Use of Teach Back to Improve Comprehension of Discharge Instructions for Emergency Patients With Limited Health Literacy

Not Applicable

Completed

• Conditions: Conditions Influencing Health Status
• Interventions: Behavioral: Teach-back

• Registration Number: NCT01968291
• Lead Sponsor: Washington University School of Medicine

Brief Summary

The purpose of this study was to determine whether use of teach-back discharge instructions improve patient satisfaction and patients' self-reported and objective comprehension of discharge instructions in the emergency department when compared to standard discharge instructions.

Detailed Description

Not available

Study Timeline

• Study Start: 2012-06
• Primary Completion: 2012-08
• Study Completion: 2012-08
• Status Verified: 2013-10
• Study First Submitted: 2013-10-10
• Study First Submitted QC: 2013-10-22
• Last Update Submitted: 2013-10-22
• Study First Posted: 2013-10-24
• Last Update Posted: 2013-10-24

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 254

Inclusion Criteria

• patients being discharged from the emergency department
• A score of 6 or less on the Rapid Estimate of Adult Literacy in Medicine, Revised (consistent with Limited Health Literacy)

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Exclusion Criteria

• aphasia,
• non-English speaking,
• mental handicap,
• psychiatric chief complaint,
• too high acuity per physician,
• insurmountable communication barrier,
• evaluations for sexual assault,
• clinical intoxication.

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Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Arm && Interventions

Group	Intervention	Description
Teach-back	Teach-back	Patients are prompted to state back in their own words their comprehension of the information given to them at discharge.

Primary Outcome Measures

Name	Time	Method
Objective comprehension	Questions evaluating comprehension were administered during the discharge interview immediately following discharge from the ED at the index visit (Day 1).	Concordance between audio taped comprehension compared to review of medical record using 5 level scale of concordance

Secondary Outcome Measures

Name	Time	Method
self-reported comprehension	Questions evaluating self-reported comprehension were administered during the discharge interview immediately following discharge from the ED at the index visit (Day 1).	self reported comprehension of discharge instructions for the following areas: emergency department (ED) course (Tests and treatment); Post-ED care (medication instructions; home instructions; follow-up instructions); Return instructions.

Trial Locations

Locations (1)

Barnes-Jewish Hospital Emergency Department; 🇺🇸 St. Louis, Missouri, United States