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OpenTrials
Completed

NCT Number: NCT01968291

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

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.

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Key information

Conditions

Conditions Influencing Health Status Disease Attributes Emergencies Pathologic Processes Pathological Conditions, Signs and Symptoms

Age range

18 year and older

Sex eligibility

All sexes

Study type

Interventional

Phase

Not applicable

Primary location

Barnes-Jewish Hospital Emergency Department

St Louis, Missouri, 63110, United States

Who can participate

Healthy volunteers accepted: Yes

Only the study team can determine whether someone qualifies for participation.

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.

Treatment and study plan

Teach-back

Behavioral

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

Primary outcomes

  1. Objective comprehension

    Time frame: 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 outcomes

  1. self-reported comprehension

    Time frame: 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 outcomes

  1. patient satisfaction

    Time frame: 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

Sponsors and collaborators

Lead sponsor

Washington University School of Medicine

Other

Registry information

Official study title

The Impact of Teach-back on Comprehension of Discharge Instructions Among Emergency Patients With Limited Health Literacy: A Randomized, Controlled Study

Important dates

Study start
2012
Primary completion
2012
Study completion
2012
First posted
Oct 24, 2013
Registry last updated
Oct 24, 2013

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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