Teach-back Method on Patient Satisfaction and Adherence to Wound Care Regimen
- Conditions
- Keratinocyte Carcinoma
- Interventions
- Behavioral: Ask-tell-ask educationBehavioral: SOC educationOther: Participant satisfaction surveyOther: Wound care adherence survey
- Registration Number
- NCT04377971
- Lead Sponsor
- Case Comprehensive Cancer Center
- Brief Summary
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.
- Detailed Description
Patients undergoing Mohs Micrographic surgery for skin cancers on the lower extremities for the first time that are left to heal by secondary intention are randomized either to receive a scripted teach-back session or a standard of care wound care education. This study wishes to compare wound care adherence, patient experience, wound complications, and the number of phone calls made by patients to the office between the two cohorts
primary objective is to determine whether study participants who have received the teach-back method have an increase wound care adherence at one week post-operatively, compared to those who received the standard of care.
To characterize differences in the patient experience between the two interventional groups 2 weeks after surgery.
To determine whether the number of phone calls made post-operatively by patients will decrease in a 2 week follow-up time period.
To characterize the differences in patient wound care adherence at 2 weeks after surgery.
To determine whether there is a difference in complication incidence post-operatively
Recruitment & Eligibility
- Status
- COMPLETED
- Sex
- All
- Target Recruitment
- 40
- Presenting to outpatient Mohs clinic at University Department of Dermatology, Two Chagrin Highlands for the first time
- Have excision(s) from Mohs Micrographic Surgery on the lower extremities that are left to heal by secondary intention
- English-speaking
- Non-English speaking
- A clinical diagnosis of mental, learning, and visual disabilities
- A clinical diagnosis of dementia
- Those who have received Mohs Micrographic Surgery before regardless of area
Study & Design
- Study Type
- INTERVENTIONAL
- Study Design
- PARALLEL
- Arm && Interventions
Group Intervention Description Ask-tell-ask method Participant satisfaction survey 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. Standard of Care (SOC) Participant satisfaction survey 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. Ask-tell-ask method Wound care adherence survey 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. Ask-tell-ask method Ask-tell-ask education 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. Standard of Care (SOC) SOC education 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. Standard of Care (SOC) Wound care adherence survey 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.
- Primary Outcome Measures
Name Time Method Wound care adherence as measured by wound care adherence survey 1 week Wound care adherence as measured by a wound care adherence survey with scale values ranging from 3-15, with a higher score indicating greater compliance
Independent two-sample two-sided t-tests to compare wound care adherence scores between the intervention group (receiving the "teach-back method") and the control group (receiving the standard of care).
- Secondary Outcome Measures
Name Time Method Patient experience as measured by participant satisfaction survey At 2 weeks Patient experience as measured by participant satisfaction survey, which uses components of the 16 item Skindex questionnaire and the 18 item version Patient Satisfaction Survey, adapted for treatment of skin cancer to characterize patient experience. The survey scale ranges from 4-20, with a higher score indicating a greater patient experience.
Number of phone calls made post-operatively by participants At 2 weeks Number of phone calls made post-operatively by participants
Wound care adherence as measured by wound care adherence survey At 2 weeks Wound care adherence as measured by a wound care adherence survey with scale values ranging from 3-15, with higher scores indicating greater compliance.
Independent two-sample two-sided t-tests to compare wound care adherence scores between the intervention group (receiving the "teach-back method") and the control group (receiving the standard of care)Complication incidence post-operatively At 2 weeks Complication incidence post-operatively
Trial Locations
- Locations (1)
University Hospitals Cleveland Medical Center, Case Comprehensive Cancer Center
🇺🇸Cleveland, Ohio, United States