Assessing the link between modified 'Teach Back' method and improvement in knowledge of the medical regimen among youth with kidney transplants: The application of digital media. Issue 5 (May 2019)

• Record Type: Journal Article
• Authors: Chandar, Jayanthi J.; Ludwig, David A.; Aguirre, Juan; Mattiazzi, Adela; Bielecka, Malgorzata; Defreitas, Marissa; Delamater, Alan M.
• Is Part Of: Patient education and counseling. Volume 102:Issue 5(2019)
• Page Start: 1035
• Page End: 1039
• Publication Date: 2019-05
• Subjects: Transplant -- Functional health literacy -- Pediatric -- Teach back -- Self-management -- Kidney transplant -- Digital program; Patient education -- Periodicals; Health counseling -- Periodicals; Health education -- Periodicals; Counseling -- Periodicals; Patient Education -- Periodicals; Éducation des patients -- Périodiques; Counseling -- Périodiques; Éducation sanitaire -- Périodiques; 615.5071
• DOI: 10.1016/j.pec.2018.12.007
• Languages: English
• ISSNs: 0738-3991

Abstract

Highlights: Pediatric kidney transplant recipients require education about their transplant. Need to promote functional health literacy in children with kidney transplants. Administer simple questionnaire with a computer program. Provide information and rationale for transplant and medications with simple videos. Computer program improves functional health literacy. Abstract: Objective: The objective of this study was to facilitate functional health literacy (FHL) with a modified "Teach Back" method. A computer-based program was developed for adolescent and young adult kidney transplant recipients (KTR) to knowledgeably answer questions about their medical condition, medications, and create a simple synopsis of their personal health record with the help of the heath care provider (HCP). Methods: In a pre-post quasi-experimental design, 16 patients received the computer intervention in which they navigated questionnaires and brief informational video clips. Knowledge scores were assessed at baseline and 3 months. The binomial sign test was used to evaluate change in knowledge and purpose of medications. Results: Mean age was 17.3 ± 2.4 years and 94% were non-Caucasian. Seven of 16 patients were academically below grade level. Twelve of 16 patients improved their overall knowledge (P = 0.0002) and purpose of medications (P = 0.0017). Conclusions: A Modified "Teach Back" during clinic visits was associated with improvements in FHL. Practice Implications: This modified 'teach back' program has the potential to improve FHL which could contribute to long-term preservation of kidney transplants.