Relationship between Teach-back and patient-centered communication in primary care pediatric encounters

Adam Badaczewski, Laurie J. Bauman, Arthur E. Blank, Benard Dreyer, Mary Ann Abrams, Ruth E K Stein, Debra Roter, Jobayer Hossain, Hal Byck, Iman Sharif

Research output: Contribution to journalArticle

Abstract

Objective: We proposed and tested a theoretical framework for how use of Teach-back could influence communication during the pediatric clinical encounter. Methods: Audio-taped pediatric primary care encounters with 44 children with asthma were coded using the Roter Interaction Analysis System to measure patient-centered communication and affective engagement of the parent. A newly created Teach-back Loop Score measured the extent to which Teach-back occurred during the clinical encounter; parental health literacy was measured by Newest Vital Sign. Logistic regression was used to test the relationship between Teach-back and features of communication. Focus groups held separately with clinicians and parents elicited perceptions of Teach-back usefulness. Results: Teach-back was used in 39% of encounters. Visits with Teach-back had more patient centered communication (p = 0.01). Adjusting for parent health literacy, parent age, and child age, Teach-back increased the odds of both patient centered communication [proportional AOR (95% CI) = 4.97 (4.47-5.53)]and negative affect [AOR (95% CI) = 5.39 (1.68-17.31)]. Focus group themes common to clinicians and parents included: Teach-back is effective, could cause discomfort, should be used with children, and nurses should use it. Conclusions: Teach-back was associated with more patient-centered communication and increased affective engagement of parents. Practice implications: Standardizing Teach-back use may strengthen patient-centered communication.

Original languageEnglish (US)
JournalPatient Education and Counseling
DOIs
StateAccepted/In press - Aug 25 2016

Fingerprint

Primary Health Care
Communication
Pediatrics
Health Literacy
Parents
Teach-Back Communication
Focus Groups
Vital Signs
Asthma
Logistic Models
Nurses

Keywords

  • Communication
  • Global affect
  • Patient-centered
  • Teach-back

ASJC Scopus subject areas

  • Medicine(all)

Cite this

Badaczewski, A., Bauman, L. J., Blank, A. E., Dreyer, B., Abrams, M. A., Stein, R. E. K., ... Sharif, I. (Accepted/In press). Relationship between Teach-back and patient-centered communication in primary care pediatric encounters. Patient Education and Counseling. https://doi.org/10.1016/j.pec.2017.02.022

Relationship between Teach-back and patient-centered communication in primary care pediatric encounters. / Badaczewski, Adam; Bauman, Laurie J.; Blank, Arthur E.; Dreyer, Benard; Abrams, Mary Ann; Stein, Ruth E K; Roter, Debra; Hossain, Jobayer; Byck, Hal; Sharif, Iman.

In: Patient Education and Counseling, 25.08.2016.

Research output: Contribution to journalArticle

Badaczewski, Adam ; Bauman, Laurie J. ; Blank, Arthur E. ; Dreyer, Benard ; Abrams, Mary Ann ; Stein, Ruth E K ; Roter, Debra ; Hossain, Jobayer ; Byck, Hal ; Sharif, Iman. / Relationship between Teach-back and patient-centered communication in primary care pediatric encounters. In: Patient Education and Counseling. 2016.
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