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This study will try out a new way of writing a blood test result letter to patients explaining the results in a way to help them understand what the results mean and any next steps to be taken.
The primary goal of this study was to help healthcare providers more effectively communicate the meaning of laboratory test results and any need for follow-up, facilitating patient engagement in their healthcare. The investigators propose that using an innovative laboratory test result template integrating health literacy best practices, specifically the Clear Communication of Lab Results (CCLR) template, has the potential to improve health outcomes and health care processes. The purpose of this study was to create and assess the feasibility of using the CCLR template for 3 common laboratory tests to increase knowledge and confidence, decrease anxiety, activate follow-up, and improve satisfaction among older adults.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Participants received the standard communication letter for result of blood test | No Intervention | Providers send their usual result note related to a blood test | |
| Clear Communication of Lab Test Result letter | Experimental | Participants received the results of their blood test on the Clear Communication of Lab Test Results (CCLR) letter |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Clear Communication of Lab Test Result letter | Other | The Clear Communication of Lab Test Result letter (CCLR) was designed using clear communication and health literacy best practices to explain test done, meaning of results, and any future action recommended. |
| Measure | Description | Time Frame |
|---|---|---|
| Recruitment | Investigators will recruit participants for the study and providers will use the Clear Communication of Lab Test Result Letter | 18 months |
| Measure | Description | Time Frame |
|---|---|---|
| Global Anxiety-Visual Scale | Measure of anxiety after receiving the lab result letter. The minimum value is zero (0) and the maximum value is 100; higher scores mean greater anxiety. | 2 weeks after blood test was drawn |
| Confidence |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Nancy Morris, PhD, RN, ANP-BC | University of Massachusetts, Worcester | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| University of Massachusetts Medical School | Worcester | Massachusetts | 01655 | United States |
This was a feasibility trial and undertaken to learn what should be changed for a larger, powered study.
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| ID | Term |
|---|---|
| D003142 | Communication |
| ID | Term |
|---|---|
| D001519 | Behavior |
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First 30 participants received standard of care; 2nd 30 participants received the Clear Communication of Laboratory Result templated result note
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Visual analogue scale to assess confidence in understanding meaning of lab test result. The minimum score is 1 (not at all satisfied) and the maximum score is 10 (extremely satisfied). Higher score reflects higher confidence.
| 2 weeks after blood test was drawn |
| Comprehension of follow-up plans | Yes/No response to question, Was it clear if there were any next steps participant needs to do related to the blood test results? | 2 weeks after blood test was drawn |
| Patient Satisfaction | Visual analogue scale response to question, how satisfied was the participant with the letter describing lab test results? Minium response is one (1) not at all satisfied and the maximum response is 10, extremely satisfied. A higher score reflects higher satisfaction. | 2 weeks after blood test was drawn |