Clinical Trial Details
— Status: Completed
Administrative data
| NCT number |
NCT03052959 |
| Other study ID # |
16-231 |
| Secondary ID |
|
| Status |
Completed |
| Phase |
N/A
|
| First received |
|
| Last updated |
|
| Start date |
October 2, 2017 |
| Est. completion date |
January 28, 2020 |
Study information
| Verified date |
October 2021 |
| Source |
Unity Health Toronto |
| Contact |
n/a |
| Is FDA regulated |
No |
| Health authority |
|
| Study type |
Interventional
|
Clinical Trial Summary
The BETTER intervention consists of supportive meetings between a specially trained
prevention practitioner nurse and individuals aged 40-64 years to review recommended chronic
disease prevention and screening activities (CDPS). The prevention practitioner nurse will
assist participants to identify goals for accomplishing CDPS activities in the next 6 months.
Promotion, recruitment of participants and delivery of the BETTER intervention will be
adapted to meet the needs of the residents through the use of participatory research methods
and community engagement strategies. The study population consists of individuals aged 40-64
years living in 10 designated areas or "clusters" within Durham Region in Oshawa and Whitby.
Objectives:
1. Help people in the designated areas identify personal goals related to chronic disease
prevention and screening activities.
2. Evaluate whether the prevention practitioner was effective in helping people achieve
their goals and explore whether this type of intervention could work in other settings.
3. Share what the investigators learn with government and other public health units in
Ontario and across Canada.
Some clusters will receive the BETTER intervention right away and other clusters will be in a
wait-list control group to receive the intervention 6 months later. Our main outcome is the
change in a score that considers the number of preventive health items a person has achieved
during the 6 months. The investigators will also be doing in-depth interviews and focus
groups with health care providers, community organizations and people who live in the
designated areas to understand whether the primary practitioner was effective.
Description:
Research has shown that many Ontarians do not participate in all the chronic disease
prevention and screening activities that could keep them healthy. Previous studies have found
that a prevention practitioner, a nurse who works with health care providers and their
practices, can be effective at improving the uptake of chronic disease prevention and
screening activities.
The goal of this study is to adapt the BETTER intervention from a health care setting with
family practice teams to a community-based strategy in designated areas in Durham Region. The
BETTER intervention consists of supportive meetings between a specially trained prevention
practitioner nurse and individuals aged 40-64 years to review recommended chronic disease
prevention and screening activities (CDPS). The prevention practitioner nurse will assist
participants to identify goals for accomplishing CDPS activities in the next 6 months.
Promotion, recruitment of participants and delivery of the BETTER intervention will be
adapted to meet the needs of the residents through the use of participatory research methods
and community engagement strategies.
Previous work by the researchers identified census dissemination areas in Ontario with: (1)
the lowest quintile of median household income, (2) low cancer screening rates, and 3) poor
access to primary care services. The study population consists of individuals aged 40-64
years living in 10 designated areas or "clusters" within Durham Region in Oshawa and Whitby.
The investigators will be working closely with local community agencies and primary care
providers to identify people who may benefit from this study.
Objectives:
1. Help people in the designated areas identify personal goals related to chronic disease
prevention and screening activities.
2. Evaluate whether the prevention practitioner was effective in helping people achieve
their goals and explore whether this type of intervention could work in other settings.
3. Share what the investigators learn with government and other public health units in
Ontario and across Canada.
Some clusters will receive the BETTER intervention right away and other clusters will be in a
wait-list control group to receive the intervention 6 months later. The investigators will
compare the two groups. The study will involve about 120 residents in 10 designated areas.
Our main outcome is the change in a score that considers the number of preventive health
items a person has achieved during the 6 months. The investigators will also be doing
in-depth interviews and focus groups with health care providers, community organizations and
people who live in the designated areas to understand whether the primary practitioner was
effective.
