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Disc HerniationNCT05695014

Effect of Discharge Education on Discharge Readiness and Satisfaction

A study testing Teach Back Metod in people with Disc Herniation, run by Eastern Mediterranean University at 1 site in Cyprus.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
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Trial summary

Today, the increase in the cost of health services, the development of technology and the shortening of the hospitalization period day by day due to the reasons for preventing complications such as hospital infections have increased the importance of discharge planning. Read more about this study

Who is it for?
Ages 18 years and older
Conditions the study is for
Disc Herniation
What is being tested?
Teach Back Metod
Could I receive a placebo?
No, everyone receives an active treatment
How many people
68 participants
Where
1 siteCyprus
Study dates
2 Jan 2023to 31 Dec 2023
Phase
Interventional
Are there results?
None posted in the registry

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 18 years and older
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • over 18 years old Having undergone Lumbar Disc Herniation surgery, Patients who have the capacity to read and understand research guidelines

Who cannot join

  • Those who do not agree to participate in the research, Patients undergoing emergency surgery

Trial locations and contacts

1 site in 1 country.

Cyprus1 site
  • Eastern Mediterranean University, Health Sciences Faculty, Nursing Department

    Famagusta, None Selected, 99520

Other trials in Cyprus

About this study

Official title: On the Effect of Discharge Education on Discharge Readiness and Satisfaction Given by Teach Back Method to Patients With Lumbar Disc Herniation Surgery

Today, the increase in the cost of health services, the development of technology and the shortening of the hospitalization period day by day due to the reasons for preventing complications such as hospital infections have increased the importance of discharge planning. Optimum maintenance of home care of patients who underwent surgery after discharge is possible with an effective discharge education given to the patient and their relatives and the preparation of the patients. In this study, it was aimed to examine the effect of the discharge training given to the patients who underwent Lumbar Disc Herniation Surgery with the method of feedback on their readiness for discharge and their satisfaction with the discharge training.

Among the patient groups who were given and not trained by the teach-back method; H01. There is no difference between the scores of readiness for discharge. H02. There is no difference between discharge training satisfaction scores. H11: There is a difference between the scores of being ready for discharge. H12: There is a difference between discharge training satisfaction scores.

Read the detailed description

While the discharge plan and education of the surgical patient constitute an important part of nursing care, it is also an indispensable element in improving the patient's quality of life. Early discharge training after lumbar disc herniation surgery relieves the patient's anxiety and facilitates compliance with the treatment. Patients' readiness for discharge includes adequate recovery for safe discharge, physical stability, functional ability, ability to manage self-care at home, and coping skills. The primary aim of this study is to examine the effect of discharge training given by the Teach Back Method on patients with lumbar disc herniation surgery on their readiness for discharge. The second aim of the study is to determine the satisfaction of the patients in the group using the Teach Back Method at discharge training.

Method Study design and setting: This randomized controlled trial will conduct at the Neurosurgery Service of Famagusta State Hospital and the Neurosurgery Clinic of the Nicosia Doctor Burhan Nalbantoglu State Hospital.

Sampling: The sample size of the study, the significance level of the hypothesis and the effect size were taken into account and the statistical power calculation related to the analyzes was made on the G Power 3.1.9.4 computer program. In the calculation made, the number of units in the sample was calculated as at least 68 people, 34 in each group, under the assump tions of 95% confidence interval, 80% power, and effect size 0.50.

Randomization: Allocation software was used to allocate the participants into two groups with equal numbers. Patients who meet the inclusion criteria of the study will be interviewed in the patient room by the researcher at the time of their admission to the hospital, and written and verbal consents will be obtained from the patients. Patients will then be included in the control or intervention group according to the randomization table.

Intervention: For the patients in the control group, the Personal Data Collection Form and the Readiness to Discharge Scale and Knowledge test will be filled. The discharge training of the patients in the control group will be given by the health professionals responsible for their care and treatment according to their clinical routines. The patients in the intervention group, on the other hand, will be trained with the teach-back method after completing the Personal Data Collection Form, Knowledge Test, and the "Ready to Discharge Scale". In these trainings, "Discharge Training Booklet", which will be prepared by the researcher, will be used as training material. This booklet will include information about discharge after Lumbar Disc Herniation Surgery. Expert opinion will be taken for the booklet. On the day of discharge, the patients in both groups will be given the 'Ready to Discharge Scale' and the 'Discharge Training Satisfaction Scale' and Knowledge Test.

Data Collection Tools The data collection tools to be used in the research consist of four parts. In the first part, "Descriptive information form" which includes information about patients and the disease, "Discharge Training Satisfaction Scale" in the second part, "Ready to Discharge Scale" in the third part lastly there is a knowledge test prepared to evaluate the effectiveness of the discharge training given in the fourth part.

Descriptive information form: This form of patients; It is a data collection tool that includes socio-demographic characteristics such as date of birth, gender, marital status, education level, and items related to the patient's disease.

Discharge Training Satisfaction Scale: The scale was developed by Meşe and Köşgeroğlu in 2021. It consists of 21 items. The Cronbach α reliability coefficient for the overall scale was found to be 0.91. The scale was designed as a 5-point Likert scale. The scores that can be obtained from the scale range from 21 to 105. The scale has no cut off.

Scale of Readiness to Discharge: The short form (Readiness for Hospital Discharge Scale/Short Form) developed by Weiss and et al. in 2014 was used. The scale consists of eight items and four dimensions, and items in the scale are evaluated on a scale ranging from 0 to 10, and higher scores indicate greater readiness.

Discharge training knowledge test: In line with the literature, a knowledge test consisting of 20-25 questions will be prepared for the content of the discharge training. In this knowledge test, there will be questions containing correct and incorrect answers, and patients will be expected to tick True, False and No idea. Expert opinion will be taken about the knowledge test.

Statistical analysis Collected data will analyse using the Statistical Package for Social Sciences (SPSS) version 24.0 (IBM, Armonk, NY, USA). Descriptive characteristics of the participants will be presented by the frequency of the responses. Descriptive statistics, including mean, standard deviation, and minimum and maximum values, will be used to present the scores obtained from the scales and the knowledge questionnaire. The Kolmogorov-Smirnov test will be used to examine the suitability of the data for normal distribution. Pearson's chi-squared test and Fisher's exact test will be used to compare descriptive characteristics. If it fits the normal distribution, parametric tests will be used. If it does not fit the normal distribution, nonparametric tests will be used.

Conditions
Disc Herniation
Being tested
Teach Back Metod
Keywords
"discharge education", "teach back metod", "patients"
Medical subject headings
Intervertebral Disc Displacement

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • Teach Back MetodOther

    teach-back method is a way of checking understanding by asking patients to state in their own words what they need to know or do about their health. It is a way to confirm that you have explained things in a manner your patients understand.

Study groups in NCT05695014
Study groupRoleWhat they receive
Teach Back MetodExperimentalThe patients in the intervention group, on the other hand, will be trained with the teach-back method after completing the Personal Data Collection Form, Knowledge Test, and the "Ready to Discharge Scale". In these trainings, "Discharge Training Booklet", which will be prepared by the researcher, will be used as training material. This booklet will include information about discharge after Lumbar Disc Herniation Surgery.
Receives: Other: Teach Back Metod
ControlNo interventionThe discharge training of the patients in the control group will be given by the health professionals responsible for their care and treatment according to their clinical routines.

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. readiness for discharge

    Readiness to Discharge Scale will be used examine the effect of discharge training given by the Teach Back Method on patients with lumbar disc herniation surgery on their readiness for discharge.

    Measured: Change in Baseline readiness for discharge score at four days

Secondary outcomes (1)
  1. Knowledge test

    The discharge education knowledge test will be used to evaluate the patients' knowledge about their care in the post-discharge period.

    Measured: Change in Baseline Patient knowledge test at four days

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted23 Jan 2023
  2. Study start2 Jan 2023
  3. Primary completion30 Sep 2023
  4. Study completion31 Dec 2023

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase N/A
Primary purpose
Health services research
Allocation
Randomised
Intervention model
Parallel groups
Masking
Single blind
Who is masked
Participant
Enrolment
68 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT05695014
Sponsor's protocol ID
AG-1
Status last verified
Aug 2024
First submitted
13 Jan 2023
Last updated
28 Aug 2024
Results posted
No
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
No

Publications

  • He Q, Zhao J, Fan M, Wang F. Effect of continuous nursing based on wechat platform on postoperative rehabilitation of patients with lumbar disc herniation. Jpn J Nurs Sci. 2021 Apr;18(2):e12382. doi: 10.1111/jjns.12382. Epub 2020 Sep 28.

    PubMed 32985089
  • Moliterno JA, Knopman J, Parikh K, Cohan JN, Huang QD, Aaker GD, Grivoyannis AD, Patel AR, Hartl R, Boockvar JA. Results and risk factors for recurrence following single-level tubular lumbar microdiscectomy. J Neurosurg Spine. 2010 Jun;12(6):680-6. doi: 10.3171/2009.12.SPINE08843.

    PubMed 20515355
  • Talevski J, Wong Shee A, Rasmussen B, Kemp G, Beauchamp A. Teach-back: A systematic review of implementation and impacts. PLoS One. 2020 Apr 14;15(4):e0231350. doi: 10.1371/journal.pone.0231350. eCollection 2020.

    PubMed 32287296
  • Bahri N, Saljooghi S, Noghabi AD, Moshki M. Effectiveness of the teach-back method in improving self-care activities in postmenopausal women. Prz Menopauzalny. 2018 Mar;17(1):5-10. doi: 10.5114/pm.2018.74896. Epub 2018 Apr 11.

    PubMed 29725278
  • Shersher V, Haines TP, Sturgiss L, Weller C, Williams C. Definitions and use of the teach-back method in healthcare consultations with patients: A systematic review and thematic synthesis. Patient Educ Couns. 2021 Jan;104(1):118-129. doi: 10.1016/j.pec.2020.07.026. Epub 2020 Aug 1.

    PubMed 32798080
  • Prochnow JA, Meiers SJ, Scheckel MM. Improving Patient and Caregiver New Medication Education Using an Innovative Teach-back Toolkit. J Nurs Care Qual. 2019 Apr/Jun;34(2):101-106. doi: 10.1097/NCQ.0000000000000342.

    PubMed 30198943
  • Oh EG, Lee HJ, Yang YL, Kim YM. Effectiveness of Discharge Education With the Teach-Back Method on 30-Day Readmission: A Systematic Review. J Patient Saf. 2021 Jun 1;17(4):305-310. doi: 10.1097/PTS.0000000000000596.

    PubMed 30882616
  • Mollazadeh F MS, Hemmati Maslakpak M PhD. The Effect of Teach-Back Training on Self Management in Kidney Transplant Recipients: A Clinical Trial. Int J Community Based Nurs Midwifery. 2018 Apr;6(2):146-155.

    PubMed 29607343
  • Choi S, Choi J. Effects of the teach-back method among cancer patients: a systematic review of the literature. Support Care Cancer. 2021 Dec;29(12):7259-7268. doi: 10.1007/s00520-021-06445-w. Epub 2021 Jul 24.

    PubMed 34302545
  • Chandar JJ, Ludwig DA, Aguirre J, Mattiazzi A, Bielecka M, Defreitas M, Delamater AM. Assessing the link between modified 'Teach Back' method and improvement in knowledge of the medical regimen among youth with kidney transplants: The application of digital media. Patient Educ Couns. 2019 May;102(5):1035-1039. doi: 10.1016/j.pec.2018.12.007. Epub 2018 Dec 12.

    PubMed 30622001
  • Zabolypour S, Alishapour M, Behnammoghadam M, Abbasi Larki R, Zoladl M. A Comparison of the Effects of Teach-Back and Motivational Interviewing on the Adherence to Medical Regimen in Patients with Hypertension. Patient Prefer Adherence. 2020 Feb 26;14:401-410. doi: 10.2147/PPA.S231716. eCollection 2020.

    PubMed 32161450
  • Ghorbani B, Jackson AC, Noorchenarboo M, Mandegar MH, Sharifi F, Mirmoghtadaie Z, Bahramnezhad F. Comparing the Effects of Gamification and Teach-Back Training Methods on Adherence to a Therapeutic Regimen in Patients After Coronary Artery Bypass Graft Surgery: Randomized Clinical Trial. J Med Internet Res. 2021 Dec 10;23(12):e22557. doi: 10.2196/22557.

    PubMed 34890346
  • Gullet A, Tastan S. The Effect of Discharge Training Based on Teach-Back Method on Discharge Readiness and Satisfaction: A Randomized Controlled Trial. Worldviews Evid Based Nurs. 2025 Aug;22(4):e70062. doi: 10.1111/wvn.70062.

    PubMed 40698847

Questions about this trial

What is this clinical trial studying?

A study testing Teach Back Metod in people with Disc Herniation, run by Eastern Mediterranean University at 1 site in Cyprus.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 1 inclusion and 1 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: finished, as of the sponsor's last update on 28 Aug 2024. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 1 site in Cyprus. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

Are results available for this study?

The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

readiness for discharge (time frame: Change in Baseline readiness for discharge score at four days). It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT05695014, which also lists 13 linked publications.

Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 28 Aug 2024.

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