Effectiveness of the teach-back method in improving self-care activities in postmenopausal women

Abstract

IntroductionMenopause is a physiological process during which women can improve their quality of life by taking proper self-care measures. Performing self-care requires proper and effective training. The present study was conducted to investigate the effect of self-care training programs based on the teach-back method on the self-care status in postmenopausal women.Material and methodsThe present clinical trial was conducted in 2016 in Gonabad, in the east of Iran. Eighty postmenopausal women, whose last menstrual period was 1-5 years earlier, were randomly allocated to an intervention group (n = 40) and a control group (n = 40). The intervention group attended four 45-minute sessions of a training program based on the teach-back method on the principles of self-care during menopause, whereas the control group received no training. Knowledge and self-care status were assessed in all subjects before and one month after implementing the training program. The data were analysed in SPSS-20. P < 0.05 was set as the level of statistical significance.ResultsBefore the intervention, no significant differences were observed between the two groups in terms of demographic variables, including age, occupation, level of education, and the time elapsed since the last menstrual period (p > 0.05). No significant differences were observed between the two groups also in terms of the score of knowledge about menopause and self-care practice before the intervention (p > 0.05). The mean scores of knowledge and self-care were found to be significantly higher in the intervention group compared to those in the controls one month after the intervention (p < 0.0001 and p = 0.001, respectively). Statistically significant differences were observed between the two groups in terms of the change scores of knowledge and self-care practice before and one month after the intervention (p < 0.05).ConclusionsThe results showed that the self-care education program based on the teach-back method improves the self-care activities in postmenopausal women. It is therefore recommended that healthcare providers apply this method in menopausal care training programs.

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“… 24 , 27 , 28 However, clinical evidence shows that people recall and retain information better with the teach-back method; thus we adopted this approach. 40 , 41 , 42 , 43 , 44 …”

Teach-back: A systematic review of implementation and impacts

“…This teach-back enhanced education ranged from brief sessions to more complex training. Nine studies [38,41,43,46,48,49,51,53,54] comprised more than one education session over the study period (range 2-11); brochures or written information were given in five studies [39,42,47,53,57] to aid the teach-back process; and demonstration of a technique was used in two studies [47,55]. There were four studies in which teach-back was delivered as a less structured approach; two of these focused on training clinicians to use teach-back as part of their routine care [31,40], and two studies [44,56] trained nursing staff to use teach-back when providing discharge instructions in the ED (Table 2).…”

“…Of the 20 included studies, only 10 [39, 40, 44, 48, 51-54, 56, 57] reported sufficient information regarding implementation of teach-back. Of the remaining 10 studies, three [42,45,50] did not report any details related to implementation and seven [38,41,43,46,47,49,55] delivered teach-back via research staff, meaning that implementation strategies were not relevant in clinical practice, but for research purposes only (Table 2).…”

The effects of self-care education based on the health literacy index on self-care and quality of life among menopausal women: a randomized clinical trial

“…It is in fact a strategy to cope with life events and stressors. Advances in medical technology and increases in healthcare costs, importance of health maintenance by individuals and communities based on human needs, increasing personal responsibility towards personal health, and reduced availability of healthcare services due to population growth have turned SC into an important determinant of health and quality of life [ 16 ].…”