Effect of Teach-Back-Based Discharge Education in Lower Extremity Surgery Patients

NCT07558070 | Completed

• 1 other identifier: 2025/102
• Study Type: interventional
• Target: 64
• Locations: 1 country
• Sites: 1

Brief Summary

This study aims to determine the effect of discharge education based on the Teach-Back method on patients' learning needs and readiness for hospital discharge following lower extremity surgery. Lower extremity surgeries are associated with pain, limited mobility, and decreased self-care ability, which may negatively affect recovery and quality of life. Effective discharge education is therefore essential to support postoperative recovery and continuity of care. This randomized controlled experimental study will be conducted with patients undergoing lower extremity surgery in an orthopedic clinic. Participants will be randomly assigned to an intervention group receiving Teach-Back-based discharge education and a control group receiving routine discharge education. Data will be collected at three time points (before the intervention, at discharge, and 15 days after discharge) using standardized instruments, including the Readiness for Hospital Discharge Scale-Short Form and the Patient Learning Needs Scale. The findings of this study are expected to contribute to improving discharge education practices, enhancing patient readiness for discharge, and reducing postoperative complications and unmet educational needs.

Conditions

Lower Extremity Surgery; Patient Education; Postoperative Care

Keywords

Teach-Back Method; Lower Extremity Surgery; Postoperative Care; Patient Education; Discharge Education

Outcome Measures

Primary Outcomes (1)

• Readiness for Hospital Discharge

  Patients' readiness for hospital discharge will be assessed using the Readiness for Hospital Discharge Scale-Short Form. Higher scores indicate greater readiness for discharge

  Immediately after training (Post-test) and 4 weeks after training (Follow-up)

Secondary Outcomes (1)

• Patient Learning Needs

  At hospital discharge (Day of discharge, within 24 hours)

Other Outcomes (1)

• Post-discharge complications

  Within 15 days after discharge

Study Arms (2)

Teach-Back Education Group

EXPERIMENTAL

Participants will receive discharge education based on the Teach-Back method, including postoperative care, medication use, wound care, mobility, and complication prevention

Behavioral: Teach-Back Education

Routine Education Group

ACTIVE COMPARATOR

Participants will receive routine discharge education provided according to standard clinical practice.

Behavioral: Routine Discharge Education

Interventions

Teach-Back Education BEHAVIORAL

Structured discharge education based on the Teach-Back method to improve patient understanding and adherence.

Teach-Back Education Group

Routine Discharge Education BEHAVIORAL

Standard discharge education provided in routine clinical care.

Routine Education Group

Eligibility Criteria

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

You may not qualify if:

• Patients who do not fully participate in the education program or data collection process Patients who withdraw from the study at any stage Patients who are readmitted to the hospital due to postoperative complications Patients with incomplete or missing data

Sponsors & Collaborators

• University of Gaziantep: lead

Study Sites (1)

Gaziantep University

Gaziantep, şehitkamil, 27090, Turkey (Türkiye)

Location

Related Publications (1)

• 1. Zhu Y, Yang B, Wang Y. Effects of comfort nursing combined with rehabilitation training on joint function, pain level and quality of life in patients with lower extremity fractures. Archives of Clinical Psychiatry [Internet]. 13 Eylül 2023 [a.yer 05 Haziran 2025];50(6). Erişim adresi: https://archivespsy.com/menu-script/index.php/ACF/article/view/1336 2. Bektaşoğlu B, Eyi̇ S. Alt Ekstremite Cerrahisi Geçiren Bireylerin Kolcaba'nın Konfor Kuramına Göre Bakımı. Hemşirelik Bilimi Dergisi. 25 Aralık 2021;4(3):148-55. 3. Zheng Y, Yan Q. Effect of application of short-form video health education on the health knowledge and satisfaction with nursing care of patients with lower extremity fractures. BMC Nurs. 20 Ekim 2023;22(1):395. 4. Talevski J, Shee AW, Rasmussen B, Kemp G, Beauchamp A. Teach-back: A systematic review of implementation and impacts. PLOS ONE. 14 Nisan 2020;15(4):e0231350. 5. Değer TB, Gönderen Çakmak HS, Cihan Erdoğan B, Değer MÖ. Effect of Insulin Pen Training Using the Teach-Back Method on Diabetes Self-Management, Quality of Life, and HbA1c Levels in Older Patients with Type 2 Diabetes: A Quasi-Experimental Study. Healthcare. Ocak 2024;12(18):1854. 6. Yen PH, Leasure AR. Use and Effectiveness of the Teach-Back Method in Patient Education and Health Outcomes. Fed Pract. Haziran 2019;36(6):284-9. 7. Lakens D. Calculating and reporting effect sizes to facilitate cumulative science: a practical primer for t-tests and ANOVAs. Frontiers in psychology. 2013;4:863. 8. [a.yer 23 Haziran 2025]. Erişim adresi: Abrams MA, Nielsen GA, Wilson A. Always Use Teach-back! Toolkit. 2024. https://teachbacktraining.org. 9. Use the Teach-Back Method: Tool #5 [Internet]. [a.yer 23 Haziran 2025]. Erişim adresi: https://www.ahrq.gov/health-literacy/improve/precautions/tool5.html 10. Sayar S. Ortopedi hastalarında taburculuk eğitimi ve yenilikçi uygulamalar. 2025 [a.yer 23 Haziran 2025]; Erişim adresi: https://acikerisim.karatay.edu.tr/yayinaea/pdf1449_67caf4d44955b.pd

  RESULT

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: NONE
• Masking Details: Due to the nature of the educational intervention, blinding is not feasible. Both participants and researchers are aware of group allocation
• Purpose: TREATMENT
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Assoc.Prof.

Model Details: Participants will be randomly assigned to either the intervention group receiving Teach-Back-based discharge education or the control group receiving routine discharge education, in a parallel design

Study Record Dates

• First Submitted: April 15, 2026
• First Posted: April 30, 2026
• Study Start: October 1, 2025
• Primary Completion: March 30, 2026
• Study Completion: March 30, 2026
• Last Updated: April 30, 2026

Record last verified: 2026-04

Data Sharing

• IPD Sharing: Will not share

Locations

TU (1)