Chronic Obstructive Pulmonary Disease (COPD) Clinical Trial
Official title:
Assessing Chronic Obstructive Pulmonary Disease (COPD) Knowledge, Beliefs, and Health Literacy in Chinese Immigrant Adults With a Diagnosis of COPD
Goal: The main goal of this study is to develop and validate educational materials that aim
to improve self-management knowledge and practices about COPD among patients in Mandarin and
Cantonese-speaking communities in the Greater Vancouver Area (GVA).
Objectives: "1." To assess the current landscape of COPD beliefs, perceptions and practices,
as well as health literacy as it relates to Chinese Mandarin and Cantonese-speaking patients;
"2." To develop effective partnerships within primary care physicians serving Chinese
newcomers in the GVA' "3." To conduct focus group sessions with collaborative primary care
physicians to identify common factors that contribute to under service and access barriers
among patients in the target communities; "4." To assess the effectiveness of the educational
materials on patients' beliefs, perceptions, practices, and health literacy related to COPD
control and self-management; and "5." To improve the capacity of physicians and allied health
workers in primary care settings in educating patients and their families about
self-management of COPD.
The implementation of the project will include the following phases: "1." Build and
strengthen established partnerships with primary care practices serving newcomers in GVA;
"2." Conduct an environmental scan and needs assessment (literature review, interviews and
focus groups with community members and key-informants); "3." Development of story scripts,
video clips and other educational materials, and relevant measurement tools; "4." Application
of the video clips and other educational materials to test their effectiveness on health
literacy, beliefs, and knowledge among COPD patients from the target communities; and "5."
Evaluation of the usefulness of videos and other educational materials, and the project's
process and outcomes.
The main aim of this project is to address our knowledge gap about COPD management, access
problems, and differences in environmental exposure among newcomers in Canada: by engaging
key stakeholders, fostering dialogue, gathering baseline data, and generating knowledge on
how improved access to culturally and linguistically appropriate educational materials can
enhance awareness and practices about COPD control and self-management through interventional
study, thereby improving the health status of the target populations. We plan to document:
"1." what are the cultural imperatives that are likely to mediate ethnic Chinese patients to
manage COPD? "2." to what extent does the Canadian health care system's environment influence
newcomers response to COPD? Our aim is to examine the belief system and health practices
among target communities that may influence treatment and management of COPD.
This research will make theoretical, methodological and applied research contributions. It
will establish strong community - primary care provider and academic connections for the
development of the proposed educational materials, measurement tools, and framework.
Community participation will be included throughout the development of this study, enhancing
the potential of acquiring new knowledge about cultural and traditional practices of the
sample population.
Our approach will enable primary health care providers, knowledge users, and policy makers to
design appropriate educational intervention initiatives targeted to diverse ethnic minority
groups in relation to COPD. We foresee findings that provide not only better ways to measure
health literacy pertaining to COPD in our target populations, but that will also help develop
materials and measures that can be applied to other populations in BC and the rest of Canada.
We expect that the participatory approach used in this study will contribute to capacity
building, improving newcomers' ability to access and use relevant COPD information (in terms
of prevention, control and management) and to transfer and share the information learned with
other members of the target communities. The proposed community consultation will also help
us identify culturally appropriate communication mode(s) to deliver health information
messages and determine practical adult learning approaches applicable to diverse communities
in Canada.
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