Lower Extremity SurgeryNCT07558070
Effect of Teach-Back-Based Discharge Education in Lower Extremity Surgery Patients
A study testing Teach-Back Education and Routine Discharge Education in people with Lower Extremity Surgery and Patient Education, run by University of Gaziantep at 1 site in Turkey (Türkiye).
Trial summary
This study aims to determine the effect of discharge education based on the Teach-Back method on patients' learning needs and readiness for hospital discharge following lower extremity surgery. Read more about this study
- Who is it for?
- Ages 18 years and olderHealthy volunteers can take part
- Conditions the study is for
- Lower Extremity Surgery, Patient Education, Postoperative Care
- What is being tested?
- Teach-Back Education and Routine Discharge Education
- Type of treatment
- Lifestyle or therapy programme
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 64 participants
- Where
- 1 siteTurkey (Türkiye)
- Study dates
- 1 Oct 2025to 30 Mar 2026
- 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
- Healthy volunteers accepted
- Adult, Older adult
Who may be able to join
- 18 years or older
- Undergoing lower extremity surgery in the orthopedic clinic
- Able to communicate and understand the education provided
- Willing to participate in the study
- Able to complete all data collection tools (pre-test and post-test assessments)
Who cannot join
- Patients who do not fully participate in the education program or data collection process
- Patients who withdraw from the study at any stage
- Patients who are readmitted to the hospital due to postoperative complications
- Patients with incomplete or missing data
Trial locations and contacts
1 site in 1 country.
Turkey (Türkiye)1 site
Gaziantep University
Gaziantep, şehitkamil, 27090
About this study
Official title: The Effect of Teach-Back-Based Discharge Education on Learning Needs and Readiness for Hospital Discharge in Patients Undergoing Lower Extremity Surgery: An Experimental Study
This study aims to determine the effect of discharge education based on the Teach-Back method on patients' learning needs and readiness for hospital discharge following lower extremity surgery. Lower extremity surgeries are associated with pain, limited mobility, and decreased self-care ability, which may negatively affect recovery and quality of life. Effective discharge education is therefore essential to support postoperative recovery and continuity of care.
This randomized controlled experimental study will be conducted with patients undergoing lower extremity surgery in an orthopedic clinic. Participants will be randomly assigned to an intervention group receiving Teach-Back-based discharge education and a control group receiving routine discharge education. Data will be collected at three time points (before the intervention, at discharge, and 15 days after discharge) using standardized instruments, including the Readiness for Hospital Discharge Scale-Short Form and the Patient Learning Needs Scale.
The findings of this study are expected to contribute to improving discharge education practices, enhancing patient readiness for discharge, and reducing postoperative complications and unmet educational needs.
Read the detailed description
Lower extremity surgeries, including procedures such as fracture repair, arthroplasty, and arthroscopy, are commonly performed interventions that may lead to postoperative pain, limited mobility, and decreased functional capacity. These factors can negatively affect patients' self-care ability, recovery process, and overall quality of life. Effective discharge planning and patient education are therefore essential components of postoperative care, particularly in ensuring continuity of care and preventing complications after discharge.
The Teach-Back method is an evidence-based educational approach that involves asking patients to explain the information provided to them in their own words. This method enhances patient understanding, improves adherence to treatment plans, and reduces the risk of errors and complications. It also allows healthcare professionals to assess comprehension and provide additional clarification when needed.
This study is designed as a randomized controlled experimental study to evaluate the effect of Teach-Back-based discharge education on patients undergoing lower extremity surgery. The study will be conducted in the orthopedic clinic of a state hospital. Participants will be randomly assigned to either the intervention group or the control group using block randomization to ensure balanced group allocation.
Patients in the intervention group will receive structured discharge education based on the Teach-Back method, which includes explanations of postoperative care, medication use, pain management, wound care, mobility and exercise, prevention of complications such as thrombosis and infection, nutrition, and home care needs. Patients will be encouraged to repeat the information in their own words, and any misunderstandings will be corrected through re-education and reassessment. The control group will receive routine discharge education provided in the clinical setting.
Data will be collected at three time points: before the intervention (baseline), at the time of discharge, and 15 days after discharge during outpatient follow-up. Data collection tools include a Patient Information Form, the Readiness for Hospital Discharge Scale-Short Form, the Patient Learning Needs Scale (PLNS), and an Education Evaluation Form.
The primary outcomes of the study are patients' readiness for discharge and learning needs. Secondary outcomes include knowledge retention, complication awareness, and potential hospital readmission or adverse events during the follow-up period.
The findings of this study are expected to contribute to the development of effective, patient-centered discharge education strategies and to improve postoperative outcomes in patients undergoing lower extremity surgery.
- Being tested
- Teach-Back Education, Routine Discharge Education
- Keywords
- Teach-Back Method, Lower Extremity Surgery, Postoperative Care, Patient Education, Discharge Education
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
Teach-Back EducationBehavioural
Structured discharge education based on the Teach-Back method to improve patient understanding and adherence.
Routine Discharge EducationBehavioural
Standard discharge education provided in routine clinical care.
| Study group | Role | What they receive |
|---|---|---|
| Teach-Back Education Group | Experimental | Participants will receive discharge education based on the Teach-Back method, including postoperative care, medication use, wound care, mobility, and complication prevention Receives: Behavioral: Teach-Back Education |
| Routine Education Group | Active comparator | Participants will receive routine discharge education provided according to standard clinical practice. Receives: Behavioral: Routine Discharge Education |
What is being measured
The primary outcome is the main question the study is designed to answer.
Readiness for Hospital Discharge
Patients' readiness for hospital discharge will be assessed using the Readiness for Hospital Discharge Scale-Short Form. Higher scores indicate greater readiness for discharge
Measured: Immediately after training (Post-test) and 4 weeks after training (Follow-up)
Secondary outcomes (1)
Patient Learning Needs
Patients' learning needs will be assessed using the Patient Learning Needs Scale (PLNS). Higher scores indicate greater perceived learning needs.
Measured: At hospital discharge (Day of discharge, within 24 hours)
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted30 Apr 2026
- Study start1 Oct 2025
- Primary completion30 Mar 2026
- Study completion30 Mar 2026
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Publications (10)Papers the sponsor has linked to this study.
- Other trials for Lower Extremity SurgeryStudies of the same condition, open and under way.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
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
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Model description
- Participants will be randomly assigned to either the intervention group receiving Teach-Back-based discharge education or the control group receiving routine discharge education, in a parallel design
- Masking
- None (open label)
- Enrolment
- 64 participants (actual)
Sponsor and investigators
- Lead sponsor
- University of Gaziantep
- Sponsor type
- University, hospital or other
- Responsible party
- Principal investigator, Ezgi Dirgar, University of Gaziantep
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT07558070
- Sponsor's protocol ID
- 2025/102
- Other IDs
- 2025/102
- Status last verified
- Oct 2026
- First submitted
- 15 Apr 2026
- Last updated
- 29 Oct 2026
- Results posted
- No
- Data monitoring committee
- No
- FDA-regulated drug
- No
- FDA-regulated device
- No
- Individual data sharing
- No
Publications
10. Sayar S. Ortopedi hastalarında taburculuk eğitimi ve yenilikçi uygulamalar. 2025 [a.yer 23 Haziran 2025]; Erişim adresi: https://acikerisim.karatay.edu.tr/yayinaea/pdf1449_67caf4d44955b.pd . : . .
9. Use the Teach-Back Method: Tool #5 [Internet]. [a.yer 23 Haziran 2025]. Erişim adresi: https://www.ahrq.gov/health-literacy/improve/precautions/tool5.html
8. [a.yer 23 Haziran 2025]. Erişim adresi: Abrams MA, Nielsen GA, Wilson A. Always Use Teach-back! Toolkit. 2024. https://teachbacktraining.org.
Lakens D. Calculating and reporting effect sizes to facilitate cumulative science: a practical primer for t-tests and ANOVAs. Front Psychol. 2013 Nov 26;4:863. doi: 10.3389/fpsyg.2013.00863.
PubMed 24324449Yen PH, Leasure AR. Use and Effectiveness of the Teach-Back Method in Patient Education and Health Outcomes. Fed Pract. 2019 Jun;36(6):284-289.
PubMed 31258322Deger TB, Gonderen Cakmak HS, Cihan Erdogan B, Deger MO. Effect of Insulin Pen Training Using the Teach-Back Method on Diabetes Self-Management, Quality of Life, and HbA1c Levels in Older Patients with Type 2 Diabetes: A Quasi-Experimental Study. Healthcare (Basel). 2024 Sep 14;12(18):1854. doi: 10.3390/healthcare12181854.
PubMed 39337195Talevski 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 32287296Zheng Y, Yan Q. Effect of application of short-form video health education on the health knowledge and satisfaction with nursing care of patients with lower extremity fractures. BMC Nurs. 2023 Oct 20;22(1):395. doi: 10.1186/s12912-023-01530-3.
PubMed 378580802. Bektaşoğlu B, Eyi̇ S. Alt Ekstremite Cerrahisi Geçiren Bireylerin Kolcaba'nın Konfor Kuramına Göre Bakımı. Hemşirelik Bilimi Dergisi. 25 Aralık 2021;4(3):148-55.
1. Zhu Y, Yang B, Wang Y. Effects of comfort nursing combined with rehabilitation training on joint function, pain level and quality of life in patients with lower extremity fractures. Archives of Clinical Psychiatry [Internet]. 13 Eylül 2023 [a.yer 05 Haziran 2025];50(6). Erişim adresi: https://archivespsy.com/menu-script/index.php/ACF/article/view/1336
Study at a glance
From the registry record, last updated by the sponsor on 29 Oct 2026. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- The Effect of Teach-Back-Based Discharge Education on Learning Needs and Readiness for Hospital Discharge in Patients Undergoing Lower Extremity Surgery: An Experimental Study
- ClinicalTrials.gov ID
- NCT07558070
- Acronym / sponsor ID
- 2025/102
- Keywords
- Teach-Back Method, Lower Extremity Surgery, Postoperative Care, Patient Education, Discharge Education
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 64 participants (actual)
- Lead sponsor
- University of GaziantepUniversity, hospital or other
- Study start
- 1 Oct 2025 (actual)
- Primary completion
- 30 Mar 2026 (actual)
- Study completion
- 30 Mar 2026 (actual)
- First posted
- 30 Apr 2026 (actual)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
This study aims to determine the effect of discharge education based on the Teach-Back method on patients' learning needs and readiness for hospital discharge following lower extremity surgery. Lower extremity surgeries are associated with pain, limited mobility, and decreased self-care ability, which may negatively affect recovery and quality of life. Effective discharge education is therefore essential to support postoperative recovery and continuity of care.
This randomized controlled experimental study will be conducted with patients undergoing lower extremity surgery in an orthopedic clinic. Participants will be randomly assigned to an intervention group receiving Teach-Back-based discharge education and a control group receiving routine discharge education. Data will be collected at three time points (before the intervention, at discharge, and 15 days after discharge) using standardized instruments, including the Readiness for Hospital Discharge Scale-Short Form and the Patient Learning Needs Scale.
The findings of this study are expected to contribute to improving discharge education practices, enhancing patient readiness for discharge, and reducing postoperative complications and unmet educational needs.
Detailed description
Lower extremity surgeries, including procedures such as fracture repair, arthroplasty, and arthroscopy, are commonly performed interventions that may lead to postoperative pain, limited mobility, and decreased functional capacity. These factors can negatively affect patients' self-care ability, recovery process, and overall quality of life. Effective discharge planning and patient education are therefore essential components of postoperative care, particularly in ensuring continuity of care and preventing complications after discharge.
The Teach-Back method is an evidence-based educational approach that involves asking patients to explain the information provided to them in their own words. This method enhances patient understanding, improves adherence to treatment plans, and reduces the risk of errors and complications. It also allows healthcare professionals to assess comprehension and provide additional clarification when needed.
This study is designed as a randomized controlled experimental study to evaluate the effect of Teach-Back-based discharge education on patients undergoing lower extremity surgery. The study will be conducted in the orthopedic clinic of a state hospital. Participants will be randomly assigned to either the intervention group or the control group using block randomization to ensure balanced group allocation.
Patients in the intervention group will receive structured discharge education based on the Teach-Back method, which includes explanations of postoperative care, medication use, pain management, wound care, mobility and exercise, prevention of complications such as thrombosis and infection, nutrition, and home care needs. Patients will be encouraged to repeat the information in their own words, and any misunderstandings will be corrected through re-education and reassessment. The control group will receive routine discharge education provided in the clinical setting.
Data will be collected at three time points: before the intervention (baseline), at the time of discharge, and 15 days after discharge during outpatient follow-up. Data collection tools include a Patient Information Form, the Readiness for Hospital Discharge Scale-Short Form, the Patient Learning Needs Scale (PLNS), and an Education Evaluation Form.
The primary outcomes of the study are patients' readiness for discharge and learning needs. Secondary outcomes include knowledge retention, complication awareness, and potential hospital readmission or adverse events during the follow-up period.
The findings of this study are expected to contribute to the development of effective, patient-centered discharge education strategies and to improve postoperative outcomes in patients undergoing lower extremity surgery.
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- None (open label)
- Number of arms
- 2
- Model description
- Participants will be randomly assigned to either the intervention group receiving Teach-Back-based discharge education or the control group receiving routine discharge education, in a parallel design
| Arm | Type | Receives |
|---|---|---|
| Teach-Back Education Group | Experimental | Behavioral: Teach-Back EducationParticipants will receive discharge education based on the Teach-Back method, including postoperative care, medication use, wound care, mobility, and complication prevention |
| Routine Education Group | Active comparator | Behavioral: Routine Discharge EducationParticipants will receive routine discharge education provided according to standard clinical practice. |
Who may qualify
- Ages
- 18 years and older
- Sex
- All
- Healthy volunteers
- Accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (5 listed)
- 18 years or older
- Undergoing lower extremity surgery in the orthopedic clinic
- Able to communicate and understand the education provided
- Willing to participate in the study
- Able to complete all data collection tools (pre-test and post-test assessments)
Key exclusion criteria (4 listed)
- Patients who do not fully participate in the education program or data collection process
- Patients who withdraw from the study at any stage
- Patients who are readmitted to the hospital due to postoperative complications
- Patients with incomplete or missing data
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| Teach-Back EducationStructured discharge education based on the Teach-Back method to improve patient understanding and adherence. | Behavioural | Teach-Back Education Group |
| Routine Discharge EducationStandard discharge education provided in routine clinical care. | Behavioural | Routine Education Group |
Primary outcome
Readiness for Hospital Discharge
Time frame: Immediately after training (Post-test) and 4 weeks after training (Follow-up)
Patients' readiness for hospital discharge will be assessed using the Readiness for Hospital Discharge Scale-Short Form. Higher scores indicate greater readiness for discharge
1 secondary outcome
Patient Learning Needs
Time frame: At hospital discharge (Day of discharge, within 24 hours)
Results and safety
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 29 Oct 2026.
- Background10. Sayar S. Ortopedi hastalarında taburculuk eğitimi ve yenilikçi uygulamalar. 2025 [a.yer 23 Haziran 2025]; Erişim adresi: https://acikerisim.karatay.edu.tr/yayinaea/pdf1449_67caf4d44955b.pd . : . .
- Background9. Use the Teach-Back Method: Tool #5 [Internet]. [a.yer 23 Haziran 2025]. Erişim adresi: https://www.ahrq.gov/health-literacy/improve/precautions/tool5.html
- Background8. [a.yer 23 Haziran 2025]. Erişim adresi: Abrams MA, Nielsen GA, Wilson A. Always Use Teach-back! Toolkit. 2024. https://teachbacktraining.org.
- Background: PubMed 24324449Lakens D. Calculating and reporting effect sizes to facilitate cumulative science: a practical primer for t-tests and ANOVAs. Front Psychol. 2013 Nov 26;4:863. doi: 10.3389/fpsyg.2013.00863.
- Background: PubMed 31258322Yen PH, Leasure AR. Use and Effectiveness of the Teach-Back Method in Patient Education and Health Outcomes. Fed Pract. 2019 Jun;36(6):284-289.
- Background: PubMed 39337195Deger TB, Gonderen Cakmak HS, Cihan Erdogan B, Deger MO. Effect of Insulin Pen Training Using the Teach-Back Method on Diabetes Self-Management, Quality of Life, and HbA1c Levels in Older Patients with Type 2 Diabetes: A Quasi-Experimental Study. Healthcare (Basel). 2024 Sep 14;12(18):1854. doi: 10.3390/healthcare12181854.
- Background: PubMed 32287296Talevski 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.
- Background: PubMed 37858080Zheng Y, Yan Q. Effect of application of short-form video health education on the health knowledge and satisfaction with nursing care of patients with lower extremity fractures. BMC Nurs. 2023 Oct 20;22(1):395. doi: 10.1186/s12912-023-01530-3.
- Background2. Bektaşoğlu B, Eyi̇ S. Alt Ekstremite Cerrahisi Geçiren Bireylerin Kolcaba'nın Konfor Kuramına Göre Bakımı. Hemşirelik Bilimi Dergisi. 25 Aralık 2021;4(3):148-55.
- Results publication1. Zhu Y, Yang B, Wang Y. Effects of comfort nursing combined with rehabilitation training on joint function, pain level and quality of life in patients with lower extremity fractures. Archives of Clinical Psychiatry [Internet]. 13 Eylül 2023 [a.yer 05 Haziran 2025];50(6). Erişim adresi: https://archivespsy.com/menu-script/index.php/ACF/article/view/1336
- Individual participant dataSharing planned: No
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
The record lists no contact. Use the official record to reach the sponsor.
1 site in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A study testing Teach-Back Education and Routine Discharge Education in people with Lower Extremity Surgery and Patient Education, run by University of Gaziantep at 1 site in Turkey (Türkiye).
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 5 inclusion and 4 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 29 Oct 2026. 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 Turkey (Türkiye). 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 Hospital Discharge (time frame: Immediately after training (Post-test) and 4 weeks after training (Follow-up)). 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 NCT07558070, which also lists 10 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 29 Oct 2026.