Please use this identifier to cite or link to this item: http://hdl.handle.net/2440/114098
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Type: Journal article
Title: Preventing chronic disease in patients with low health literacy using eHealth and teamwork in primary healthcare: protocol for a cluster randomised controlled trial
Author: Parker, S.M.
Stocks, N.
Nutbeam, D.
Thomas, L.
Denney-Wilson, E.
Zwar, N.
Karnon, J.
Lloyd, J.
Noakes, M.
Liaw, S.-.T.
Lau, A.
Osborne, R.
Harris, M.F.
Citation: BMJ open, 2018; 8(6):e023239-1-e023239-9
Publisher: BMJ
Issue Date: 2018
ISSN: 2044-6055
2044-6055
Statement of
Responsibility: 
Sharon M Parker, Nigel Stocks, Don Nutbeam, Louise Thomas, Elizabeth Denney-Wilson, Nicholas Zwar, Jon Karnon, Jane Lloyd, Manny Noakes, Siaw-Teng Liaw, Annie Lau, Richard Osborne, Mark F Harris
Abstract: Adults with lower levels of health literacy are less likely to engage in health-promoting behaviours. Our trial evaluates the impacts and outcomes of a mobile health-enhanced preventive intervention in primary care for people who are overweight or obese.A two-arm pragmatic practice-level cluster randomised trial will be conducted in 40 practices in low socioeconomic areas in Sydney and Adelaide, Australia. Forty patients aged 40-70 years with a body mass index ≥28 kg/m2 will be enrolled per practice. The HeLP-general practitioner (GP) intervention includes a practice-level quality improvement intervention (medical record audit and feedback, staff training and practice facilitation visits) to support practices to implement the clinical intervention for patients. The clinical intervention involves a health check visit with a practice nurse based on the 5As framework (assess, advise, agree, assist and arrange), the use of a purpose-built patient-facing app, my snapp, and referral for telephone coaching. The primary outcomes are change in health literacy, lifestyle behaviours, weight, waist circumference and blood pressure. The study will also evaluate changes in quality of life and health service use to determine the cost-effectiveness of the intervention and examine the experiences of practices in implementing the programme.The study has been approved by the University of New South Wales (UNSW) Human Research Ethics Committee (HC17474) and ratified by the University of Adelaide Human Research Ethics committee. There are no restrictions on publication, and findings of the study will be made available to the public via the Centre for Primary Health Care and Equity website and through conference presentations and research publications. Deidentified data and meta-data will be stored in a repository at UNSW and made available subject to ethics committee approval.ACTRN12617001508369; Pre-results.
Keywords: health literacy; m-health; obesity; overweight; preventive medicine; primary care
Rights: © Article author(s) (or their employer(s) unless otherwise stated in the text of the article) 2018. All rights reserved. No commercial use is permitted unless otherwise expressly granted. This is an Open Access article distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http:// creativecommons. org/ licenses/ by- nc/ 4. 0/
RMID: 0030090477
DOI: 10.1136/bmjopen-2018-023239
Grant ID: http://purl.org/au-research/grants/nhmrc/1125681
http://purl.org/au-research/grants/nhmrc/1059122
Appears in Collections:Medicine publications

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