A stepped wedge cluster randomised trial of nurse-delivered Teach-Back in a consumer telehealth service.

ABSTRACT:

Objective

To evaluate the impact of Teach-Back on communication quality in a national telephone-based telehealth service, for callers varying in health literacy.

Design

Cross-sectional stepped wedge cluster randomised trial with continuous recruitment, short (fixed) exposure and blinded outcome assessors. Nurses were stratified by hours worked and randomised into training groups using a computer generated sequence.

Setting

An Australian national pregnancy and parenting telephone helpline.

Intervention

Complex intervention involving a single 2-hour group Teach-Back training session, combined with ongoing nurse self-reflection on their communication following each call and each shift.

Participants

Participants were 637 callers to the telephone helpline age

SUBMITTER: Morony S 

PROVIDER: S-EPMC6209310 | biostudies-literature | 2018

REPOSITORIES: biostudies-literature