Objectives: Teach-back methods are reported to improve patient outcomes by encouraging patient understanding and participation and are increasingly being used in various clinical settings. This study attempts to identify the effectiveness of discharge education using the teach-back method on 30-day readmission. Methods: MEDLINE, CINAHL, Embase, The Cochrane Library, and Web of Sciencewere used to search experimental studies. The search terms were "discharged patient," "teach-back," and "30-day readmission" published in English up until July 2017. Two trained reviewers performed a critical appraisal of retrieved studies using the Risk of Bias Assessment tool for Nonrandomized Studies. Data were analyzed using Cochrane Review Manager (Revman) software 5.2. Results: A total of five studieswere analyzed (3 studies on heart failure, 1 study on total joint replacement, and 1 study on a coronary artery bypass graft). The main content of the teach-back education was to confirm and reinforce the patients' comprehension of health-related information. Among the five studies, three studies were included in the meta-analysis. The odds ratio of 30-day readmission for discharge education with the teach-back method and usual care was 0.55 (95% confidence interval, 0.34-0.91; P = 0.02).The I2 score was 0%, which means that the analyzed studies are homogeneous. Conclusions: The results indicate that discharge education with the teach-back method resulted in a 45% reduction in 30-day readmission. However, only a few studieswere included in the analysis, and they showed a high risk of selection bias. Therefore, we suggest that well-designed randomized controlled trials be conducted.
Bibliographical noteFunding Information:
From the *College of Nursing,·Mo-Im Kim Nursing Research Institute,·Yonsei Evidence Based Nursing Center of Korea: A Joanna Briggs Institute Center of Excellence, Yonsei University; †College of Nursing,·Mo-Im Kim Nursing Research Institute, Yonsei University; and ‡College of Nursing, Graduate School, Yonsei University, Seoul, Korea. Correspondence: Name: Eui Geum Oh, PhD, 50–1 Yonsei-ro, Seodaemun-gu, Seoul, 03722, Republic of Korea (e‐mail: email@example.com). This study was supported by Basic Science Research Program through the National Research Foundation of Korea (NRF) funded by the Ministry of Science and ICT (NRF-2017R1A2B4009844). Supplemental digital contents are available for this article. Direct URL citations appear in the printed text and are provided in the HTML and PDF versions of this article on the journal’s Web site (www.journalpatientsafety.com). Copyright © 2019 Wolters Kluwer Health, Inc. All rights reserved.
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All Science Journal Classification (ASJC) codes
- Leadership and Management
- Public Health, Environmental and Occupational Health