Assessment of the Health Literacy Among Arab Women in East Jerusalem

Sponsor
Hadassah Medical Organization (Other)
Overall Status
Recruiting
CT.gov ID
NCT03973606
Collaborator
(none)
200
1
2
53.1
3.8

Study Details

Study Description

Brief Summary

This is a two-stage study: The objective of the first stage is to explore health literacy (HL) needs and preferences of Arab women through conducting Focus Group Discussions (FGDs).

The second stage will employ conducting a HL intervention tailored to the participants' needs and preferences as presented in the FGDs. Objectives include increasing the percentage of women who utilize patient-doctor communication skills and increasing their cardiovascular disease (CVD) knowledge.The intervention consists of four sessions that will be conducted in municipality-sponsored women's groups in Jerusalem and other Arab communities. Questionnaires will be completed before and three months after the intervention. The study answers the following: Can HL workshops improve patient-doctor communication skills and CVD knowledge in Arab women.

Condition or Disease Intervention/Treatment Phase
  • Other: Heath literacy assessment in Arab women in East Jerusalem
N/A

Detailed Description

Arab women in Israel are at high risk of low health literacy due to lower levels of education and low socio-economic status. Health literacy (HL) refers to the skills and competencies enabling people to obtain and interpret health information and apply their knowledge to inform health-related decision-making. It's also defined as "the degree to which individuals have the capacity to obtain, understand, and process basic health information and services needed to make appropriate health decisions".

The objective of the first stage of the study is to explore health literacy needs and preferences of Arab women through conducting Focus Group Discussions (FGDs) with women in East Jerusalem. Six different focus groups will be conducted at three of the six municipality community centers in East Jerusalem. Participants will be recruited through identified community centers.

Each group will meet once for up to two hours. The study will be explained to them by an investigator who has been trained in the administration of focus groups, and they will be asked to sign a consent form. Discussions will be recorded without the names of the participants (they will be instructed not to use their names once the recording begins). At the end of the meeting, each participant will receive a bag and pamphlets with information regarding women's health.

The second stage will employ conducting a HL intervention tailored to the participants' needs and preferences as presented in the FGDs. Objectives include increasing the percentage of women who utilize patient-doctor communication skills and increasing their cardiovascular disease (CVD) knowledge.The intervention consists of four sessions that will be conducted in municipality-sponsored women's groups in Jerusalem and other Arab communities. Questionnaires will be completed before and three months after the intervention. The study answers the following: Can HL workshops improve patient-doctor communication skills and CVD knowledge in Arab women.

Study Design

Study Type:
Interventional
Anticipated Enrollment :
200 participants
Allocation:
Non-Randomized
Intervention Model:
Single Group Assignment
Intervention Model Description:
A 4-sessions workshop to improve health literacy among Arab women in Israel, with pre-post evaluation.A 4-sessions workshop to improve health literacy among Arab women in Israel, with pre-post evaluation.
Masking:
None (Open Label)
Primary Purpose:
Prevention
Official Title:
Assessment of the Health Literacy Among Arab Women in East Jerusalem
Actual Study Start Date :
Jul 30, 2020
Anticipated Primary Completion Date :
Jun 30, 2024
Anticipated Study Completion Date :
Dec 31, 2024

Arms and Interventions

Arm Intervention/Treatment
No Intervention: Arab Women health literacy focus groups

Arab women in East Jerusalem will be part of focus groups. During the focus groups, a set of pre-prepared questions will be presented to the participants. The focus groups will be recorded and analyzed verbatim.

Experimental: Health literacy workshop

Women from East-Jerusalem and other Arab communities in Israel will be invited to participate in a 4-sessions workshop designed to improve health literacy, self-efficacy when interacting with their physician and increase their cardiovascular health knowledge.

Other: Heath literacy assessment in Arab women in East Jerusalem
A 4-sessions intervention to increase the participant's self-efficacy when interacting with their physician and increase their cardiovascular health knowledge.
Other Names:
  • Health literacy workshop
  • Outcome Measures

    Primary Outcome Measures

    1. assessment of health literacy level and elucidate factors that will improve health literacy (barriers, incentives, etc.…) among Arab women in East Jerusalem [within 6 months]

      The assessment will be done through conduction of focus groups. Focus groups will be audio- recorded, transcribed and analyzed using Systematic text condensation, a descriptive and explorative analysis strategy. Which consists of four steps: 1) total impression - from chaos to themes; 2) identifying and sorting meanings units - from themes to codes; 3) condensation - from code to meaning; 4) synthesizing - from condensation to descriptions and concepts. It is expected that six focus groups will be sufficient to achieve saturation of themes. If results are not sufficient, investigators will ask to increase the number of focus groups.

    2. Change in cardiovascular disease knowledge [At baseline and three months after intervention]

      A self report questionnaire based on the American Heart Association's Cardiovascular, and assess the knowledge regarding heart attack symptoms, by answering yes/no to each item.

    3. Change in perceived efficacy in patient-physician interaction [At baseline and three months after intervention]

      Will be assessed using the 10-item Perceived Efficacy in Patient-Physician Interaction (PEPPI) (Maly, Frank, Marshall, Diametteo, Reuben, 1998). Participants respond to each question on a scale of 1 to 10, with 10 representing "very confident,'' and 1 representing "not at all confident". Higher scores represent positive outcome.

    4. Change in remembering doctor's recommendations and reading blood test results [At baseline and three months after intervention]

      A 2-item version derived from the Perceived Efficacy in Patient-Physician Interaction (PEPPI). Participants respond to each question on a scale of 1 to 5, with 5 representing "very confident,'' and 1 representing "not at all confident". Higher scores represent positive outcome.

    5. change in health literacy [At baseline and three months after intervention]

      Will be assessed using the Health Literacy Survey-Europe-Q16 (HLS-EU-Q16) a 16 question research instrument adapted for use in Israel. Participants respond to each question on a scale of 1 to 4, with 4 representing "fairly easy,'' and 1 representing "very difficult". Higher scores represent positive outcome.

    6. Change in preparation for doctor's visit [At baseline and three months after intervention]

      A 6-item questionnaire represents preferred actions that participant\pants do before their doctor appointment. The more items are selected, the higher the score is, hence representing a positive outcome.

    Secondary Outcome Measures

    1. Change in Self-Rated Status of Health (SRH) [At baseline and three months after intervention]

      A validated single item health measure in which participants rate the current status of their own health on a five-point scale, from excellent to poor

    2. Change in perceived efficacy in reading and understanding the instruction for taking medications [At baseline and three months after intervention]

      Participants will be asked "how confident do you feel you are able to follow the instructions on the label of a medication bottle?"

    Eligibility Criteria

    Criteria

    Ages Eligible for Study:
    18 Years to 85 Years
    Sexes Eligible for Study:
    Female
    Accepts Healthy Volunteers:
    Yes
    Inclusion Criteria:
    • All women aged 18-85 that attend and participate in the community's women's groups

    • They must speak Arabic

    Exclusion Criteria:
    • Not in the age range of 18-85.

    • Do not speak Arabic.

    Contacts and Locations

    Locations

    Site City State Country Postal Code
    1 Beit-Safafa community center Jerusalem Israel 95822

    Sponsors and Collaborators

    • Hadassah Medical Organization

    Investigators

    • Principal Investigator: Donna Zwas, MD MPH, Hadassah Medical Organization

    Study Documents (Full-Text)

    None provided.

    More Information

    Publications

    Responsible Party:
    Donna R Zwas, Director of Linda Joy Pollin Cardiovascular Wellness Center for Women, Hadassah Medical Organization
    ClinicalTrials.gov Identifier:
    NCT03973606
    Other Study ID Numbers:
    • HMO007819
    First Posted:
    Jun 4, 2019
    Last Update Posted:
    Jun 21, 2022
    Last Verified:
    Jun 1, 2022
    Studies a U.S. FDA-regulated Drug Product:
    No
    Studies a U.S. FDA-regulated Device Product:
    No
    Keywords provided by Donna R Zwas, Director of Linda Joy Pollin Cardiovascular Wellness Center for Women, Hadassah Medical Organization
    Additional relevant MeSH terms:

    Study Results

    No Results Posted as of Jun 21, 2022