Presentation on theme: "Health Literacy and use of Teach-Back for patient education"— Presentation transcript:
1 Health Literacy and use of Teach-Back for patient education ListenLearnSpeakHealth Literacy and use of Teach-Back for patient educationImproving the engagement of the patient in their own care.
2 Hidden Barriers to Communicating with Patients Clients/Patients:Education/ Literacy/ LanguageHealth Literacy:Capacity to:Obtain, process, understand basic health information and servicesMake appropriate healthcare decisions (act on information)Access/ navigate healthcare system
3 Red Flags for Low Literacy in patients Frequently missed appointmentsIncomplete registration formsNon-compliance with medicationUnable to name medications, explain purpose or dosingIdentifies pills by looking at them, not reading labelUnable to give coherent, sequential historyAsk fewer questionsLack of follow-through on tests or referrals
4 Strategies to Improve Patient Understanding Focus on ‘need-to-know’ & ‘need-to-do’What specifically do they need to do for themselves at home? Limit instructions to most importantCover more at next appointmentUse “Teach Back” (examples to follow in this presentation)Demonstrate/ draw pictures -Use clearly written education materialsTake 2 pills each morning
5 8 tips for Clinicians Use plain language Limit information (2-4 key points)Be specific and concrete, not generalDemonstrate, draw pictures, use modelsRepeat/SummarizeAvoid questions with YES/NO responses – use open ended questions.Teach-Back (Confirm Understanding)Be positive, hopeful, empowering
6 Focus on “Need-to-know” & “Need-to-do” What do patients need to know/do…?When they leave the exam roomWhen they check outWhat do they need to know about going home?Taking medicinesSelf-careReferrals and follow-upsFilling out forms
7 Examples of Plain Language Commonly used termsPlain Language TermsAnnuallyArthritisCardiovascularDermatologistDiabetesHypertensionYearly or every yearPain in jointsHaving to do with the heartSkin doctorElevated sugar in the bloodHigh blood pressure
8 Teach-back is…Asking patients to repeat in their own words what they need to know or do, in a non-shaming way.● NOT a test of the patient, but of how well YOU explained a concept.A chance to check for understanding and, if necessary, re-teach the information.
9 “Teach-back”Ensuring agreement and understanding about the care plan is essential to achieving adherenceSome evidence that use of “teach-back” is associated with improved patient engagement in their own care.Example script:“I want to make sure I explained it correctly. Can you tell me in your words how you understand the plan?”
10 A means to know if patient is really understanding instructions.
11 Ask patients to demonstrate understanding, using their own words: ● “I want to be sure I explained everything clearly. Canyou please explain it back to me so I can be sure Idid?”● “What will you tell your husband about the changeswe made to your blood pressure medicines today?”● “We’ve gone over a lot of information about getting more exercise in your day. In your own words, tell me some of the ways you can get more exercise. How will you make it work at home?”
12 TEACHBACK Scripting: Can you tell me how you take each medicine TEACHBACK Scripting: Can you tell me how you take each medicine? When do you take these medicines? How much or how many do you take?
13 Show me how many pills you would take in 1 day.
14 In Summary: Plain Language How much will you take in the morning? Opportunity to re-teach if needed.When do you call your doctor?