Effects of Teach-Back on Childrens Treatment in Parents with Low Health Literacy
Study ID: STU 022017-062
The purpose of this quasi-experimental study is to evaluate the efficacy of modifying the teaching method based on the parents learning style and HL skills assessed during their visit to the emergency room, using the teach-back method for discharge instructions compared to the standard written instructions, by assessing after-visit comprehension and retention of said instructions. The independent variable will be defined as the teach-back method, where patients are asked to return demonstrate the information taught by the provider and the standard written discharge instructions will serve as the controlling variable. The dependent variables will be defined as the parents comprehension and retention or recall of the instructions provided. Comprehension is the ability to understand and process information presented, and retention is the patients ability to recall new knowledge at a later time. intervening variables are defined as the HL skills, learning preferences, culture, age, and gender of the parents. Standard of Care vs new innovative Teaching Method Currently customary and standard of care to deliver discharge instructions in the emergency room is for the nurse to provide the written after Visit instructions (aVS) printed from the eHR (ePiC). in addition, Health Literacy (HL) levels are currently not being assessed and learning preferences are evaluated by asking the parent how you learn best or guessing at their learning preference. During this study, all participants HL levels will be assessed using the newest Vital Sign tool prior to inclusion in the study. The modified teaching method, the teach-back method will be used on the intervention group to deliver the discharge instructions. Teach-back allows the provider to check for understanding of said instructions, by letting the parent retell the instructions in their own words. This gives the provider a chance to mitigate any misunderstandings immediately and recheck for understanding. The study will be a quasi-experimental study using an intervention and control group to evaluate the effectiveness of the teach-back method in the presence of LHL, to increase the comprehension of discharge instructions. Post discharge telephone interviews will be conducted to measure the parents self-reported comprehension of said instructions and the answers will be compared to the discharge plan documented in the medical record and graded according of the level of understanding. enrollment in the study will conclude once the total of 67 patients in each group has been reached. The study should last approximately 3 months.
* English speaking * Child[Single Quote]s ESI category of 4 or 5 * Child[Single Quote]s Chief Complaint: Fever or URI * Parents Low Health Literacy levels (score of < 4 using the NVS) * Parents Age 18 years or older