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

NCT ID: NCT01968291

Last Updated: 2013-10-24

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

NA

Total Enrollment

254 participants

Study Classification

INTERVENTIONAL

Study Start Date

2012-06-30

Study Completion Date

2012-08-31

Brief Summary

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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

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Conditions

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Conditions Influencing Health Status

Keywords

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Health Literacy Teach-back Emergency

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

HEALTH_SERVICES_RESEARCH

Blinding Strategy

NONE

Study Groups

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Teach-back

Patients are prompted to state back in their own words their comprehension of the information given to them at discharge.

Group Type EXPERIMENTAL

Teach-back

Intervention Type BEHAVIORAL

Patients are asked to repeat back in their own words their understanding of the discharge information that was provided to them.

Standard Discharge Instructions

Patient receives usual discharge instructions as administered by the nurse assigned to the patient.

Group Type NO_INTERVENTION

No interventions assigned to this group

Interventions

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Teach-back

Patients are asked to repeat back in their own words their understanding of the discharge information that was provided to them.

Intervention Type BEHAVIORAL

Eligibility Criteria

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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)

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.
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

Yes

Sponsors

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Washington University School of Medicine

OTHER

Sponsor Role lead

Responsible Party

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Richard Griffey

Associate Professor, Emergency Medicine

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Richard T Griffey, MD, MPH

Role: PRINCIPAL_INVESTIGATOR

Washington University School of Medicine

Kim A Kaphingst, PhD

Role: PRINCIPAL_INVESTIGATOR

Washington University School of Medicine

Locations

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Barnes-Jewish Hospital Emergency Department

St Louis, Missouri, United States

Site Status

Countries

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United States

Other Identifiers

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201206011

Identifier Type: -

Identifier Source: org_study_id