Is "teach-back" associated with knowledge retention and hospital readmission in hospitalized heart failure patients?

The Journal of Cardiovascular Nursing
Matthew WhiteJill Howie-Esquivel

Abstract

Heart failure (HF) is a chronic and costly condition that affects approximately 5.8 million people in the United States, with an additional 670,000 diagnosed yearly. With high 30-day hospital readmission rates, the importance of determining effective means of preventing readmissions is imperative. Despite published guidelines emphasizing the importance of education in preventing readmissions, the most effective means of educating hospitalized patients with HF about their self-care remains unknown. The aim of this study was to determine if hospitalized HF patients educated with the teach-back method retain self-care educational information and whether it is associated with fewer hospital readmissions. A prospective cohort study design included 276 patients older than 65 years hospitalized with HF over a 13-month period. Patients were educated and evaluated using the teach-back method as part of usual care. Data on ability to recall educational information while hospitalized and during follow-up approximately 7 days after hospital discharge were collected. Readmissions were confirmed through follow-up telephone calls and review of medical records. Patients correctly answered 3 of 4, or 75%, of self-care teach-back questions 84.4%...Continue Reading

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