The Effect of Ostomy Care Education Applied With the Teach-Back Method to Ostomy-Opened Individuals on Self-Care Power, Ostomy Adjustment, and Anxiety

August 23, 2026 updated by: Saglik Bilimleri Universitesi
The aim of this study is to examine the effect of ostomy care education-delivered to patients who have undergone ostomy surgery using the Teach-back method on patients' self-care ability, ostomy compliance, and anxiety levels.

Study Overview

Status

Recruiting

Conditions

Intervention / Treatment

Detailed Description

An ostomy is a surgical procedure performed to allow waste products to be expelled from the body through a different route. This procedure, which can be either permanent or temporary, is typically performed in cases such as colorectal cancer, inflammatory bowel diseases, or bladder cancer. The number of patients with ostomies is increasing day by day, both worldwide and in our country. Because an ostomy leads to significant changes in a person's life, patient education is of critical importance for patients who have undergone ostomy surgery. Education aims to help patients understand changes in their health status, improve their adherence to treatment, and enhance their quality of life. Among modern educational methods, approaches such as mobile apps, virtual reality, and the "Teach-back" method are gaining prominence. The "Teach-back" method is based on having patients express what they have learned in their own words and is an effective learning strategy. It involves a questioning process to determine what the individual has understood from the interaction. If the instructor believes that the learner has not understood the topic or has understood it incompletely, the training process is repeated. The process is completed when the learner understands the topic and provides the correct answer. Self-care is conceptualized as a series of activities that individuals undertake to maintain, improve, or enhance their overall health. Individuals need motivation, experiential knowledge, and skills to engage in the behaviors necessary to maintain and improve their health and quality of life, and all of these are fundamentally based on the principle of self-care. There are many positive outcomes to using education to provide higher-quality care to patients. Patients with ostomies may struggle to accept their ostomy and their new way of life, as well as to adapt to this situation, due to changes in their physical appearance and psychosocial challenges. Through education and counseling, nurses can help patients become better informed and manage their ostomy care independently, thereby improving their ability to adapt. The most common causes of anxiety are a lack of information and fear of the unknown. In individuals who have undergone ostomy surgery, it has been observed that anxiety levels decrease when this uncertainty is addressed through education. Developing self-care skills in individuals with ostomies and supporting their physical and psychosocial adjustment are among the core care functions of nurses. It is expected that providing education will reduce patients' anxiety levels while improving their ostomy adjustment and self-care abilities. The literature contains a limited number of research findings on the effects of education provided using the "Tell Me What You've Learned" method in different patient groups. However, no studies have been found specifically examining the effects of education provided using this method in patients with ostomies. It is believed that studies on the effects of education provided using the "Tell Me What You Learned" method in patients who have undergone ostomy surgery will make significant contributions to the literature.

Study Type

Observational

Enrollment (Estimated)

44

Contacts and Locations

This section provides the contact details for those conducting the study, and information on where this study is being conducted.

Study Contact

Study Locations

  • Turkey (Türkiye)
    • Üsküdar
      • Istanbul, Üsküdar, Turkey (Türkiye), 34668
        • Recruiting
        • Health Sciences University Sultan Abdulhamid II Han Training and Research Hospital
        • Contact:

Participation Criteria

Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.

Eligibility Criteria

Ages Eligible for Study

  • Adult
  • Older Adult

Accepts Healthy Volunteers

No

Sampling Method

Probability Sample

Study Population

Patients aged 18-84 with ostomies who are hospitalized in the General Surgery Clinic at Sultan Abdulhamid II Han Training and Research Hospital, Health Sciences University

Description

Inclusion Criteria:

  • Having an ostomy
  • Being between 18 and 84 years of age
  • Speaking Turkish
  • Being literate
  • Voluntarily participating in the study
  • Having no hearing, visual, or mental disabilities
  • Being well-oriented to person, place, and time

Exclusion Criteria:

  • Having a poor general health condition
  • Having a neurological disorder
  • Having a psychiatric disorder
  • Providing incomplete responses to the study scales

Study Plan

This section provides details of the study plan, including how the study is designed and what the study is measuring.

How is the study designed?

Design Details

Cohorts and Interventions

Group / Cohort
Intervention / Treatment
Who Have Undergone Ostomy Surgery
OSTOMY CARE EDUCATION APPLIED WİTH TEACH-BACK METHOD TO OSTOMY OPENED INDIVIDUALS ON SELF-CARE POWER OSTOMY ADJUSTMENT AND ANXIETY
Behavioral: TEACH BACK METHOD
Providing Ostomy Education to Individuals Who Have Undergone Ostomy Surgery Using the "Teach-Back" Method

What is the study measuring?

Primary Outcome Measures

Outcome Measure
Measure Description
Time Frame
Change from Baseline in Ostomy Adjustment Score at 2 Months, as Measured by the Ostomy Adjustment Inventory-23 (OAI-23)
Time Frame: Baseline and 2 months after the intervention
Ostomy adjustment will be assessed using the Ostomy Adjustment Inventory-23 (OAI-23), a 23-item self-report scale. Each item is scored on a 5-point Likert scale from 0 to 4, with a total score ranging from 0 to 92. Higher scores indicate better adjustment to living with an ostomy. The outcome will be the change in the total OAI-23 score from baseline to 2 months after the intervention.
Baseline and 2 months after the intervention

Secondary Outcome Measures

Outcome Measure
Measure Description
Time Frame
SELF-CARE POWER-SELF-CARE POWER SCALE SCORE
Time Frame: From baseline to 2 months after the intervention
Self-care power will be assessed using the Self-Care Power Scale. The scale consists of 35 items, each rated on a 5-point Likert scale from 0 to 4, with a total score ranging from 0 to 140. Higher scores indicate greater self-care power. The change in the total scale score from baseline to 2 months will be evaluated.
From baseline to 2 months after the intervention

Other Outcome Measures

Outcome Measure
Measure Description
Time Frame
ANXIETY - STATE-TRAIT ANXIETY INVENTORY SCORE
Time Frame: From baseline to 2 months after the intervention
Anxiety will be assessed using the State-Trait Anxiety Inventory (STAI). The STAI consists of 40 items, including 20 items assessing state anxiety and 20 items assessing trait anxiety. Each item is rated on a 4-point scale. Scores for each subscale range from 20 to 80, with higher scores indicating higher anxiety levels. The change in anxiety scores from baseline to 2 months after the intervention will be evaluate
From baseline to 2 months after the intervention

Collaborators and Investigators

This is where you will find people and organizations involved with this study.

Sponsor

Saglik Bilimleri Universitesi

Investigators

  • Principal Investigator: Şeyma Arslan, Health Sciences University Sultan Abdulhamid II Han Training and Research Hospital

Study record dates

These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.

Study Major Dates

Study Start (Actual)

September 1, 2025

Primary Completion (Estimated)

September 1, 2026

Study Completion (Estimated)

September 1, 2026

Study Registration Dates

First Submitted

August 10, 2026

First Submitted That Met QC Criteria

August 23, 2026

First Posted (Actual)

August 26, 2026

Study Record Updates

Last Update Posted (Actual)

August 26, 2026

Last Update Submitted That Met QC Criteria

August 23, 2026

Last Verified

August 1, 2026

More Information

Terms related to this study

Keywords

Additional Relevant MeSH Terms

Other Study ID Numbers

  • 25/424

Plan for Individual participant data (IPD)

Plan to Share Individual Participant Data (IPD)?

YES

IPD Plan Description

THE OSTOMY OPENED INDIVIDUALS' SELF-CARE POWER, OSTOMY ADJUSTMENT AND ANXIETY LEVELS

IPD Sharing Supporting Information Type

  • ICF

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.

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