Conditions Influencing Health Status
Conditions
Keywords
Health Literacy, Teach-back, Emergency
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.
Interventions
BEHAVIORALTeach-back
Patients are asked to repeat back in their own words their understanding of the discharge information that was provided to them.
Sponsors
Washington University School of Medicine
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
HEALTH_SERVICES_RESEARCH
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
Yes
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.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| 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
| Measure | Time frame | Description |
|---|---|---|
| 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. |
Other
| Measure | Time frame | Description |
|---|---|---|
| patient satisfaction | Questions evaluating satisfaction were administered during the discharge interview immediately following discharge from the ED at the index visit (Day 1). | Patient satisfaction as measured by 4 questions modified from the Consumer Assessment of Health Providers & Systems (CAHPS) Clinician & Group Surveys |
Countries
United States
Outcome results
None listed