NCT01968291

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.

Trial Health

87
On Track

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Enrollment
254

participants targeted

Target at P75+ for not_applicable

Timeline
Completed

Started Jun 2012

Shorter than P25 for not_applicable

Geographic Reach
1 country

1 active site

Status
completed

Health score is calculated from publicly available data and should be used for screening purposes only.

Trial Relationships

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Study Timeline

Key milestones and dates

Study Start

First participant enrolled

June 1, 2012

Completed
2 months until next milestone

Primary Completion

Last participant's last visit for primary outcome

August 1, 2012

Completed
Same day until next milestone

Study Completion

Last participant's last visit for all outcomes

August 1, 2012

Completed
1.2 years until next milestone

First Submitted

Initial submission to the registry

October 10, 2013

Completed
14 days until next milestone

First Posted

Study publicly available on registry

October 24, 2013

Completed
Last Updated

October 24, 2013

Status Verified

October 1, 2013

Enrollment Period

2 months

First QC Date

October 10, 2013

Last Update Submit

October 22, 2013

Conditions

Conditions Influencing Health Status

Keywords

Health LiteracyTeach-backEmergency

Outcome Measures

Primary Outcomes (1)

  • Objective comprehension

    Concordance between audio taped comprehension compared to review of medical record using 5 level scale of concordance

    Questions evaluating comprehension were administered during the discharge interview immediately following discharge from the ED at the index visit (Day 1).

Secondary Outcomes (1)

  • 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).

Other Outcomes (1)

  • patient satisfaction

    Questions evaluating satisfaction were administered during the discharge interview immediately following discharge from the ED at the index visit (Day 1).

Study Arms (2)

Teach-back

EXPERIMENTAL

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

Behavioral: Teach-back

Standard Discharge Instructions

NO INTERVENTION

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

Interventions

Teach-backBEHAVIORAL

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

Teach-back

Eligibility Criteria

Age18 Years+
Sexall
Healthy VolunteersYes
Age GroupsAdult (18-64), Older Adult (65+)

You may qualify if:

  • 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)

You may not qualify if:

  • aphasia,
  • non-English speaking,
  • mental handicap,
  • psychiatric chief complaint,
  • too high acuity per physician,
  • insurmountable communication barrier,
  • evaluations for sexual assault,
  • clinical intoxication.

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (1)

Barnes-Jewish Hospital Emergency Department

St Louis, Missouri, 63110, United States

Location

MeSH Terms

Conditions

Emergencies

Condition Hierarchy (Ancestors)

Disease AttributesPathologic ProcessesPathological Conditions, Signs and Symptoms

Study Officials

  • Richard T Griffey, MD, MPH

    Washington University School of Medicine

    PRINCIPAL INVESTIGATOR

  • Kim A Kaphingst, PhD

    Washington University School of Medicine

    PRINCIPAL INVESTIGATOR

Study Design

Study Type
interventional
Phase
not applicable
Allocation
RANDOMIZED
Masking
NONE
Purpose
HEALTH SERVICES RESEARCH
Intervention Model
PARALLEL
Sponsor Type
OTHER
Responsible Party
PRINCIPAL INVESTIGATOR
PI Title
Associate Professor, Emergency Medicine

Study Record Dates

First Submitted

October 10, 2013

First Posted

October 24, 2013

Study Start

June 1, 2012

Primary Completion

August 1, 2012

Study Completion

August 1, 2012

Last Updated

October 24, 2013

Record last verified: 2013-10

Locations

US(1)