- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT03949309
Pilot Study of ILIADE : Exploring Health Literacy Within Patients Hospitalized for Acute Cardiovascular Events (P-ILIADE)
Pilot Study of ILIADE: Exploring Health Literacy Within Patients Hospitalized for Acute Cardiovascular Events
Health literacy (HL) is the ability to access, understand, evaluate and apply information in order to communicate with health professionals and understand health instructions but also, promote, maintain and improve health throughout life. Health literacy is known as a health determinant. An association has been shown between low health literacy and low health outcomes such as increased number of unscheduled hospitalization or emergency visits, low medication adherence and poor health status.
These have been particularly demonstrated with cardiovascular diseases, which combine risk factors (emergency hospitalization, reduction in the length of hospital stays, and complex secondary preventive drug treatments). Despite many scientific international literature about health literacy and health outcomes, no information is available in France on the prevalence of low health literacy level of patients, notably cardiovascular patients. The investigating team's hypothesis is that knowing the prevalence of low HL levels in cardiovascular patients would help to better tailored a communication intervention dedicated to the needs of these low-HL patients with the final aim of increasing their adhesion to preventive drugs and behavioural recommendations.
The first aim of the present study is to estimate the prevalence of low HL level among patients discharged after acute myocardial infarction or acute decompensation of chronic heart failure. Secondary aims are to assess factors associated with the level of HL and identify barriers and facilitators of low HL patients to understand medical information on their disease. The results of this study will guide the design of the intervention of an interventional study on HL of cardiovascular patients.
Study Overview
Status
Conditions
Study Type
Enrollment (Actual)
Contacts and Locations
Study Locations
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Bron, France
- Groupement Hospitalier Est
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Participation Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Genders Eligible for Study
Sampling Method
Study Population
Description
Inclusion Criteria:
- Patient
- Age greater than or equal to 18 years
- Hospitalization for Acute coronary syndrome (ACS) (myocardial infarction with or without ST segment elevation) or acute attack of heart failure (systolic or diastolic)
- Able to communicate in French and/or helping to communicate in French
- Return home after hospitalization
Health professional
- Voluntary and available for the entire interview
- Having participated in the management of the patient screened on the day of the consultation
- Cardiologist, intern or emergency department nurse
- Attached to the participating service
Exclusion Criteria:
- Patient
- Short-term vital prognosis
- Severe dementia
- Inability to manage drug treatment alone
- Institutionalization at the end of hospitalization
Health professional
- Health professional working in the department only one or two days a week
- Health professional who is not specialized in diseases of interest
Study Plan
How is the study designed?
Design Details
- Observational Models: Cohort
- Time Perspectives: Prospective
Cohorts and Interventions
Group / Cohort |
Intervention / Treatment |
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Eligible patients
All eligible patients discharged from hospital for Acute Myocardial Infarction (AMI) or acute decompensation of Chronic Heart Failure (CHF)
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It is a cross-sectional study coupled with a qualitative ancillary study conducted within patients hospitalized for one of the two acute cardiovascular diseases (acute coronary syndrome or acute heart failure).
All patients hospitalized at Hospices Civils de Lyon for one of these two diseases and whom are going back home will be enrolled.
Few patients will be interviewed during the follow-up visit at 1-month post hospitalisation.
Caregivers from cardiology units will also be interviewed.
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What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
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Brief Health Literacy Screening (BHLS) of patients hospitalized for a cardiovascular disease.
Time Frame: Day 1
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Health literacy will be measured thanks to the questionnaire Brief Health Literacy Screening (BHLS).
This questionnaire is composed of 3 questions and is known to screen quickly patient health literacy.
The 3 responses are summed to generate a score between 3 and 15, where higher scores indicated higher health literacy.
Low health literacy is defined as Brief Health Literacy Screen less than or equal to a score of 9.
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Day 1
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Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
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Health Literacy Questionnaire (HLQ)
Time Frame: Day 1
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The HLQ explores more dimensions of health literacy such as social support relationship with caregivers, health information evaluation or ability to engage with caregivers.
It consists of 44 items.
Participants are asked to rate "How strongly do you disagree or agree with the following statements?".
The options provided were: 'strongly disagree', 'disagree', 'agree' and 'strongly agree', which were scored from 1 to 4, respectively.
In 2nd part of the HLQ, participants were asked "How easy or difficult are the following tasks for you to do now?"
The options for these scales were 'cannot do', 'very difficult', 'quite difficult', 'quite easy' and 'very easy', which were scored from 1 to 5, respectively.
The higher the score the higher the health literacy of a patient.
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Day 1
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Collaborators and Investigators
Sponsor
Investigators
- Principal Investigator: Anne-Marie SCHOTT, PhD, Hospices Civils de Lyon
- Study Chair: Julie HAESEBAERT, MD, Hospices Civils de Lyon
Publications and helpful links
Study record dates
Study Major Dates
Study Start (Actual)
Primary Completion (Actual)
Study Completion (Actual)
Study Registration Dates
First Submitted
First Submitted That Met QC Criteria
First Posted (Actual)
Study Record Updates
Last Update Posted (Actual)
Last Update Submitted That Met QC Criteria
Last Verified
More Information
Terms related to this study
Additional Relevant MeSH Terms
Other Study ID Numbers
- 69HCL19_0207
- 2019-A00799-48 (Other Identifier: ID-RCB)
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
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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