Effectiveness of the teach-back method in improving self-care activities in postmenopausal women

Narjes Bahri, Sharareh Saljooghi, Ali Delshad Noghabi, Mahdi Moshki, Narjes Bahri, Sharareh Saljooghi, Ali Delshad Noghabi, Mahdi Moshki

Abstract

Introduction: Menopause is a physiological process during which women can improve their quality of life by taking proper self-care measures. Performing self-care requires proper and effective training. The present study was conducted to investigate the effect of self-care training programs based on the teach-back method on the self-care status in postmenopausal women.

Material and methods: The present clinical trial was conducted in 2016 in Gonabad, in the east of Iran. Eighty postmenopausal women, whose last menstrual period was 1-5 years earlier, were randomly allocated to an intervention group (n = 40) and a control group (n = 40). The intervention group attended four 45-minute sessions of a training program based on the teach-back method on the principles of self-care during menopause, whereas the control group received no training. Knowledge and self-care status were assessed in all subjects before and one month after implementing the training program. The data were analysed in SPSS-20. P < 0.05 was set as the level of statistical significance.

Results: Before the intervention, no significant differences were observed between the two groups in terms of demographic variables, including age, occupation, level of education, and the time elapsed since the last menstrual period (p > 0.05). No significant differences were observed between the two groups also in terms of the score of knowledge about menopause and self-care practice before the intervention (p > 0.05). The mean scores of knowledge and self-care were found to be significantly higher in the intervention group compared to those in the controls one month after the intervention (p < 0.0001 and p = 0.001, respectively). Statistically significant differences were observed between the two groups in terms of the change scores of knowledge and self-care practice before and one month after the intervention (p < 0.05).

Conclusions: The results showed that the self-care education program based on the teach-back method improves the self-care activities in postmenopausal women. It is therefore recommended that healthcare providers apply this method in menopausal care training programs.

Keywords: menopause; self-care; teach-back method.

Conflict of interest statement

Authors report no conflict of interest.

Figures

Fig. 1
Fig. 1
Schematic representation of the study

References

    1. Rajaeefard A, Mohammad-Beigi A, Mohammad-Salehi N. Estimation of natural age of menopause in Iranian women: A meta-analysis study. Koomesh. 2011;13:1–7.
    1. Sharifi N, Jalili L, Khazaeian S, Nia AN. The Relationship between Physical Activity and General Health among Menopausal Women in Ahvaz, Iran. Electron Physician. 2017;9:3639–3645.
    1. Masoudi R, Soleimani MA, Hasheminia AM, et al. The effect of family-centered empowerment model on the Quality of Life in elderly people. Journal of Gazvin University of Medical Science. 2010;14:57–65.
    1. Eller LS, Lev EL, Yuan C, Watkins AV. Describing self-care self-efficacy: definition, measurement, outcomes, and implications. Int J Nurs Knowl. 2018;29:38–48.
    1. Hasan Por Azghadi B, Abbasi Z. Effect of education on middleaged womens knowledge and attitude towards menopause in Mashhad. Birjand University of Mmedical Sciences. 2006;13:48–54.
    1. Rindner L, Strömme G, Nordeman L, et al. Reducing menopausal symptoms for women during the menopause transition using group education in a primary health care setting-a randomized controlled trial. Maturitas. 2017;98:14–19.
    1. Torres RY, Marks R. Relationships among health literacy, knowledge about hormone therapy, self-efficacy, and decision-making among postmenopausal health. J Health Commun. 2009;14:43–55.
    1. Bezerra ML, Chaves MD, Lopes Nunes SF, et al. Nursing diagnoses of the domain health promotion in menopausal women with osteoporosis. Journal of Nursing UFPE on line. 2016;10:969–976.
    1. Karimi M, Amin Shekarvi F, Zareban E, et al. The Effect of Education on empowerment model on quality of life menopausal women. Lorestan University of Medical Sciences Journal. 2014;16:1–11.
    1. Bahri N, Yosheni N, Morovati Sharif Abad MA, et al. The Effects of menopausal health training for spouses on women’s quality of life during the menopause transitional period. Menopause. 2016;23:183–188.
    1. Porter K, Chen Y, Estabrooks P, et al. Using Teach-Back to Understand Participant Behavioral Self-Monitoring Skills Across Health Literacy Level and Behavioral Condition. J Nutr Educ Behav. 2016;48:20–26.e1.
    1. White M, Garber R, Carroll M, et al. Is “Teach Back” associated with knowledge retention and hospital readmission in hospitalized heart failure patients? J Cardiovasc Nurs. 2013;28:137e146.
    1. Mahramus T, Penoyer D, Frewin S, et al. Assessment of an educational intervention on nurses’ knowledge and retention of heart failure self-care principles and the Teach Back method. Heart Lung. 2014;43:204–212.
    1. Griffey RT, Shin N, Jones S, et al. The impact of teach-back on comprehension of discharge instructions and satisfaction among emergency patients with limited health literacy: A randomized, controlled study. J Commun Healthc. 2015;8:10–21.
    1. Nasiri A, Poodineh Moghadam M. Effect of an educational program based on Teach-Back method on the self-care deficits of hemodialysis patients’ referring to Valiasr Hospital, Birjand. Modern Care Journal. 2012;9:344–335.
    1. Hatefi Moadab N, Elahi N, Moradbeygi Kh, et al. Effect of teach-back educational method on surgical anxiety in prim parous cesarean section women. J Clin. Res Paramed Sci. 2015;4:169–177.
    1. CONSORT 2010 checklist of information to include when reporting a randomised trial. Available from: . [site access: November 14, 2017]
    1. Institute for Healthcare Improvement Safe Practices for Better Healthcare – 2010 Update: A Consensus Report. Available at: . [Access: September 27,2017]
    1. Golyan Tehrani SH, Mir Mohammad Ali M, Mahmoudi M, Khaledian Z. Study of quality of life and its patterns in different stages of menopause for women in Tehran. The J Fac Nurs Midwifery. 2002;8:33–41.
    1. Oshvandi KH, Jokar M, Khatiban M, et al. The effect of Self-care education based on teach back method on promotion of self-care behaviors in type 2 diabetic patients. Iranian Journal of Diabetes and Metabolism. 2014;13:131–144.
    1. Samuels M, Mphil M, Hardy E, et al. “Like a dialogue”: Teach-back in the emergency department. Patient Educ Couns. 2016;99:549–554.
    1. Kornburger C, Gibson C, Sadowski S, et al. Using “Teach-Back” to Promote a Safe Transition From Hospital to Home: An Evidence-Based Approach to Improving the Discharge Process. J Pediatr Nurs. 2013;28:282–291.
    1. Wilson FL, Mayeta-Peart A, Parada-Webster L, et al. Using the teach-back method to increase maternal immunization literacy among low-income pregnant women in Jamaica: a pilot study. J Pediatr Nurs. 2012;27:451–459.

Source: PubMed

3
Předplatit