Teach-back Method on Patient Satisfaction and Adherence to Wound Care Regimen

NCT04377971 | Completed

• 1 other identifier: CASE1620
• Study Type: interventional
• Target: 40
• Locations: 1 country
• Sites: 1

Brief Summary

The purpose of this study is to examine a different way to educate patients about taking care of their wound and see how this method affects patient satisfaction, compliance to the wound care regimen, and patient experience. The teach-back method is delivered using the ask-tell-ask method. Investigators will ask the patient about their knowledge of wound care healing, provide the patient educational component, then ask the patient to repeat what was said. If the answer is wrong or incomplete, the researcher will go over the information again with the patient to clear up any misunderstandings.

Conditions

Keratinocyte Carcinoma

Keywords

Mohs Micrographic

Outcome Measures

Primary Outcomes (1)

• Wound care adherence as measured by wound care adherence survey

  Wound care adherence as measured by a wound care adherence survey with scale values ranging from 3-15, with a higher score indicating greater compliance Independent two-sample two-sided t-tests to compare wound care adherence scores between the intervention group (receiving the "teach-back method") and the control group (receiving the standard of care).

  1 week

Secondary Outcomes (4)

• Patient experience as measured by participant satisfaction survey

  At 2 weeks

• Number of phone calls made post-operatively by participants

  At 2 weeks

• Complication incidence post-operatively

  At 2 weeks

• Wound care adherence as measured by wound care adherence survey

  At 2 weeks

Study Arms (2)

Ask-tell-ask method

EXPERIMENTAL

Study team will provide participant education using the ask-tell-ask method. Participants will receive a post-operative instruction sheet containing detailed information regarding wound care for reference and will receive a phone call at 1 week to inquire about wound care adherence. Participants will come to clinic at 2 weeks to have wounds assessed in addition to answering surveys regarding wound care adherence and participant experience.

Behavioral: Ask-tell-ask education; Other: Participant satisfaction survey; Other: Wound care adherence survey

Standard of Care (SOC)

ACTIVE COMPARATOR

Participants will receive SOC education from the researcher. Participants will receive a post-operative instruction sheet containing detailed information regarding wound care for reference and will receive a phone call at 1 week to inquire about wound care adherence. Participants will come to clinic at 2 weeks to have wounds assessed in addition to answering surveys regarding wound care adherence and participant experience.

Behavioral: SOC education; Other: Participant satisfaction survey; Other: Wound care adherence survey

Interventions

SOC education BEHAVIORAL

Standard participant education from researcher

Standard of Care (SOC)

Ask-tell-ask education BEHAVIORAL

Participant education using the ask-tell-ask method. First the researcher will ask a question about participant understanding of wound care and after hearing the participant's answer, the researcher will then proceed to tell the patient how to best take care of their wound using a standardized script. After the educational portion, the researcher will then ask the patient to repeat the information that was shared. If the participant's answer is wrong or incomplete, the researcher will then explain the instructions again to ensure that the participant understands the steps needed.

Ask-tell-ask method

Participant satisfaction survey OTHER

Participant satisfaction survey using components of the 16 item Skindex questionnaire and the 18 item version Patient Satisfaction Survey, adapted for treatment of skin cancer to characterize patient experience administered at two weeks post-operatively in person

Ask-tell-ask method; Standard of Care (SOC)

Wound care adherence survey OTHER

Wound care adherence survey administered at one week over the phone and at two weeks in person

Ask-tell-ask method; Standard of Care (SOC)

Eligibility Criteria

• Age: 18 Years - 100 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• Presenting to outpatient Mohs clinic at University Department of Dermatology, Two Chagrin Highlands for the first time
• Have excision(s) from Mohs Micrographic Surgery on the lower extremities that are left to heal by secondary intention
• English-speaking

You may not qualify if:

• Non-English speaking
• A clinical diagnosis of mental, learning, and visual disabilities
• A clinical diagnosis of dementia
• Those who have received Mohs Micrographic Surgery before regardless of area

Sponsors & Collaborators

• Case Comprehensive Cancer Center: lead

Study Sites (1)

University Hospitals Cleveland Medical Center, Case Comprehensive Cancer Center

Cleveland, Ohio, 44106, United States

Location

Study Officials

• Christina Wong, MD

  University Hospitals Cleveland Medical Center, Case Comprehensive Cancer Center

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: SINGLE
• Who Masked: PARTICIPANT
• Purpose: SUPPORTIVE CARE
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: SPONSOR

Study Record Dates

• First Submitted: May 4, 2020
• First Posted: May 7, 2020
• Study Start: November 9, 2020
• Primary Completion: July 5, 2022
• Study Completion: July 5, 2022
• Last Updated: May 2, 2025

Record last verified: 2025-04

Data Sharing

• IPD Sharing: Will not share

Locations

US (1)