The Effect of Teach-Back Training on Self Management in Kidney Transplant Recipients: A Clinical Trial

Farzin Mollazadeh MS, Masumeh Hemmati Maslakpak PhD, Farzin Mollazadeh MS, Masumeh Hemmati Maslakpak PhD

Abstract

Background: Kidney transplant recipients need self-management during their lifetime, and training these patients is essential for the realization of self-management. Teach-back training (TBT) was used to receive, understand, and retain information. This study aimed to determine the effect of TBT on self-management in kidney transplant recipients.

Methods: In this clinical trial study, 84 kidney transplant recipients who referred to the clinic of Imam Khomeini Hospital in Urmia (a city in northwest of Iran), from January to March 2017, were selected through convenience sampling and randomly assigned to intervention and control groups. In the intervention group, educational content was presented for each patient with TBT in 5 sessions of 60 minutes. Data were collected before and after the intervention by a special Self-Management Questionnaire for Kidney Transplant Recipients in five areas as follows: self-monitoring, self-care behavior in daily living, early detecting and coping with abnormalities after kidney transplantation, stress management and the category of non-categorized area. This is a valid and reliable questionnaire (α=0.76). Collected data were analyzed by independent t-test and Mann-Whitney test. Statistical analysis was performed using SPSS 20 and P≤0.05 was considered as significant.

Results: Independent t-test showed that the mean of self-management score between the control and intervention groups was not statistically significant before the intervention (P=0.90). The mean score of self-management increased after implementation of TBT in the intervention group compared to the control group, and the difference was statistically significant (P=0.001).

Conclusion: The implementation of TBT method is effective in promoting self-management of kidney transplant recipients. Therefore, it is recommended that this method should be used to train the patients to better understand the components of self-management. Trial Registration Number: IRCT2016122817059N10.

Keywords: Nursing; Self management; Teach back communication; Kidney transplantation.

Figures

Figure1
Figure1
CONSORT flow diagram of the participants

References

    1. Bauer UE, Briss PA, Goodman RA, Bowman BA. Prevention of chronic disease in the 21st century: elimination of the leading preventable causes of premature death and disability in the USA. The Lancet. 2014;384:45–52.
    1. Bello AK, Levin A, Tonelli M, et al. Assessment of Global Kidney Health Care Status. JAMA. 2017;317:1864–81.
    1. Ji E, Kim YS. Prevalence of chronic kidney disease defined by using CKD-EPI equation and albumin-to-creatinine ratio in the Korean adult population. The Korean Journal of Internal Medicine. 2016;31:1120–30.
    1. Einollahi B, Taheri S. Renal transplantation practice in Iran and the Middle East: report from Iran and a review of the literature. Ann Transplant. 2008;13:5–14.
    1. Ghadami A, Memarian R, Mohamadi E, Abdoli S. Patients’ experiences from their received education about the process of kidney transplant: A qualitative study. Iranian Journal Of Nursing and Midwifery Research. 2012;17:S157–64.
    1. Kosaka S, Tanaka M, Sakai T, et al. Development of Self-Management Scale for Kidney Transplant Recipients, Including Management of Post-Transplantation Chronic Kidney Disease. ISRN Transplantation. 2013;(2013)
    1. Jamieson NJ, Hanson CS, Josephson MA, et al. Motivations, Challenges, and Attitudes to Self-management in Kidney Transplant Recipients: A Systematic Review of Qualitative Studies. American Journal of Kidney Diseases. 2016;67:461–78.
    1. Grijpma JW, Tielen M, van Staa AL, et al. Kidney transplant patients’ attitudes towards self-management support: A Q-methodological study. Patient Education and Counseling. 2016;99:836–43.
    1. Wang W, van Lint CL, Brinkman WP, et al. Renal transplant patient acceptance of a self-management support system. BMC Medical Informatics and Decision Making. 2017;17:58.
    1. van Lint CL, van der Boog PJ, Wang W, et al. Patient experiences with self-monitoring renal function after renal transplantation: results from a single-center prospective pilot study. Patient Preference and Adherence. 2015;9:1721–31.
    1. Neyhart CD. Education of patients pre and post-transplant: improving outcomes by overcoming the barriers. Nephrology Nursing Journal. 2008;35:409–10.
    1. Wasserzug O, Fishman G, Sternbach D, et al. Informed consent for tonsillectomy: Do parents comprehend the information we provide? International Journal of Pediatric Otorhinolaryngology. 2016;88:163–7.
    1. Mangold K. Utilization of the Simulation Environment to Practice Teach-Back With Kidney Transplant Patients. Clinical Simulation in Nursing. 2016;12:532–8.
    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. Journal of Nutrition Education and Behavior. 2016;48:20–26.
    1. Wilson FL, Mayeta-Peart A, Parada-Webster L, Nordstrom C. Using the teach-back method to increase maternal immunization literacy among low-income pregnant women inJamaica: a pilot study. Journal of Pediatric Nursing. 2012;27:451–9.
    1. Tamura-Lis W. Teach-back for quality education and patient safety. Urologic Nursing. 2013;33:267–71.
    1. Meyer GS, Denham CR, Battles J, et al. Safe practices for better healthcare-2010 update: a consensus report. Washington DC: National Quality Forum; 2010.
    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. Journal of Pediatric Nursing. 2013;28:282–91.
    1. Pisanti R, Poli L, Lombardo C, et al. The role of transplant-related stressors and social support in the development of anxiety among renal transplant recipients: the direct and buffering effects. Psychology, Health & Medicine. 2014;19:650–5.
    1. Gordon EJ, Prohaska T, Siminoff LA, et al. Can Focusing on Self-Care Reduce Disparities in Kidney Transplant Outcomes? American Journal of Kidney Diseases. 2005;45:935–40.
    1. Oshvandi K, 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 ii diabetic patients: a clinical trial study. Iranian Journal of Diabetes and Metabolism. 2014;13:131–43. [In persian]
    1. Dinh HTT, Bonner A, Ramsbotham J, Clark R. Training Vietnamese cardiac nurses about heart failure self-management and teach-back: A pilot study. Melbourne, VIC: Australasian Cardiovascular Nursing College Annual Conference; 2016.
    1. Mulford DL. Using the teach-back method to improve self-care behaviors: Hampton University [thesis] United States: ProQuest LLC; 2016.
    1. Dalir Z, Reihani Z, Mazlom R, Vakilian F. Effect of Training Based on Teach Back Method on Self-care in Patients with Heart Failure. Journal of Mazandaran University of Medical Sciences. 2016;25:209–20. [In persian]
    1. Hatefi Moadab N, Elahi N, Moradbeygi K, et al. Effect of Teach- Back Educational Method on Surgical Anxiety in PrimiparousCesarean Section Women. J Clin Res Paramed Sci. 2015;4:169–77. [In persian]
    1. Ha Dinh TT, Bonner A, Clark R, et al. The effectiveness of the teach-back method on adherence and self-management in health education for people with chronic disease: a systematic review. JBI Database of Systematic Reviews and Implementation Reports. 2016;14:210–47.
    1. Ross DJ. The Effects of the Teach Back Method on Heart Failure Patients. [thesis] United States: ProQuest LLC; 2017.

Source: PubMed

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