Evaluating Teach Back as a Method for Improving Self-Care Behaviours in Heart Failure Patients

NCT01311583 | Completed

• 1 other identifier: 11-010
• Study Type: interventional
• Target: 80
• Locations: 1 country
• Sites: 1

Brief Summary

Patient education using Teach Back has the potential to increase self-care behaviour in heart failure (HF) patients and reduce adverse clinical outcomes. Teach back is an interactive teaching method that uses plain language, focuses on key points, and asks the patient to verbally recall information just discussed. Questions are asked to confirm patient understanding of the information delivered. This pilot study will be conducted to evaluate the effectiveness of teach back on self-care (as measured by the European Heart Failure Self-Care Behaviour Scale- EHFScBS) and determine if teach back affects the number of ER visits and re-admissions post discharge. The study will also assess if teach back technique is a feasible, acceptable and sustainable method of discharge teaching for hospitalized HF patients at St Michael's.

Conditions

Heart Failure

Keywords

Self-care; Teach Back

Outcome Measures

Primary Outcomes (3)

• self-care behaviour score

  mailed questionaire

  change from baseline in self-care behaviour score at one week.

• self-care behaviour score

  mailed questionaire

  change from baseline in self-care behaviour score at one month

• self-care behaviour score

  mailed questionaire

  change from baseline in self-care behaviour score at three months

Secondary Outcomes (6)

• patient visits to ER or admission to hospital

  one week since discharge

• patient visits to ER or admission to hospital

  at one month since discharge

• patient ER visits or admission to hospital

  three months since discharge

• impact on nurses' workload

  up to 12 weeks from the last enrolled patient

• satisfaction with the training for the nurses' to provide teach back

  up to 12 weeks from the last enrolled patient

Study Arms (2)

usual care plus Teach Back intervention

ACTIVE COMPARATOR

Trained nurses will provide Teach Back to the intervention group. The nurses' training will focus on the concepts of Teach Back, provide coaching and guidance on how to use it as well as review the principles of conducting research. Role play will be a feature in the education sessions to improve the nurses' comfort level

Behavioral: Teach Back method of patient discharge teaching

usual care

NO INTERVENTION

All participants will experience the current practice of discharge teaching: daily interaction with the interdisciplinary team members via rounds, counseling on diet and medications with a dietician and pharmacist when referred, view the Heart Failure Discharge Video, and receive a Congestive Heart Failure education package which includes the Heart and Stroke "Managing Congestive Heart Failure" booklet.

Interventions

Teach Back method of patient discharge teaching BEHAVIORAL

Trained nurses will provide Teach Back to the intervention group. Appendix D lists the four questions that will be used in this study to confirm the patient's understanding. The nurses' training will focus on the concepts of Teach Back, provide coaching and guidance on how to use it as well as review the principles of conducting research. Role play will be a feature in the education sessions to improve the nurses' comfort level

usual care plus Teach Back intervention

Eligibility Criteria

• Age: 18 Years+
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• Patients admitted to the in-patient cardiology (7CCS) or Coronary Care Unit (CCU), with documentation of HF as the most responsible diagnosis
• Prescribed a diuretic such as Lasix plus or minus Metolazone
• New or established diagnosis of HF

You may not qualify if:

• Cognitive impairment
• Suffer from a co-existing, severe, chronic debilitating disease
• Require hemo or peritoneal dialysis, have planned surgical intervention that will impact the etiology or manifestation of HF symptoms
• Life expectancy of less than three months
• Unable to receive discharge teaching, or are unable to communicate on the telephone
• Already enrolled in a patient education study

Sponsors & Collaborators

• Unity Health Toronto: lead

Study Sites (1)

St. Michael's

Toronto, Ontario, M5B 1W8, Canada

Location

MeSH Terms

Conditions

Heart Failure

Condition Hierarchy (Ancestors)

Heart Diseases; Cardiovascular Diseases

Study Officials

• Ada Andrade, MN

  St. Michael's

  PRINCIPAL INVESTIGATOR

• Vimy Barnard-Roberts, MN

  St. Michael's

  STUDY CHAIR

• Haytham Sharar, MN

  St. Michael's

  STUDY CHAIR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: NONE
• Purpose: SUPPORTIVE CARE
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: SPONSOR

Study Record Dates

• First Submitted: February 22, 2011
• First Posted: March 9, 2011
• Study Start: October 1, 2011
• Primary Completion: October 1, 2012
• Study Completion: February 1, 2013
• Last Updated: January 8, 2016

Record last verified: 2016-01

Locations

CA (1)