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The effectiveness of photo stories about doctor-patient communication for older adults with limited health literacy.


- candidate number23986
- NTR NumberNTR5810
- ISRCTNISRCTN no longer applicable
- Date ISRCTN created
- date ISRCTN requested
- Date Registered NTR18-feb-2016
- Secondary IDs25 // nį305831 Commissie Etische Toetsing Onderzoek (CETO) UMCG // IROHLA
- Public TitleThe effectiveness of photo stories about doctor-patient communication for older adults with limited health literacy.
- Scientific TitleUsing photo stories to support doctor-patient communication: An RCT on the effectiveness, and appreciation of a communicative health literacy intervention for older adults with limited health literacy.
- ACRONYM
- hypothesisWe expect higher participant scores for self-efficacy, behavioral intentions and evaluation for the photo story intervention compared to a comparable traditional brochure.
We expect that the majoritiy of participants prefers the photo story intervention over a comparable traditional brochure.
- Healt Condition(s) or Problem(s) studiedCommunication, Doctor-patient communication, Elderly patients, Health
- Inclusion criteriaparticipants of 'Samen Oud' (age >74) with HL sum < 4 or HL2 < 3 (HL = Set of 3 screening questions for HL from Chew, Bradley, & Boyko, 2004; HL2 = question 2).
- Exclusion criteriaparticipants who are too vulnerable to be interviewed.
- mec approval receivedno
- multicenter trialno
- randomisedyes
- masking/blindingNone
- controlActive
- groupParallel
- Type2 or more arms, randomized
- Studytypeintervention
- planned startdate 22-feb-2016
- planned closingdate31-okt-2016
- Target number of participants60
- Interventionsparticipants read a brochure on doctor-patient communication, either a photo story brochure (intervention) or a traditional brochure (control). The brochure consists of seven themes, based on the outcomes of focus group discussions and role play exercises with the target group.
- Primary outcome- domainspecific self-efficacies
- domainspecific behavioral intentions
- evaluation
- preference (for one of two brochures)
- Secondary outcome- self-referencing
- identification
- transportation
- TimepointsAll outcomes are measures immediately after reading one of two brochures. Preference is measured at the end of the interview, after which the participant is exposed to the other condition (e.g. brochure) as well.

- domainspecific self-efficacies (e.g. Imagine you do not understand your doctor, is it easy for you to ask your doctor for an explanation?)
- domainspecific behavioral intentions (e.g. Imagine you do not understand your doctor, will you ask your doctor for an explanation next time?)
- evaluation (e.g. Did you find the booklet... difficult, interesting, instructive, etc.)
- preference (for one of two brochures; e.g. Which booklet did you like the most?)
- self-referencing (Self-referencing was measured using three items, adapted from an earlier study -De Graaf et al., 2014- e.g. Did the booklet make you think about yourself and your own conversations with your doctor?)
- identification (Identification was measured using eight items, adapted from another study -Moyer-Gusť & Nabi, 2010- e.g. Do you think you understand the main characters well?
- transportation (Transportation was assessed using seven items adapted from the same study as the identification items, e.g. While you were reading the booklet, did you only think about what was being told in the booklet?)
- Trial web site
- statusopen: patient inclusion
- CONTACT FOR PUBLIC QUERIES Ruth Koops van t Jagt
- CONTACT for SCIENTIFIC QUERIES Ruth Koops van t Jagt
- Sponsor/Initiator University of Groningen, department of Communication and Information Sciences., University of Groningen, Faculty of Arts, Neurolinguistics
- Funding
(Source(s) of Monetary or Material Support)
European Unionís Seventh Framework Programme (FP7/2007-2013)
- Publications
- Brief summaryhe objective of this study is to evaluate a photo story intervention that supports and empowers patients with lower levels of health literacy in communicating with their General Practitioner. The effectiveness and appreciation of the intervention and its content will be evaluated in an RCT in the Netherlands, comparing the photo story intervention with a comparable traditional brochure. Primary outcomes include self-reported self-efficacy, behavioural intentions , evaluations and preference. Secondary outcomes include self-reported self-referencing, identification and transportation.
- Main changes (audit trail)
- RECORD18-feb-2016 - 20-jun-2016


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