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Adapting Enhanced Recovery Programs for Low Health Literacy Patients

Who can join

Ages 18 and older · All sexes · Healthy volunteers welcome

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

About the study

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.

What is being tested

• Educational intervention (VISACT) (other)

Sponsor: University of Alabama at Birmingham · Participants: 1,050 · Started: Jun 15, 2026

Contact the study team

• Daniel I Chu, MD · Phone: 205-975-1932
• Kaycee Hair · Phone: 205-975-1932

Official record on ClinicalTrials.gov — NCT06356558

Locations in the U.S.

From ClinicalTrials.gov, data retrieved Sep 30, 2026. Each study sets its own eligibility; the study team decides who can join.