- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT05695014
Effect of Discharge Education on Discharge Readiness and Satisfaction
On the Effect of Discharge Education on Discharge Readiness and Satisfaction Given by Teach Back Method to Patients With Lumbar Disc Herniation Surgery
Today, the increase in the cost of health services, the development of technology and the shortening of the hospitalization period day by day due to the reasons for preventing complications such as hospital infections have increased the importance of discharge planning. Optimum maintenance of home care of patients who underwent surgery after discharge is possible with an effective discharge education given to the patient and their relatives and the preparation of the patients. In this study, it was aimed to examine the effect of the discharge training given to the patients who underwent Lumbar Disc Herniation Surgery with the method of feedback on their readiness for discharge and their satisfaction with the discharge training.
Among the patient groups who were given and not trained by the teach-back method; H01. There is no difference between the scores of readiness for discharge. H02. There is no difference between discharge training satisfaction scores. H11: There is a difference between the scores of being ready for discharge. H12: There is a difference between discharge training satisfaction scores.
Study Overview
Status
Conditions
Intervention / Treatment
Detailed Description
While the discharge plan and education of the surgical patient constitute an important part of nursing care, it is also an indispensable element in improving the patient's quality of life. Early discharge training after lumbar disc herniation surgery relieves the patient's anxiety and facilitates compliance with the treatment. Patients' readiness for discharge includes adequate recovery for safe discharge, physical stability, functional ability, ability to manage self-care at home, and coping skills. The primary aim of this study is to examine the effect of discharge training given by the Teach Back Method on patients with lumbar disc herniation surgery on their readiness for discharge. The second aim of the study is to determine the satisfaction of the patients in the group using the Teach Back Method at discharge training.
Method Study design and setting: This randomized controlled trial will conduct at the Neurosurgery Service of Famagusta State Hospital and the Neurosurgery Clinic of the Nicosia Doctor Burhan Nalbantoglu State Hospital.
Sampling: The sample size of the study, the significance level of the hypothesis and the effect size were taken into account and the statistical power calculation related to the analyzes was made on the G Power 3.1.9.4 computer program. In the calculation made, the number of units in the sample was calculated as at least 68 people, 34 in each group, under the assump tions of 95% confidence interval, 80% power, and effect size 0.50.
Randomization: Allocation software was used to allocate the participants into two groups with equal numbers. Patients who meet the inclusion criteria of the study will be interviewed in the patient room by the researcher at the time of their admission to the hospital, and written and verbal consents will be obtained from the patients. Patients will then be included in the control or intervention group according to the randomization table.
Intervention: For the patients in the control group, the Personal Data Collection Form and the Readiness to Discharge Scale and Knowledge test will be filled. The discharge training of the patients in the control group will be given by the health professionals responsible for their care and treatment according to their clinical routines. The patients in the intervention group, on the other hand, will be trained with the teach-back method after completing the Personal Data Collection Form, Knowledge Test, and the "Ready to Discharge Scale". In these trainings, "Discharge Training Booklet", which will be prepared by the researcher, will be used as training material. This booklet will include information about discharge after Lumbar Disc Herniation Surgery. Expert opinion will be taken for the booklet. On the day of discharge, the patients in both groups will be given the 'Ready to Discharge Scale' and the 'Discharge Training Satisfaction Scale' and Knowledge Test.
Data Collection Tools The data collection tools to be used in the research consist of four parts. In the first part, "Descriptive information form" which includes information about patients and the disease, "Discharge Training Satisfaction Scale" in the second part, "Ready to Discharge Scale" in the third part lastly there is a knowledge test prepared to evaluate the effectiveness of the discharge training given in the fourth part.
Descriptive information form: This form of patients; It is a data collection tool that includes socio-demographic characteristics such as date of birth, gender, marital status, education level, and items related to the patient's disease.
Discharge Training Satisfaction Scale: The scale was developed by Meşe and Köşgeroğlu in 2021. It consists of 21 items. The Cronbach α reliability coefficient for the overall scale was found to be 0.91. The scale was designed as a 5-point Likert scale. The scores that can be obtained from the scale range from 21 to 105. The scale has no cut off.
Scale of Readiness to Discharge: The short form (Readiness for Hospital Discharge Scale/Short Form) developed by Weiss and et al. in 2014 was used. The scale consists of eight items and four dimensions, and items in the scale are evaluated on a scale ranging from 0 to 10, and higher scores indicate greater readiness.
Discharge training knowledge test: In line with the literature, a knowledge test consisting of 20-25 questions will be prepared for the content of the discharge training. In this knowledge test, there will be questions containing correct and incorrect answers, and patients will be expected to tick True, False and No idea. Expert opinion will be taken about the knowledge test.
Statistical analysis Collected data will analyse using the Statistical Package for Social Sciences (SPSS) version 24.0 (IBM, Armonk, NY, USA). Descriptive characteristics of the participants will be presented by the frequency of the responses. Descriptive statistics, including mean, standard deviation, and minimum and maximum values, will be used to present the scores obtained from the scales and the knowledge questionnaire. The Kolmogorov-Smirnov test will be used to examine the suitability of the data for normal distribution. Pearson's chi-squared test and Fisher's exact test will be used to compare descriptive characteristics. If it fits the normal distribution, parametric tests will be used. If it does not fit the normal distribution, nonparametric tests will be used.
Study Type
Enrollment (Anticipated)
Phase
- Not Applicable
Contacts and Locations
Study Contact
- Name: Ayse Gullet, RN
- Phone Number: (0392) 630 3946
- Email: aysegullet135@gmail.com
Study Locations
-
-
None Selected
-
Famagusta, None Selected, Cyprus, 99520
- Recruiting
- Eastern Mediterranean University, Health Sciences Faculty, Nursing Department
-
Contact:
- Ayse Gullet, RN
- Phone Number: (0392) 630 3946
- Email: aysegullet135@gmail.com
-
Contact:
- Sevinc Tastan, Prof. Dr.
- Phone Number: 05488785465
- Email: sevinc.tastan@emu.edu.tr
-
-
Participation Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Genders Eligible for Study
Description
Inclusion Criteria:
over 18 years old Having undergone Lumbar Disc Herniation surgery, Patients who have the capacity to read and understand research guidelines
Exclusion Criteria:
Those who do not agree to participate in the research, Patients undergoing emergency surgery
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Health Services Research
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: Single
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
---|---|
Experimental: Teach Back Metod
The patients in the intervention group, on the other hand, will be trained with the teach-back method after completing the Personal Data Collection Form, Knowledge Test, and the "Ready to Discharge Scale".
In these trainings, "Discharge Training Booklet", which will be prepared by the researcher, will be used as training material.
This booklet will include information about discharge after Lumbar Disc Herniation Surgery.
|
teach-back method is a way of checking understanding by asking patients to state in their own words what they need to know or do about their health.
It is a way to confirm that you have explained things in a manner your patients understand.
|
No Intervention: Control
The discharge training of the patients in the control group will be given by the health professionals responsible for their care and treatment according to their clinical routines.
|
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
readiness for discharge
Time Frame: Change in Baseline readiness for discharge score at four days
|
Readiness to Discharge Scale will be used examine the effect of discharge training given by the Teach Back Method on patients with lumbar disc herniation surgery on their readiness for discharge.
|
Change in Baseline readiness for discharge score at four days
|
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Knowledge test
Time Frame: Change in Baseline Patient knowledge test at four days
|
The discharge education knowledge test will be used to evaluate the patients' knowledge about their care in the post-discharge period.
|
Change in Baseline Patient knowledge test at four days
|
Collaborators and Investigators
Sponsor
Investigators
- Principal Investigator: Sevinc Tastan, Prof. Dr., Eastern Mediterranean University, Health Sciences Faculty
Publications and helpful links
General Publications
- He Q, Zhao J, Fan M, Wang F. Effect of continuous nursing based on wechat platform on postoperative rehabilitation of patients with lumbar disc herniation. Jpn J Nurs Sci. 2021 Apr;18(2):e12382. doi: 10.1111/jjns.12382. Epub 2020 Sep 28.
- Moliterno JA, Knopman J, Parikh K, Cohan JN, Huang QD, Aaker GD, Grivoyannis AD, Patel AR, Hartl R, Boockvar JA. Results and risk factors for recurrence following single-level tubular lumbar microdiscectomy. J Neurosurg Spine. 2010 Jun;12(6):680-6. doi: 10.3171/2009.12.SPINE08843.
- Talevski J, Wong Shee A, Rasmussen B, Kemp G, Beauchamp A. Teach-back: A systematic review of implementation and impacts. PLoS One. 2020 Apr 14;15(4):e0231350. doi: 10.1371/journal.pone.0231350. eCollection 2020.
- Bahri N, Saljooghi S, Noghabi AD, Moshki M. Effectiveness of the teach-back method in improving self-care activities in postmenopausal women. Prz Menopauzalny. 2018 Mar;17(1):5-10. doi: 10.5114/pm.2018.74896. Epub 2018 Apr 11.
- Shersher V, Haines TP, Sturgiss L, Weller C, Williams C. Definitions and use of the teach-back method in healthcare consultations with patients: A systematic review and thematic synthesis. Patient Educ Couns. 2021 Jan;104(1):118-129. doi: 10.1016/j.pec.2020.07.026. Epub 2020 Aug 1.
- Prochnow JA, Meiers SJ, Scheckel MM. Improving Patient and Caregiver New Medication Education Using an Innovative Teach-back Toolkit. J Nurs Care Qual. 2019 Apr/Jun;34(2):101-106. doi: 10.1097/NCQ.0000000000000342.
- Oh EG, Lee HJ, Yang YL, Kim YM. Effectiveness of Discharge Education With the Teach-Back Method on 30-Day Readmission: A Systematic Review. J Patient Saf. 2021 Jun 1;17(4):305-310. doi: 10.1097/PTS.0000000000000596.
- Mollazadeh F MS, Hemmati Maslakpak M PhD. The Effect of Teach-Back Training on Self Management in Kidney Transplant Recipients: A Clinical Trial. Int J Community Based Nurs Midwifery. 2018 Apr;6(2):146-155.
- Choi S, Choi J. Effects of the teach-back method among cancer patients: a systematic review of the literature. Support Care Cancer. 2021 Dec;29(12):7259-7268. doi: 10.1007/s00520-021-06445-w. Epub 2021 Jul 24.
- Chandar JJ, Ludwig DA, Aguirre J, Mattiazzi A, Bielecka M, Defreitas M, Delamater AM. 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. Patient Educ Couns. 2019 May;102(5):1035-1039. doi: 10.1016/j.pec.2018.12.007. Epub 2018 Dec 12.
- Zabolypour S, Alishapour M, Behnammoghadam M, Abbasi Larki R, Zoladl M. A Comparison of the Effects of Teach-Back and Motivational Interviewing on the Adherence to Medical Regimen in Patients with Hypertension. Patient Prefer Adherence. 2020 Feb 26;14:401-410. doi: 10.2147/PPA.S231716. eCollection 2020.
- Ghorbani B, Jackson AC, Noorchenarboo M, Mandegar MH, Sharifi F, Mirmoghtadaie Z, Bahramnezhad F. Comparing the Effects of Gamification and Teach-Back Training Methods on Adherence to a Therapeutic Regimen in Patients After Coronary Artery Bypass Graft Surgery: Randomized Clinical Trial. J Med Internet Res. 2021 Dec 10;23(12):e22557. doi: 10.2196/22557.
Study record dates
Study Major Dates
Study Start (Actual)
Primary Completion (Anticipated)
Study Completion (Anticipated)
Study Registration Dates
First Submitted
First Submitted That Met QC Criteria
First Posted (Actual)
Study Record Updates
Last Update Posted (Actual)
Last Update Submitted That Met QC Criteria
Last Verified
More Information
Terms related to this study
Additional Relevant MeSH Terms
Other Study ID Numbers
- AG-1
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.
Clinical Trials on Lumbar Disc Herniation
-
Shanghai General Hospital, Shanghai Jiao Tong University...RecruitingLumbar Disc Herniation | Lumbar Disc DegenerationChina
-
Shin Kong Wu Ho-Su Memorial HospitalTerminatedLumbar Disc Herniation | Lumbar Traction | Spinal Manipulation | Lumbar SurgeryTaiwan
-
Allina Health SystemTwin Cities Spine CenterRecruitingLumbar Disc Herniation | Lumbar Spinal Stenosis | Lumbar Spondylolisthesis | Lumbar Disc DiseaseUnited States
-
Intrinsic TherapeuticsActive, not recruitingLumbar Disc Herniation | Annular Disc Tear | Annular Tear of Lumbar DiscBelgium, Germany
-
Holger JoswigCompletedLumbar Disc Herniation | Cervical Disc HerniationSwitzerland
-
Jaseng Medical FoundationRecruitingLumbar Disc HerniationKorea, Republic of
-
Firat UniversityRecruiting
-
Ramathibodi HospitalNot yet recruitingLumbar Disc Herniation
-
Zhou XingchenActive, not recruitingLumbar Disc HerniationChina
-
Centre Hospitalier Universitaire de NiceCompleted
Clinical Trials on Teach Back Metod
-
Washington University School of MedicineCompletedConditions Influencing Health StatusUnited States
-
Health Services Academy, Islamabad, PakistanUnknownmHealth | Readmission | Teach-Back CommunicationPakistan
-
Amasya UniversityCompleted
-
Tarumanagara UniversityCompleted
-
Anhui Provincial HospitalAalto UniversityCompleted
-
Duke UniversityTerminatedArthritis | Knee Osteoarthritis | Knee Arthropathy | Teach-Back CommunicationUnited States
-
Saglik Bilimleri UniversitesiNot yet recruitingEnd Stage Renal Disease on Dialysis
-
Inonu UniversityNot yet recruiting
-
Bozok UniversityCompletedBreastfeeding | Teach-Back CommunicationTurkey