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Effect of Teach-Back-Based Discharge Education in Lower Extremity Surgery Patients

22 april 2026 bijgewerkt door: Ezgi Dirgar, University of Gaziantep

The Effect of Teach-Back-Based Discharge Education on Learning Needs and Readiness for Hospital Discharge in Patients Undergoing Lower Extremity Surgery: An Experimental Study

This study aims to determine the effect of discharge education based on the Teach-Back method on patients' learning needs and readiness for hospital discharge following lower extremity surgery. Lower extremity surgeries are associated with pain, limited mobility, and decreased self-care ability, which may negatively affect recovery and quality of life. Effective discharge education is therefore essential to support postoperative recovery and continuity of care.

This randomized controlled experimental study will be conducted with patients undergoing lower extremity surgery in an orthopedic clinic. Participants will be randomly assigned to an intervention group receiving Teach-Back-based discharge education and a control group receiving routine discharge education. Data will be collected at three time points (before the intervention, at discharge, and 15 days after discharge) using standardized instruments, including the Readiness for Hospital Discharge Scale-Short Form and the Patient Learning Needs Scale.

The findings of this study are expected to contribute to improving discharge education practices, enhancing patient readiness for discharge, and reducing postoperative complications and unmet educational needs.

Studie Overzicht

Toestand

Voltooid

Conditie

Interventie / Behandeling

Gedetailleerde beschrijving

Lower extremity surgeries, including procedures such as fracture repair, arthroplasty, and arthroscopy, are commonly performed interventions that may lead to postoperative pain, limited mobility, and decreased functional capacity. These factors can negatively affect patients' self-care ability, recovery process, and overall quality of life. Effective discharge planning and patient education are therefore essential components of postoperative care, particularly in ensuring continuity of care and preventing complications after discharge.

The Teach-Back method is an evidence-based educational approach that involves asking patients to explain the information provided to them in their own words. This method enhances patient understanding, improves adherence to treatment plans, and reduces the risk of errors and complications. It also allows healthcare professionals to assess comprehension and provide additional clarification when needed.

This study is designed as a randomized controlled experimental study to evaluate the effect of Teach-Back-based discharge education on patients undergoing lower extremity surgery. The study will be conducted in the orthopedic clinic of a state hospital. Participants will be randomly assigned to either the intervention group or the control group using block randomization to ensure balanced group allocation.

Patients in the intervention group will receive structured discharge education based on the Teach-Back method, which includes explanations of postoperative care, medication use, pain management, wound care, mobility and exercise, prevention of complications such as thrombosis and infection, nutrition, and home care needs. Patients will be encouraged to repeat the information in their own words, and any misunderstandings will be corrected through re-education and reassessment. The control group will receive routine discharge education provided in the clinical setting.

Data will be collected at three time points: before the intervention (baseline), at the time of discharge, and 15 days after discharge during outpatient follow-up. Data collection tools include a Patient Information Form, the Readiness for Hospital Discharge Scale-Short Form, the Patient Learning Needs Scale (PLNS), and an Education Evaluation Form.

The primary outcomes of the study are patients' readiness for discharge and learning needs. Secondary outcomes include knowledge retention, complication awareness, and potential hospital readmission or adverse events during the follow-up period.

The findings of this study are expected to contribute to the development of effective, patient-centered discharge education strategies and to improve postoperative outcomes in patients undergoing lower extremity surgery.

Studietype

Ingrijpend

Inschrijving (Werkelijk)

64

Fase

  • Niet toepasbaar

Contacten en locaties

In dit gedeelte vindt u de contactgegevens van degenen die het onderzoek uitvoeren en informatie over waar dit onderzoek wordt uitgevoerd.

Studie Locaties

  • Turkije (Türkiye)
    • şehitkamil
      • Gaziantep, şehitkamil, Turkije (Türkiye), 27090
        • Gaziantep University

Deelname Criteria

Onderzoekers zoeken naar mensen die aan een bepaalde beschrijving voldoen, de zogenaamde geschiktheidscriteria. Enkele voorbeelden van deze criteria zijn iemands algemene gezondheidstoestand of eerdere behandelingen.

Geschiktheidscriteria

Leeftijden die in aanmerking komen voor studie

  • Volwassen
  • Oudere volwassene

Accepteert gezonde vrijwilligers

Ja

Beschrijving

Inclusion Criteria:Aged 18 years or older Undergoing lower extremity surgery in the orthopedic clinic Able to communicate and understand the education provided Willing to participate in the study Able to complete all data collection tools (pre-test and post-test assessments)

Exclusion Criteria:

  • Patients who do not fully participate in the education program or data collection process Patients who withdraw from the study at any stage Patients who are readmitted to the hospital due to postoperative complications Patients with incomplete or missing data

Studie plan

Dit gedeelte bevat details van het studieplan, inclusief hoe de studie is opgezet en wat de studie meet.

Hoe is de studie opgezet?

Ontwerpdetails

  • Primair doel: Behandeling
  • Toewijzing: Gerandomiseerd
  • Interventioneel model: Parallelle opdracht
  • Masker: Geen (open label)

Wapens en interventies

Deelnemersgroep / Arm
Interventie / Behandeling
Experimenteel: Teach-Back Education Group
Participants will receive discharge education based on the Teach-Back method, including postoperative care, medication use, wound care, mobility, and complication prevention
Gedragsmatig: Teach-Back Education
Structured discharge education based on the Teach-Back method to improve patient understanding and adherence.
Actieve vergelijker: Routine Education Group
Participants will receive routine discharge education provided according to standard clinical practice.
Gedragsmatig: Routine Discharge Education
Standard discharge education provided in routine clinical care.

Wat meet het onderzoek?

Primaire uitkomstmaten

Uitkomstmaat
Maatregel Beschrijving
Tijdsspanne
Readiness for Hospital Discharge
Tijdsspanne: Immediately after training (Post-test) and 4 weeks after training (Follow-up)
Patients' readiness for hospital discharge will be assessed using the Readiness for Hospital Discharge Scale-Short Form. Higher scores indicate greater readiness for discharge
Immediately after training (Post-test) and 4 weeks after training (Follow-up)

Secundaire uitkomstmaten

Uitkomstmaat
Maatregel Beschrijving
Tijdsspanne
Patient Learning Needs
Tijdsspanne: At hospital discharge (Day of discharge, within 24 hours)
Patients' learning needs will be assessed using the Patient Learning Needs Scale (PLNS). Higher scores indicate greater perceived learning needs.
At hospital discharge (Day of discharge, within 24 hours)

Andere uitkomstmaten

Uitkomstmaat
Maatregel Beschrijving
Tijdsspanne
Post-discharge complications
Tijdsspanne: Within 15 days after discharge
The incidence of post-discharge complications will be assessed based on patient follow-up records.
Within 15 days after discharge

Medewerkers en onderzoekers

Hier vindt u mensen en organisaties die betrokken zijn bij dit onderzoek.

Sponsor

University of Gaziantep

Publicaties en nuttige links

De persoon die verantwoordelijk is voor het invoeren van informatie over het onderzoek stelt deze publicaties vrijwillig ter beschikking. Dit kan gaan over alles wat met het onderzoek te maken heeft.

Algemene publicaties

  • 1. Zhu Y, Yang B, Wang Y. Effects of comfort nursing combined with rehabilitation training on joint function, pain level and quality of life in patients with lower extremity fractures. Archives of Clinical Psychiatry [Internet]. 13 Eylül 2023 [a.yer 05 Haziran 2025];50(6). Erişim adresi: https://archivespsy.com/menu-script/index.php/ACF/article/view/1336 2. Bektaşoğlu B, Eyi̇ S. Alt Ekstremite Cerrahisi Geçiren Bireylerin Kolcaba'nın Konfor Kuramına Göre Bakımı. Hemşirelik Bilimi Dergisi. 25 Aralık 2021;4(3):148-55. 3. Zheng Y, Yan Q. Effect of application of short-form video health education on the health knowledge and satisfaction with nursing care of patients with lower extremity fractures. BMC Nurs. 20 Ekim 2023;22(1):395. 4. Talevski J, Shee AW, Rasmussen B, Kemp G, Beauchamp A. Teach-back: A systematic review of implementation and impacts. PLOS ONE. 14 Nisan 2020;15(4):e0231350. 5. Değer TB, Gönderen Çakmak HS, Cihan Erdoğan B, Değer MÖ. Effect of Insulin Pen Training Using the Teach-Back Method on Diabetes Self-Management, Quality of Life, and HbA1c Levels in Older Patients with Type 2 Diabetes: A Quasi-Experimental Study. Healthcare. Ocak 2024;12(18):1854. 6. Yen PH, Leasure AR. Use and Effectiveness of the Teach-Back Method in Patient Education and Health Outcomes. Fed Pract. Haziran 2019;36(6):284-9. 7. Lakens D. Calculating and reporting effect sizes to facilitate cumulative science: a practical primer for t-tests and ANOVAs. Frontiers in psychology. 2013;4:863. 8. [a.yer 23 Haziran 2025]. Erişim adresi: Abrams MA, Nielsen GA, Wilson A. Always Use Teach-back! Toolkit. 2024. https://teachbacktraining.org. 9. Use the Teach-Back Method: Tool #5 [Internet]. [a.yer 23 Haziran 2025]. Erişim adresi: https://www.ahrq.gov/health-literacy/improve/precautions/tool5.html 10. Sayar S. Ortopedi hastalarında taburculuk eğitimi ve yenilikçi uygulamalar. 2025 [a.yer 23 Haziran 2025]; Erişim adresi: https://acikerisim.karatay.edu.tr/yayinaea/pdf1449_67caf4d44955b.pd

Studie record data

Deze datums volgen de voortgang van het onderzoeksdossier en de samenvatting van de ingediende resultaten bij ClinicalTrials.gov. Studieverslagen en gerapporteerde resultaten worden beoordeeld door de National Library of Medicine (NLM) om er zeker van te zijn dat ze voldoen aan specifieke kwaliteitscontrolenormen voordat ze op de openbare website worden geplaatst.

Bestudeer belangrijke data

Studie start (Werkelijk)

1 oktober 2025

Primaire voltooiing (Werkelijk)

30 maart 2026

Studie voltooiing (Werkelijk)

30 maart 2026

Studieregistratiedata

Eerst ingediend

15 april 2026

Eerst ingediend dat voldeed aan de QC-criteria

22 april 2026

Eerst geplaatst (Werkelijk)

30 april 2026

Updates van studierecords

Laatste update geplaatst (Werkelijk)

30 april 2026

Laatste update ingediend die voldeed aan QC-criteria

22 april 2026

Laatst geverifieerd

1 april 2026

Meer informatie

Termen gerelateerd aan deze studie

Trefwoorden

Andere studie-ID-nummers

  • 2025/102 (Register-ID: Hasan Kalyoncu University Non-Interventional Ethics Committee)

Plan Individuele Deelnemersgegevens (IPD)

Bent u van plan om gegevens van individuele deelnemers (IPD) te delen?

NEE

Informatie over medicijnen en apparaten, studiedocumenten

Bestudeert een door de Amerikaanse FDA gereguleerd geneesmiddel

Nee

Bestudeert een door de Amerikaanse FDA gereguleerd apparaatproduct

Nee

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