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Cardiovascular disease medication health literacy among Indigenous peoples: design and protocol of an intervention trial in Indigenous primary care services

BACKGROUND: Cardiovascular diseases (CVD) are leading causes of mortality and morbidity among Indigenous people in New Zealand, Australia and Canada and are a major driver of the inequities in life expectancy between Indigenous and non-Indigenous people in these countries. Evidence-based pharmaceuti...

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Autores principales: Crengle, Sue, Smylie, Janet, Kelaher, Margaret, Lambert, Michelle, Reid, Susan, Luke, Joanne, Anderson, Ian, Harré Hindmarsh, Jennie, Harwood, Matire
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2014
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4227024/
https://www.ncbi.nlm.nih.gov/pubmed/25016481
http://dx.doi.org/10.1186/1471-2458-14-714
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author Crengle, Sue
Smylie, Janet
Kelaher, Margaret
Lambert, Michelle
Reid, Susan
Luke, Joanne
Anderson, Ian
Harré Hindmarsh, Jennie
Harwood, Matire
author_facet Crengle, Sue
Smylie, Janet
Kelaher, Margaret
Lambert, Michelle
Reid, Susan
Luke, Joanne
Anderson, Ian
Harré Hindmarsh, Jennie
Harwood, Matire
author_sort Crengle, Sue
collection PubMed
description BACKGROUND: Cardiovascular diseases (CVD) are leading causes of mortality and morbidity among Indigenous people in New Zealand, Australia and Canada and are a major driver of the inequities in life expectancy between Indigenous and non-Indigenous people in these countries. Evidence-based pharmaceutical management of CVD can significantly reduce mortality and morbidity for persons diagnosed with CVD or for those at intermediate or high risk of CVD. Health literacy has been identified as a major barrier in the communication and implementation of appropriate pharmaceutical management plans for CVD. Addressing health literacy is particularly relevant in Indigenous populations where there are unique health and adult literacy challenges. METHODS/DESIGN: This study will examine the effect of a customized, structured CVD medication programme, delivered by health professionals, on the health literacy of Indigenous people with, or at risk, of CVD. Primary outcomes are patient’s knowledge about CVD medications; secondary outcomes examine changes in health literacy skills and practices. The study will employ a multi-site pre-post design with multiple measurement points to assess intervention efficacy. Participants will be recruited from four Indigenous primary care services in Australia, Canada and New Zealand. Three educational sessions will be delivered over four weeks. A tablet application will support the education sessions and produce a customized pill card for each participant. Participants will be provided with written information about CVD medications. Medication knowledge scores, and specific health literacy skills and practices will be assessed before and after the three sessions. Statistical analyses will identify significant changes in outcomes over each session, and from the pre-session one to post-session three time points. DISCUSSION: This study will make an important contribution to understanding the effect of a structured primary care-based intervention on CVD health literacy in Indigenous populations. The study also illustrates the incorporation of Indigenous health research principles and processes in clinical trials and provides insights that may be useful in other contexts. TRIAL REGISTRATION: Australian and New Zealand Clinical Trials Register (ACTRN12612001309875; date of registration 18/12/2012).
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spelling pubmed-42270242014-11-12 Cardiovascular disease medication health literacy among Indigenous peoples: design and protocol of an intervention trial in Indigenous primary care services Crengle, Sue Smylie, Janet Kelaher, Margaret Lambert, Michelle Reid, Susan Luke, Joanne Anderson, Ian Harré Hindmarsh, Jennie Harwood, Matire BMC Public Health Study Protocol BACKGROUND: Cardiovascular diseases (CVD) are leading causes of mortality and morbidity among Indigenous people in New Zealand, Australia and Canada and are a major driver of the inequities in life expectancy between Indigenous and non-Indigenous people in these countries. Evidence-based pharmaceutical management of CVD can significantly reduce mortality and morbidity for persons diagnosed with CVD or for those at intermediate or high risk of CVD. Health literacy has been identified as a major barrier in the communication and implementation of appropriate pharmaceutical management plans for CVD. Addressing health literacy is particularly relevant in Indigenous populations where there are unique health and adult literacy challenges. METHODS/DESIGN: This study will examine the effect of a customized, structured CVD medication programme, delivered by health professionals, on the health literacy of Indigenous people with, or at risk, of CVD. Primary outcomes are patient’s knowledge about CVD medications; secondary outcomes examine changes in health literacy skills and practices. The study will employ a multi-site pre-post design with multiple measurement points to assess intervention efficacy. Participants will be recruited from four Indigenous primary care services in Australia, Canada and New Zealand. Three educational sessions will be delivered over four weeks. A tablet application will support the education sessions and produce a customized pill card for each participant. Participants will be provided with written information about CVD medications. Medication knowledge scores, and specific health literacy skills and practices will be assessed before and after the three sessions. Statistical analyses will identify significant changes in outcomes over each session, and from the pre-session one to post-session three time points. DISCUSSION: This study will make an important contribution to understanding the effect of a structured primary care-based intervention on CVD health literacy in Indigenous populations. The study also illustrates the incorporation of Indigenous health research principles and processes in clinical trials and provides insights that may be useful in other contexts. TRIAL REGISTRATION: Australian and New Zealand Clinical Trials Register (ACTRN12612001309875; date of registration 18/12/2012). BioMed Central 2014-07-12 /pmc/articles/PMC4227024/ /pubmed/25016481 http://dx.doi.org/10.1186/1471-2458-14-714 Text en Copyright © 2014 Crengle et al.; licensee BioMed Central Ltd. http://creativecommons.org/licenses/by/4.0 This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly credited. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.
spellingShingle Study Protocol
Crengle, Sue
Smylie, Janet
Kelaher, Margaret
Lambert, Michelle
Reid, Susan
Luke, Joanne
Anderson, Ian
Harré Hindmarsh, Jennie
Harwood, Matire
Cardiovascular disease medication health literacy among Indigenous peoples: design and protocol of an intervention trial in Indigenous primary care services
title Cardiovascular disease medication health literacy among Indigenous peoples: design and protocol of an intervention trial in Indigenous primary care services
title_full Cardiovascular disease medication health literacy among Indigenous peoples: design and protocol of an intervention trial in Indigenous primary care services
title_fullStr Cardiovascular disease medication health literacy among Indigenous peoples: design and protocol of an intervention trial in Indigenous primary care services
title_full_unstemmed Cardiovascular disease medication health literacy among Indigenous peoples: design and protocol of an intervention trial in Indigenous primary care services
title_short Cardiovascular disease medication health literacy among Indigenous peoples: design and protocol of an intervention trial in Indigenous primary care services
title_sort cardiovascular disease medication health literacy among indigenous peoples: design and protocol of an intervention trial in indigenous primary care services
topic Study Protocol
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4227024/
https://www.ncbi.nlm.nih.gov/pubmed/25016481
http://dx.doi.org/10.1186/1471-2458-14-714
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