Clinical trial Recruiting at 1 site Interventional Ages 18 and up

Adapting Enhanced Recovery Programs for Low Health Literacy Patients

Run by University of Alabama at Birmingham · NCT06356558 · Data updated 2026-11-12

This study tests a multi-level VISACT approach to tailor enhanced recovery programs for adults undergoing surgery who have low health literacy.

Quick facts

Study typeInterventional
Ages18 Years and up
SexAll
Enrollment1050 (estimated)
SponsorUniversity of Alabama at Birmingham
Academic / other
Locations1 site (Birmingham, Alabama)
StatusRecruiting
StartedJune 15, 2026
Main results expectedAugust 1, 2027
Study endsMay 1, 2028
Registry record updatedJune 29, 2026
Trial IDNCT06356558 on ClinicalTrials.gov

Is this trial a fit for you?

Likely a good fit

Adults 18 years and older undergoing surgery within an ERP and who speak English, plus their caregivers/providers and ERP leaders.

Probably not a fit

Patients not participating in ERPs or who do not have responsibilities related to ERP implementation may not benefit.

A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.

What this trial studies

The project aims to adapt existing enhanced recovery programs (ERPs) so they fit patients with low health literacy. It uses VISACT—visual aids, coaching for providers, and organizational training in health literacy—to improve ERP fidelity and surgical outcomes. A pilot trial will test the VISACT intervention within ERP pathways, laying the groundwork for a larger multi-institutional study. The work seeks to reduce disparities in surgical outcomes by improving how ERPs are delivered to this population.

Why it matters

Potential benefit: If successful, this approach could reduce complications, shorten hospital stays, and lower readmission rates for patients with low health literacy.

How similar studies have gone: Previous work suggests ERPs can reduce disparities, but this adaptation for low health literacy is novel and builds on prior K23-driven insights.

Who can join: the full rules

Show full inclusion / exclusion criteria
Inclusion Criteria:

* 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
* Able to consent
* English-speaking

Exclusion Criteria:

* 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

Where it's running

  • University of Alabama at Birmingham
    Birmingham, Alabama, United States
    Recruiting

Study contacts

  • Principal investigator: Daniel I Chu, MD — University of Alabama at Birmingham
  • Study coordinator: Daniel I Chu, MD
  • Email: dchu@uab.edu
  • Phone: 205-975-1932

Similar studies

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How to take part

  1. Review the eligibility criteria above with your treating physician.
  2. Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
  3. Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.
Last reviewed 2026-11-14 by the Find a Trial editorial team. Information on this page is for educational purposes and is not medical advice. Always consult qualified healthcare professionals about clinical trial participation.