzGerald JM. Evaluating effect of culturally-specific educational interventions on asthma subjects' inhaler use technique and their understanding of physician instructions. Respiratory care, 2016
- Poureslami I, Tregobov N, Shum J, McMillan A, Akhtar A, Kassay S, Starnes K, Mahjoob M, FitzGerald JM. A conceptual model of functional health literacy to improve chronic airway disease outcomes. BMC Public Health. 2021 Jan 30;21(1):252. doi: 10.1186/s12889-021-10313-x.
- Poureslami I, Shum J, Nimmon L, FitzGerald JM. Culturally Specific Evaluation of Inhaler Techniques in Asthma. Respir Care. 2016 Dec;61(12):1588-1596. doi: 10.4187/respcare.04853. Epub 2016 Nov 8.
- Poureslami I, Nimmon L, Doyle-Waters M, Rootman I, Schulzer M, Kuramoto L, FitzGerald JM. Effectiveness of educational interventions on asthma self-management in Punjabi and Chinese asthma patients: a randomized controlled trial. J Asthma. 2012 Jun;49(5):542-51. doi: 10.3109/02770903.2012.682125.
Helpful Links
Study record dates
Study Major Dates
Study Start
Primary Completion (Actual)
Study Completion (Actual)
Study Registration Dates
First Submitted
First Submitted That Met QC Criteria
First Posted (Estimate)
Study Record Updates
Last Update Posted (Actual)
Last Update Submitted That Met QC Criteria
Last Verified
More Information
Terms related to this study
Keywords
Additional Relevant MeSH Terms
Other Study ID Numbers
- H08-02861
- 187972 (Other Grant/Funding Number: Canadian Institutes of Health Research)
This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.
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