Impact of After Visit Instructions on Patient Comprehension

NCT06021730 | Completed

• 1 other identifier: 22072004
• Study Type: interventional
• Target: 75
• Locations: 1 country
• Sites: 1

Brief Summary

This prospective study aims to analyze the influence of standardized after visit instructions (AVI) and teach back (TB) method on patients' understanding of health information. The study divided routine clinic patients into three groups: standard care, standardized AVI, and standardized AVI with TB. Patient health literacy, satisfaction, and AVI comprehension were gauged through surveys and post-visit follow-up calls. The investigators hypothesized that there would be an improvement in patient comprehension with the standardized AVI or TB when compared to controls.

Conditions

After Visit Instructions; Patient Education; Teach-Back Communication; Patient Comprehension

Keywords

After Visit Summary; Readability; REALM; A-REALM

Outcome Measures

Primary Outcomes (1)

• Patient Comprehension Survey

  This is a telephone survey that will assess patients comprehension of disease over three main categories: disease state, medication changes, and referral/imaging/lab requests. Each category will be measure concordance of the patients understanding with what was written in the note in the form of a percentage from 0% to 100%. A higher percentage means a better understanding of ones disease.

  1-2 weeks after initial visit

Secondary Outcomes (1)

• Patient Satisfaction Survey

  Will receive in email or in person immediately after initial visit

Study Arms (3)

Control

NO INTERVENTION

Patients received standard after visit procedure based on the provider

Standardized After Visit Instructions Only

EXPERIMENTAL

The standardized after visit instructions (AVI) only group included patients receiving typed standardized AVI which included a text template that providers used to write customized AVI for the patient.

Behavioral: Standardized After Visit Instructions Only

Standardized After Visit Instructions & Teach Back

ACTIVE COMPARATOR

The standardized AVI \& teach back (TB) group included standardized written AVI with the patient repeating to the provider which changes and future management had been agreed upon during the visit.

Behavioral: Standardized After Visit Instructions & Teach Back

Interventions

Standardized After Visit Instructions Only BEHAVIORAL

The intervention took a standardized approach to after visit instructions which included a customizable template that would review patients conditions, changes in any medications, and any future labs, imaging, or referrals.

Standardized After Visit Instructions Only

Standardized After Visit Instructions & Teach Back BEHAVIORAL

This intervention included the Standardized After Visit Instructions and included teach back, a process by which patients restate in their own words their understanding of their condition, what was discussed in the visit, and what potential changes were made

Standardized After Visit Instructions & Teach Back

Eligibility Criteria

• Age: 18 Years+
• Sex: all
• Healthy Volunteers: Yes
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• \- Patients seen in the Rush University Medical Center Rheumatology Clinic

You may not qualify if:

• Tele-medicine visits
• English is not the primary language. This is due to inability of all providers to provide custom AVI due to language limitations

Sponsors & Collaborators

• Rush University Medical Center: lead

Study Sites (1)

Rush University Medical Center Division of Rheumatology

Chicago, Illinois, 60612, United States

Location

MeSH Terms

Conditions

Teach-Back Communication

Condition Hierarchy (Ancestors)

Communication; Behavior

Study Officials

• Sobia Hassan, MD

  Rush University Medical Center Associate Professor Rheumatology Department

  PRINCIPAL INVESTIGATOR

Study Design

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

Study Record Dates

• First Submitted: August 21, 2023
• First Posted: September 1, 2023
• Study Start: December 1, 2022
• Primary Completion: April 28, 2023
• Study Completion: May 12, 2023
• Last Updated: September 11, 2023

Record last verified: 2023-09

Data Sharing

• IPD Sharing: Will not share

Locations

US (1)