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The Use of Teach Back at Hospital Discharge to Support Self-Management of Prescribed Medication for Secondary Prevention after Stroke-Findings from A Feasibility Study
Karolinska Institutet, Stockholm; Karolinska University Hospital, Stockholm.
Karolinska Institutet, Stockholm; Karolinska University Hospital, Stockholm.
Karolinska Institutet, Stockholm; Karolinska University Hospital, Stockholm.
Karolinska Institutet, Stockholm; Academic Primary Health Care Centre, Region Stockholm, Stockholm.
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2023 (English)In: Healthcare, E-ISSN 2227-9032, Vol. 11, no 3, article id 391Article in journal (Refereed) Published
Abstract [en]

The study aimed to investigate whether a structured discharge letter and the use of the person-centred communication method Teach Back for sharing information at hospital discharge could support perceived understanding and knowledge of and adherence to prescribed medication for secondary prevention after stroke. Data from a feasibility study of a codesigned care transition support for people with stroke was used. Patients who at discharge received both a structured discharge letter and participated in the person-centred communication method Teach Back (n = 17) were compared with patients receiving standard discharge procedures (n = 21). Questionnaires were used to compare the groups regarding perceived understanding of information about medical treatment, knowledge of information about medical treatment and medication adherence at 1 week and 3 months. There was a statistically significant difference in perceived understanding of information about medical treatment (p > 0.01) between the groups in favour of those who participated in Teach Back at the discharge encounter. No differences between groups were found regarding understanding health information about medical treatment and medication adherence. The results indicate that the use of Teach Back at the discharge encounter positively impacts perceived understanding of information about medical treatment in people with stroke. However, considering the nonrandomised study design and the small sample size, a large-scale trial is needed.

Place, publisher, year, edition, pages
2023. Vol. 11, no 3, article id 391
Keywords [en]
care transitions, communication, health literacy, medication adherence, patient discharge, rehabilitation
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Nursing
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URN: urn:nbn:se:du-45448DOI: 10.3390/healthcare11030391ISI: 000930309100001PubMedID: 36766966Scopus ID: 2-s2.0-85147829871OAI: oai:DiVA.org:du-45448DiVA, id: diva2:1736770
Available from: 2023-02-14 Created: 2023-02-14 Last updated: 2023-03-23Bibliographically approved

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Citation style
  • apa
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  • vancouver
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  • chicago-note-bibliography
  • Other style
More styles
Language
  • de-DE
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  • nn-NB
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Output format
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