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Overview

Regardless of a patient's health literacy level, it is important that staff ensure that patients empathize the information they take been given. The teach-back method is a style of checking understanding by asking patients to state in their own words what they need to know or do about their health. Information technology is a manner to confirm that y'all have explained things in a way your patients understand. The related bear witness-me method allows staff to confirm that patients are able to follow specific instructions (e.g., how to use an inhaler).

• The teach-back and show-me methods are valuable tools for everyone to use with each patient and for all clinic staff to use. These methods tin can aid you:
• Ameliorate patient agreement and adherence.
• Decrease call backs and cancelled appointments.
• Improve patient satisfaction and outcomes.

Fact
Studies have shown that 40-80% of the medical information patients are told during part visits is forgotten immediately, and nearly half of the information retained is incorrect.

Activity

Learn the teach-dorsum method.

• The Always Use Teach-Back! Toolkit describes principles of plainly linguistic communication, teach-back, coaching, and system changes necessary to promote consistent use of teach-back. Its 45-minute Interactive Teach-Back Learning Module includes cardinal content and videos of clinicians using teach-back. The module can be used by clinicians, staff members, in a group setting, or as a cocky-directed tutorial.
• 5-Minute Teach-Dorsum Video. This 5-minute video gives ii examples for clinicians of how to use teach-back with medicine changes.
• Health Literacy and Patient Safety: Aid Patients Understand is a 23-minute video from the American Medical Association that includes an example of a clinician using teach-back (see the last v minutes of the video).

Do Experiences
"I decided to exercise teach-back on 5 patients. With one mother and her child, I concluded the visit by saying 'so tell me what you are going to do when you get home.'...She could non tell me what instructions I had simply given her. I explained the instructions again and then she was able to teach them back to me… I had no thought she did not empathise… I was and so wrapped up in delivering the message that I did non realize it wasn't beingness received".

—Pediatric part

Endeavor the teach-dorsum method.

• Keep in listen this is not a test of the patient's cognition. It is a test of how well you lot explained the concept.
• Plan your approach. Think about how you will ask your patients to teach back the data. For instance:
  • "We covered a lot today and I want to make sure that I explained things clearly. So allow's review what we discussed. Tin can you please draw the 3 things you agreed to do to assist you control your diabetes?"
• "Chunk and Check." Don't wait until the terminate of the visit to initiate teach-back. Chunk out information into modest segments and have your patient teach information technology dorsum. Repeat several times during a visit.
• Clarify and check once more. If teach-back uncovers a misunderstanding, explain things over again using a different approach. Inquire patients to teach-back again until they are able to correctly describe the information in their own words. If they parrot your words back to you, they may not accept understood.
• Start slowly and apply consistently. At kickoff, yous may want to attempt teach-back with the last patient of the day. In one case you are comfy with the technique, use teach-back with everyone, every time!
• Practice. Information technology will have a little time, but once it is part of your routine, teach-dorsum tin be done without clumsiness and does not lengthen a visit.
• Use the bear witness-me method. When prescribing new medicines or irresolute a dose, research shows that even when patients correctly say when and how much medicine they'll accept, many will make mistakes when asked to demonstrate the dose. You could say, for example:
  • "I've noticed that many people take problem remembering how to take their blood thinner. Can you prove me how you lot are going to take it?"
• Employ handouts along with teach-back. Write downwardly key data to aid patients remember instructions at home. Point out important information by reviewing written materials to reinforce your patients' agreement. Yous can allow patients to refer to handouts when using teach-dorsum, but make sure they use their own words and are not reading the material back verbatim. Refer to Tool 12: Use Health Education Textile Finer for more information.

Promote the apply of teach-back.

• Train not-clinical staff. Non-clinical staff members who interact with patients should also use teach-back. For example, staff making appointments may use it to ensure the patients understand what is required of them at the next visit such equally arrival time, insurance documentation, bringing medicines, fasting, and details about referrals to other clinicians.
• Share teach-dorsum stories. Ask one person at each staff meeting to share a teach-back "Aha!" moment. This serves every bit a reminder of the importance of using teach-back consistently.

Rail Your Progress

The Conviction and Confidence Calibration should be filled out earlier yous start using teach-back and then 2, 6, and 12 months later to rail your progress. Calculate the percentage of staff who have completed the scale at to the lowest degree twice in the past 12 months. The results tin aid you place ways to build conviction and conviction in using teach-back.

The Teach-Back Observation Tool should exist used by a designated observer as clinicians build their skills and conviction with teach-back. Utilise the findings to guide evaluation, coaching, additional learning, and establishment of consistent habits.

If you field questions from the Wellness Literacy Patient Survey, calculate what percentage of patients responded "Always" to question #12.

Return to Contents

Page last reviewed September 2020

Folio originally created February 2015

Net Commendation: Apply the Teach-Back Method: Tool #5. Content last reviewed September 2020. Agency for Healthcare Research and Quality, Rockville, MD.
https://www.ahrq.gov/health-literacy/better/precautions/tool5.html

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Source: https://www.ahrq.gov/health-literacy/improve/precautions/tool5.html