About this trial
Low health literacy patients are a vulnerable population at high-risk for surgical disparities including longer hospital stays, more complications, and more readmissions. This study will adapt enhanced recovery programs (ERPs) to low health literacy patients with a multilevel, health literacy-based implementation strategy (called VISACT - VISuAl aids, Coach providers in communication, and Train organizations in health literacy) to improve ERP fidelity and thereby outcomes. In the final aim of this project (Specific Aim 3), the VISACT intervention will be tested in a pilot trial. Findings from this study will lay the foundation for a multi-institutional stepped-wedge trial and establish key principles for adapting interventions to eliminate disparities.
Eligibility criteria
Qualifiers
Adult patients >= 18 years of age undergoing surgery under an enhanced recovery program (ERPs)
Adult caregivers/providers, organizational leaders, >= 18 years of age with direct or indirect involvement with ERP implementation
All genders
All race/ethnicities
Disqualifiers
Child (<18 years of age)
Patients undergoing operations not included under ERPs
Participants unable to consent for the study
Participants whose mental state excludes them from being able to understand contents of the informed consent form and/or patients whose family members or patient representative do not wish for them to participate in the study
Trial design
Treatments tested in this trial
- Educational intervention (VISACT)
Treatment groups
Sponsors and collaborators
University of Alabama at Birmingham
Lead sponsor
National Cancer Institute (NCI)
Collaborator