300 Participants Needed

Health Literacy Training for Improved Health Care Utilization

Recruiting at 1 trial location
VO
SH
Overseen BySarah Hiller-Venegas
Age: 18+
Sex: Any
Trial Phase: Academic
Sponsor: Victoria D. Ojeda
No Placebo GroupAll trial participants will receive the active study treatment (no placebo)

Trial Summary

What is the purpose of this trial?

The goal of this randomized intervention study is to learn about effective health literacy teaching methods in Justice Involved Adults (JIA). Researchers will compare coach-guided health literacy or self-study design to see if there is a difference in the access and use of healthcare in this population. The main questions it aims to answer are: * Will this improve access and use of heath services? * Will this improve health insurance coverage and long term use of health services? Participants will: * Meet with a health coach and service navigator during 12 sessions or meet with service navigator and complete online training over 12 weeks. * Complete surveys at different time (6months, 1 year)

Do I need to stop my current medications for this trial?

The trial protocol does not specify whether you need to stop taking your current medications. It seems unlikely that you would need to stop, as the study focuses on health literacy and not on medication effects.

What data supports the idea that Health Literacy Training for Improved Health Care Utilization is an effective treatment?

The available research shows that Health Literacy Training can improve patient-provider communication and patient health literacy. One study highlighted a collaboration between clinical, academic, and community partners that developed a pilot intervention using educational materials to enhance communication. This intervention led to important lessons and modifications for future expansion. However, a review of community interventions found limited studies with diverse settings and outcomes, suggesting more systematic research is needed to fully understand its effectiveness. Overall, while there is some evidence of its potential benefits, more research is necessary to confirm its effectiveness compared to other treatments.12345

What safety data exists for the Health Literacy Training clinical trial?

The provided research does not contain specific safety data for the Health Literacy Training or its related interventions. The studies focus on health literacy levels, screening instruments, and implications for patient education, but do not evaluate the safety of the Health Literacy Training or its variants.56789

Is the treatment 'Self-study, UCSD RELINK' a promising treatment for improving health care utilization?

Yes, the treatment 'Self-study, UCSD RELINK' is promising because it focuses on improving health literacy, which helps people understand and use health information better. This can lead to better health care decisions and outcomes.57101112

Research Team

VO

Victoria Ojeda, PhD, MPH

Principal Investigator

University of California, San Diego

Eligibility Criteria

This trial is for adults aged 18-50 living in San Diego County who have been involved with the justice system within the last three years (on parole, probation, or court-diverted) and are not currently incarcerated. Participants must understand English, have access to a cell phone, and be willing to follow study procedures.

Inclusion Criteria

Stated willingness to comply with all study procedures and availability for the duration of the study
Not incarcerated at time of enrollment
Justice involved in the past 3 years (on parole, probation, court diverted)
See 3 more

Exclusion Criteria

Cannot provide informed consent
Incarcerated at enrollment
Adults who have current or prior convictions related to sexual violence/abuse (Penal Code [PC] 290), lewd acts with a child (PC 288), child abduction (PC 280), or arson (PC 451)
See 6 more

Timeline

Screening

Participants are screened for eligibility to participate in the trial

2-4 weeks

Treatment

Participants engage in either a coach-guided health literacy intervention or a self-study design over 12 weeks

12 weeks
12 sessions (in-person or phone call) for coach-guided group; self-study for control group

Follow-up

Participants complete surveys to assess healthcare access and use, health insurance coverage, and regular source of care

6 months
Surveys at 6 months and 1 year

Treatment Details

Interventions

  • Self-study
  • UCSD RELINK
Trial OverviewThe UCSD RELINK study is testing whether coach-guided health literacy sessions or self-study methods can improve healthcare access and insurance coverage among Justice Involved Adults. It involves meeting with a coach or completing online training over 12 weeks and filling out surveys at different times.
Participant Groups
2Treatment groups
Experimental Treatment
Active Control
Group I: Coach-guidedExperimental Treatment1 Intervention
In person or phone call with an assigned Health Coach for about 1 hour per week for 12 weeks to complete the Health Literacy course, and with an assigned Service Navigator for 30 minutes per week for 12 weeks to address health and social service needs.
Group II: Self studyActive Control1 Intervention
Self-guided printed or online version of the Health Literacy course (approximately 1 hour per week for 12 weeks) and comprehensive Service Navigation report with recommended referrals to services, providers, and contact information for service providers so that the participant can access these resources independently (i.e., without Navigator assistance).

Find a Clinic Near You

Who Is Running the Clinical Trial?

Victoria D. Ojeda

Lead Sponsor

Trials
1
Recruited
300+

National Institute on Minority Health and Health Disparities (NIMHD)

Collaborator

Trials
473
Recruited
1,374,000+

Findings from Research

The review identified only 7 studies that effectively evaluated interventions aimed at improving health literacy in community populations, highlighting a significant gap in evidence to support national health literacy policies.
Most included studies focused on developing functional and interactive health literacy skills, but the overall lack of systematic testing and reliable measurement tools indicates a need for more rigorous research in this area to inform effective health education and communication strategies.
Improving health literacy in community populations: a review of progress.Nutbeam, D., McGill, B., Premkumar, P.[2019]
A collaborative effort among clinical, academic, and community partners led to the creation of a clinic readiness assessment and a pilot intervention aimed at improving patient-provider communication and health literacy.
The pilot project highlighted the importance of partnerships in developing effective health literacy initiatives, resulting in valuable lessons that will guide future expansions of the intervention.
Development of a Clinical-Academic-Community Collaboration to Improve Health Literacy.Friedman, DB., Arent, MA., Yelton, B., et al.[2021]
A review of 20 studies in pediatric otolaryngology revealed that much of the educational material is written at a reading level too high for effective public health communication, which may hinder understanding.
Parents often struggle to recall information provided during informed consent, but incorporating visual and multimodal elements into education significantly enhances their comprehension and retention.
Health literacy in pediatric otolaryngology: A scoping review.Aaronson, NL., Joshua, CL., Boss, EF.[2018]

References

Improving health literacy in community populations: a review of progress. [2019]
Development of a Clinical-Academic-Community Collaboration to Improve Health Literacy. [2021]
Health literacy in pediatric otolaryngology: A scoping review. [2018]
Health literacy awareness training for healthcare workers: improving knowledge and intentions to use clear communication techniques. [2022]
Health literacy: implications for teaching the adult patient. [2019]
Assessing health literacy levels of Spanish-speaking Hispanic patients in Spanish at federally qualified health centers (FQHCs) in the Midwest. [2022]
Health literacy screening instruments for eHealth applications: a systematic review. [2022]
Postdischarge Correlates of Health Literacy Among Medicaid Inpatients. [2019]
Application of the health literacy framework to diet-related cancer prevention conversations of older immigrant women to Canada. [2012]
Determinants of Low Health Literacy Among Asian-American and Pacific Islanders in California. [2022]
Development and validation of a short and easy-to-use instrument for measuring health literacy: the Health Literacy Instrument for Adults (HELIA). [2020]
Qualitative insights into the experience of teaching shared decision making within adult education health literacy programmes for lower-literacy learners. [2022]