N/A
Completed N=125
BETTER HEALTH: Durham
Cancer and Chronic Disease Prevention
Source: ClinicalTrials.gov NCT03052959 ↗
Enrolled (actual)
125
Serious AEs
0.0%
Results posted
Nov 2021
Primary outcomePrimary: Composite Outcome Measure: Mean Percentage of CDPS Actions at Baseline That Are Subsequently Met at Follow-up — 64.5; 42.1 percent of actions
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.
Outcome Measures
| Outcome | Result | p-value |
|---|---|---|
| PRIMARY Composite Outcome Measure: Mean Percentage of CDPS Actions at Baseline That Are Subsequently Met at Follow-up |
64.5; 42.1 | — |
| SECONDARY Completion of Individual Actions |
29.0; 25.0; 81.8; 41.7; 66.7; 66.7 | — |
| SECONDARY Number of Self-referrals |
29.0; 25.0; 81.8; 41.7; 66.7; 66.7 | — |
Eligibility Criteria
Inclusion Criteria
- Males and females aged 40 - 64 years living in sampled low income clusters in Durham region who are English speakers (including illiterate persons). Only one participant per residential household may participate.
Exclusion Criteria
- Unable to provide informed consent
Data sourced from ClinicalTrials.gov (NCT03052959). Outcome figures and adverse-event rates are extracted automatically from the registry's posted results and are provided for clinician reference, not as a substitute for the primary publication. Informational only — not medical advice.