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Completed

NCT Number: NCT05425797

The Virtual BETTER Study

The focus of this project is to examine how delivering virtual care impacts health behaviour change for patients with chronic illnesses compared to in-person visits using a chronic disease prevention and screening (CDPS) program called BETTER (Building on Existing Tools To ImprovE Chronic Disease PRevention and Screening in Primary Care).

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Key information

Conditions

Delivery Modality of BETTER Intervention Behavior Chronic Disease Disease Attributes Motor Activity Pathologic Processes Pathological Conditions, Signs and Symptoms

Age range

40 year–70 year

Sex eligibility

All sexes

Study type

Interventional

Phase

Not applicable

Primary location

Health Sciences Centre

St. John's, Newfoundland and Labrador, A1B3V6, Canada

About this study

While the current pandemic has launched a likely irreversible transition towards increased utilization of virtual methods for delivery of healthcare, we have only a very superficial understanding of how this shift will affect health outcomes and equity of access to health services. Several randomized trials comparing virtual to in-person delivery of health services have been completed, but none have examined the effect of interventions to address health behaviours, arguably one of the most challenging issues in healthcare and one that is most sensitive to the therapeutic relationship and modifiers to that relationship such as the mode of communication. The focus of this project is to examine how delivering virtual care impacts health behaviour change for patients with chronic illnesses compared to in-person visits using a chronic disease prevention and screening (CDPS) program called BETTER (Building on Existing Tools To ImprovE Chronic Disease PRevention and Screening in Primary Care).

Who can participate

Healthy volunteers accepted: Yes

Only the study team can determine whether someone qualifies for participation.

Inclusion criteria

  • Persons aged 40-70
  • Persons who are already booking a BETTER prevention visit.

Exclusion criteria

  • Persons with the presence of a terminal illness
  • Persons in active treatment (i.e., systemic and/or radiation therapy) for cancer.
  • Persons who are unable to provide informed consent.

Treatment and study plan

In-Person Prevention Practitioner Visit

Other

BETTER Intervention visit with PP which will take place in-person at the PP's office.

Video-Call Prevention Practitioner Visit

Other

BETTER Intervention visit with PP which will take place virtually via a secure video system.

Phone Prevention Practitioner Visit

Other

BETTER Intervention visit with PP which will take place via telephone.

Primary outcomes

  1. Readiness to Change (University of Rhode Island Change Assessment Scale: URICA)

    Time frame: Post-Visit (less than 1 week after visit)

    To compare readiness to implement lifestyle change after telephone, video, and in-person BETTER Prevention visits.

    Min Score: 4 Max Score: 20

    Higher scores indicate a higher readiness to change (better outcome)

Secondary outcomes

  1. Satisfaction of Modalities (Client Satisfaction Questionnaire: CSQ-4)

    Time frame: Post-Visit (less than 1 week after visit)

    To assess satisfaction with the three different delivery modalities.

    Min Score: 4 Max Score: 16

    Higher scores indicate higher satisfaction (better outcome)

  2. Acceptability

    Time frame: Enrollment (Pre-visit)

    To assess acceptability of the three different delivery modalities.

    Assessed through enrollment questionnaire which will ask which delivery method they agree to. (Not scored on scale)

  3. Accessibility

    Time frame: Enrollment (Pre-visit)

    To assess accessibility of the three different delivery modalities.

    Assessed through enrollment questionnaire which will ask why they chose which delivery method they did. (Not scored on scale)

Sponsors and collaborators

Lead sponsor

Memorial University of Newfoundland

Other

Registry information

Official study title

Building on Existing Tools To Improve Chronic Disease Prevention and Screening in Primary Care Virtually: the Virtual BETTER Study

Important dates

Study start
2023
Primary completion
2024
Study completion
2024
First posted
Jun 21, 2022
Registry last updated
Dec 2, 2024

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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