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Improving Functional Health Literacy in Older Veterans Clinical Trials Facts presented on Clinical Trials Search is not designed to be a substitute for certified medical advice, travels to or treatment with a real dr.. We aren't doctors. Always consult your mD on Improving Functional Health Literacy in Older Veterans conditions. Clinical Trials Search.org is a website dedicated to listing clinical research studies in human subjects. Improving Functional Health Literacy in Older Veterans Clinical research trials and Improving Functional Health Literacy in Older Veterans medical trials occur in many of places across the U.S.A.. A clinical trial or clinical study is a research project with human volunteer subjects. Clinical drug trials and pharmaceutical clinical trials generally assess the effectiveness of new does drugs. The role of the studies / undertakings is to figure out certain human healthcare questions. Clinical trials are a popular means for doctors, government agencies, and private sector corporations to locate treatments for all forms of circumstances, including Improving Functional Health Literacy in Older Veterans. Improving Functional Health Literacy in Older Veterans Clinical Trials and other clinical trials permit volunteers to get medical treatment options before they are available to the masses. Most times the human subjects acquire treatment for free of charge, and sometimes they are paid for their time. Occasionally there is a cost for a Improving Functional Health Literacy in Older Veterans clinical trial. Participants oftentimes recieve the finest healthcare available for their Improving Functional Health Literacy in Older Veterans condition. Dangers are a reality, nonetheless, and might include extra or frequent physician calls, health hazards (potentially life-endangering), and/or the treatment being ineffectual. Trials are federally regulated with strict guidelines to protect clinical trials subjects.
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Home > "I" Clinical Trials Conditions > Improving Functional Health Literacy in Older Veterans  Improving Functional Health Literacy in Older Veterans
Improving Functional Health Literacy in Older Veterans
For Condition: Visual And Cognitive Disability
Status: Recruiting
Sponsor(s): Department of Veterans Affairs Rehabilitation Research and Development Service ,
Synopsis: The objective of this two parallel component study is to develop interventions for the visual and cognitive related health literacy disabilities of older veterans. The first component will test two interventions for improving functional health literacy performance (enhancing the design of health literacy materials and training reading skills) by using a 2 x 2 between subjects factorial design. The second component consists of patient, family, and provider focus groups who will help determine where to apply and disseminate the interventions by identifying problematic sources of text-based health materials. Finally, as a result of both components improved health information design guidelines and training protocols will be developed as rehabilitative interventions for health literacy disability.
Details: Objective of this two parallel component study is to develop interventions for the visual and cognitive related health literacy disabilities of older veterans. The first component will test two interventions for improving functional health literacy performance (enhancing the design of health literacy materials and training reading skills) by using a 2 x 2 between subjects factorial design. The second component consists of patient, family, and provider focus groups who will help determine where to apply and disseminate the interventions by identifying problematic sources of text-based health materials. Finally, as a result of both components, improved health information design guidelines and training protocols will be developed as rehabilitative interventions for health literacy disability. Specific research questions are: 1) Can the lower functional health literacy performance of veterans be improved by following text design directives intended to account for age-related visual and cognitive changes (enhanced version)? 2) Does instruction in skills and strategies for reading yield improvements in functional health literacy performance? 3) Does instruction in reading skills and enhanced text design improve functional health literacy to a greater extent than either intervention alone? 4) Are reading gains maintained over time? 5) What everyday sources of functional health literature are problematic for today's veterans? 6) How do visual, cognitive, and descriptive factors contribute to change in functional health literacy score? 7) What is the functional health literacy of older veterans who utilize Atlanta VA health care? Focus Groups: Three two-hour focus groups will be composed of 15 VA health professionals, 15 outpatient veterans aged 65 and older with low functional health literacy, and 15 family members of veterans with low functional health literacy. These focus groups will identify sources of text-based health information which they find to be problematic from their respective perspectives. These sources, as well as recommendations for the application and dissemination of guidelines and directives for improved health information designs and training protocols, will be compiled using transcription and analysis of focus group sessions. Interventions: Community dwelling veterans aged 65 and older will be recruited from the Geriatric Primary Care Clinic and the Veteran's Learning Center. Ethnicity, education, health status, general literacy, and other descriptive information will be recorded. Visual baseline measures will include assessments of visual skills for reading and visual function. Cognitive baseline measures will include assessments of word recognition, text comprehension ability, verbal working memory, perceptual speed and vocabulary level. Functional health literacy, measured by the TOFHLA, will be the main outcome measure. This objective and standardized instrument measures the ability of adults to read and understand medical instructional and health care information presented in prose passages and passages containing numerical information. Two hundred and forty participants demonstrating inadequate functional health literacy scores (by the screening instrument STOFHLA) will be randomly assigned to one of four groups: control (N=60), enhanced only (N=60), reading skills and strategies instruction only (N=60), or enhanced with reading skills and strategies instruction (N=60). All participants will receive vision and cognition testing and will then participate in two 2-hour sessions. Depending on group assignment participants will either 1) read standard health-related material (control) 2) read enhanced health-related material (enhanced) 3) receive reading skills training (training) 4) receive reading skills training with enhanced materials (training and enhanced).
Eligibility:
Study Type: Interventional, Treatment, Randomized, Open Label, Active Control, Factorial Assignment, Efficacy Study
Minimum Age/Maximum Age: 65 Years/
Genders: Both
Protocol Entry Criteria: Older Veterans
Total Enrollment: 240
Location and Contact Information:
Overall Study Official:
VickiMongiardo, , Program Analysis and Review Section (PARS), VA Rehabilitation Research and Development Service
VA Medical Center *Recruiting*
Decatur, Georgia,
United States
Recruiting Katharina Echt 404-321-6111
Additional Information:
Study ID Numbers: E2569;
Study Start Date: April 2001
Record last reviewed: May 2002
Additional information available at: clinicaltrials.gov
Clinicaltrials.gov Reference link: NCT00038337
Other Visual And Cognitive Disability Studies:
1. Improving Functional Health Literacy in Older Veterans
Related Studies:
Other Visual And Cognitive Disability Clinical Trials
Other Georgia Clinical Trials
Other Decatur Clinical Trials
Improving Functional Health Literacy in Older Veterans
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