Teach-back Education Method for Wound Care Compliance

Overseen By Christina Wong, MD

Age: 18+

Sex: Any

Trial Phase: Academic

Sponsor: Case Comprehensive Cancer Center

Disqualifiers: Non-English, Disabilities, Dementia, others

No Placebo Group All trial participants will receive the active study treatment (no placebo)

Compensation: Varies

Number of Visits: 2

Duration: 2 weeks

40 Participants Needed

Trial Summary

Do I need to stop my current medications for this trial?

The trial protocol does not specify whether you need to stop taking your current medications.

What data supports the idea that Teach-back Education Method for Wound Care Compliance is an effective treatment?

The available research shows that the Teach-back Education Method is effective in improving patient understanding and satisfaction. For example, one study found that using teach-back significantly improves patients' knowledge and satisfaction with medication education. Another study highlights that teach-back methods can reduce hospital readmissions and improve patient outcomes by ensuring patients understand their care instructions. Although these studies focus on different areas, they suggest that the teach-back method can enhance patient adherence and outcomes, which can be beneficial for wound care compliance as well. ^{1 2 3 4 5}

What safety data exists for the Teach-back education method?

The Teach-back method is an evidence-based communication tool used to improve patient understanding and engagement in healthcare settings. It has been shown to reduce hospital readmissions, improve self-management, safety, patient satisfaction, and patient outcomes. It is used in various contexts, such as preoperative education, informed consent discussions, and discharge processes, to ensure patients understand their care instructions. While specific safety data is not detailed in the provided research, the method is generally considered safe and effective for enhancing communication and understanding in healthcare. ^{4 6 7 8 9}

Is the Ask-tell-ask education treatment a promising treatment for wound care compliance?

Yes, the Ask-tell-ask education treatment, also known as the Teach-back Method, is promising because it helps patients understand their care better, improves their ability to manage their own health, increases satisfaction, and reduces hospital readmissions. ^{1 4 5 7 9}

What is the purpose of this trial?

The purpose of this study is to examine a different way to educate patients about taking care of their wound and see how this method affects patient satisfaction, compliance to the wound care regimen, and patient experience. The teach-back method is delivered using the ask-tell-ask method. Investigators will ask the patient about their knowledge of wound care healing, provide the patient educational component, then ask the patient to repeat what was said. If the answer is wrong or incomplete, the researcher will go over the information again with the patient to clear up any misunderstandings.

Research Team

Christina Wong, MD

Principal Investigator

University Hospitals Cleveland Medical Center, Case Comprehensive Cancer Center

Eligibility Criteria

This trial is for English-speaking individuals getting their first Mohs Micrographic Surgery on the lower extremities at a specific outpatient clinic. It's not for those who've had this surgery before, or have mental, learning, visual disabilities, or dementia.

Inclusion Criteria

Have excision(s) from Mohs Micrographic Surgery on the lower extremities that are left to heal by secondary intention

English-speaking

Presenting to outpatient Mohs clinic at University Department of Dermatology, Two Chagrin Highlands for the first time

Exclusion Criteria

You have been diagnosed with mental, learning, or visual disabilities.

You have been diagnosed with dementia.

You have previously had Mohs Micrographic Surgery, no matter where it was done on your body.

Timeline

Screening

Participants are screened for eligibility to participate in the trial

1-2 weeks

Treatment

Participants receive either the teach-back method or standard of care education for wound care post-Mohs surgery

2 weeks

1 visit (in-person), 1 phone call

Follow-up

Participants are monitored for wound care adherence, patient experience, and complication incidence

2 weeks

1 visit (in-person)

Treatment Details

Interventions

• Ask-tell-ask education

Trial Overview The study tests the 'teach-back' method where patients are educated about wound care post-surgery using an ask-tell-ask approach to improve satisfaction and adherence to care instructions.

Participant Groups

Group I: Ask-tell-ask method Experimental Treatment 3 Interventions

Study team will provide participant education using the ask-tell-ask method. Participants will receive a post-operative instruction sheet containing detailed information regarding wound care for reference and will receive a phone call at 1 week to inquire about wound care adherence. Participants will come to clinic at 2 weeks to have wounds assessed in addition to answering surveys regarding wound care adherence and participant experience.

Group II: Standard of Care (SOC) Active Control 3 Interventions

Participants will receive SOC education from the researcher. Participants will receive a post-operative instruction sheet containing detailed information regarding wound care for reference and will receive a phone call at 1 week to inquire about wound care adherence. Participants will come to clinic at 2 weeks to have wounds assessed in addition to answering surveys regarding wound care adherence and participant experience.

Who Is Running the Clinical Trial?

Case Comprehensive Cancer Center

Lead Sponsor

Trials

472

Recruited

33,400+

Findings from Research

The Teach-Back intervention, Teaching Important Medication Effects (TIME), significantly improved patients' knowledge of new medication side effects compared to usual care, with 94.3% of TIME group patients knowing their side effects at discharge versus 72.5% in the usual care group.

Patients who received the TIME intervention reported much higher satisfaction with their medication education (97% very satisfied) compared to those who received usual care (46.9% very satisfied), highlighting the effectiveness of the Teach-Back method in enhancing patient education experiences.

NCBI (Pubmed)

pubmed.ncbi.nlm.nih.gov

Using a teach-back intervention significantly improves knowledge, perceptions, and satisfaction of patients with Nurses' discharge medication education. Marks, L., O'Sullivan, L., Pytel, K., et al.[2022]

Using the teach-back method for discharge education significantly reduced 30-day readmission rates by 45%, with an odds ratio of 0.55 based on a meta-analysis of five studies involving various patient groups.

Despite the promising results, the analysis was limited by a small number of studies and a high risk of selection bias, highlighting the need for more rigorous randomized controlled trials to confirm these findings.

NCBI (Pubmed)

pubmed.ncbi.nlm.nih.gov

Effectiveness of Discharge Education With the Teach-Back Method on 30-Day Readmission: A Systematic Review. Oh, EG., Lee, HJ., Yang, YL., et al.[2023]

Effective communication methods, including theoretical frameworks and motivational interviewing, can significantly enhance patient adherence to wound healing recommendations.

Wound care practitioners can improve patient outcomes by selecting appropriate self-care strategies tailored for individuals with nonhealing wounds.

NCBI (Pubmed)

pubmed.ncbi.nlm.nih.gov

Patient-Centered Education in Wound Management: Improving Outcomes and Adherence. Callender, LF., Johnson, AL., Pignataro, RM.[2023]

Teach-back is an effective health literacy tool that helps orthopaedic nurses assess and improve patients' understanding of medical information, which can lead to better self-management and reduced hospital readmissions.

The article outlines a four-stage process for nurses to implement teach-back in their patient education, aiming to enhance patient safety, satisfaction, and overall health outcomes.

NCBI (Pubmed)

pubmed.ncbi.nlm.nih.gov

Utilizing Teach-Back to Reinforce Patient Education: A Step-by-Step Approach. Caplin, M., Saunders, T.[2022]

The teach-back method significantly improved patient comprehension of the risks and benefits of laparoscopic cholecystectomy, with participants scoring higher on knowledge assessments compared to a control group.

Using the teach-back method also increased surgeon trust among patients, enhancing the overall informed consent process, while only adding an average of 2.45 minutes to the consultation time.

NCBI (Pubmed)

pubmed.ncbi.nlm.nih.gov

The "teach-back" method improves surgical informed consent and shared decision-making: a proof of concept study. Seely, KD., Higgs, JA., Butts, L., et al.[2022]

The 'teach-back' process is an effective strategy that empowers nurses to ensure patients and families understand discharge instructions, which can help prevent medication errors.

An educational intervention implemented at Children's Hospital of Wisconsin showed positive effects on nurses' ability to verify understanding and correct misinformation, highlighting the importance of this approach in patient care.

NCBI (Pubmed)

pubmed.ncbi.nlm.nih.gov

Using "teach-back" to promote a safe transition from hospital to home: an evidence-based approach to improving the discharge process. Kornburger, C., Gibson, C., Sadowski, S., et al.[2022]

A brief educational intervention for over 300 clinical staff at a pediatric healthcare organization significantly improved their knowledge and use of the teach-back method, which enhances patient understanding of discharge instructions.

The use of teach-back led to higher rates of clarifying information and correcting misunderstandings, particularly regarding medications and skill-based treatments, thereby improving patient safety and healthcare quality.

NCBI (Pubmed)

pubmed.ncbi.nlm.nih.gov

The Teach Back Project: A System-wide Evidence Based Practice Implementation. Klingbeil, C., Gibson, C.[2022]

The Teach-back method significantly reduced preoperative anxiety and improved surgical cooperation among 116 elderly patients undergoing outpatient ophthalmology surgery, compared to standard education methods.

Patients who received Teach-back education experienced lower intraoperative blood pressure and heart rate fluctuations, indicating a more stable physiological response during surgery.

NCBI (Pubmed)

pubmed.ncbi.nlm.nih.gov

The impact of Teach-back method on preoperative anxiety and surgical cooperation in elderly patients undergoing outpatient ophthalmology surgery: A randomized clinical trial. Shen, D., Huang, W., Wei, S., et al.[2023]

An educational program for nurses significantly improved their confidence and understanding of using the teach-back method during informed consent discussions for cancer clinical trials.

Nurses already had a good knowledge of research, but the program enhanced their recognition of key teach-back elements, indicating a positive impact on their communication skills.

NCBI (Pubmed)

pubmed.ncbi.nlm.nih.gov

Clinical Trials Informed Consent: An Educational Intervention to Improve Nurses' Knowledge and Communications Skills. Regan, EM.[2019]

References

1. United States pubmed.ncbi.nlm.nih.gov

Using a teach-back intervention significantly improves knowledge, perceptions, and satisfaction of patients with Nurses' discharge medication education. [2022]

2. United States pubmed.ncbi.nlm.nih.gov

Effectiveness of Discharge Education With the Teach-Back Method on 30-Day Readmission: A Systematic Review. [2023]

3. United States pubmed.ncbi.nlm.nih.gov

Patient-Centered Education in Wound Management: Improving Outcomes and Adherence. [2023]

4. United States pubmed.ncbi.nlm.nih.gov

Utilizing Teach-Back to Reinforce Patient Education: A Step-by-Step Approach. [2022]

5. England pubmed.ncbi.nlm.nih.gov

The "teach-back" method improves surgical informed consent and shared decision-making: a proof of concept study. [2022]

6. United States pubmed.ncbi.nlm.nih.gov

Using "teach-back" to promote a safe transition from hospital to home: an evidence-based approach to improving the discharge process. [2022]

7. United States pubmed.ncbi.nlm.nih.gov

The Teach Back Project: A System-wide Evidence Based Practice Implementation. [2022]

8. United States pubmed.ncbi.nlm.nih.gov

The impact of Teach-back method on preoperative anxiety and surgical cooperation in elderly patients undergoing outpatient ophthalmology surgery: A randomized clinical trial. [2023]

9. United States pubmed.ncbi.nlm.nih.gov

Clinical Trials Informed Consent: An Educational Intervention to Improve Nurses' Knowledge and Communications Skills. [2019]