Pathways of Teach-Back Communication to Health Outcomes Among Individuals With Diabetes: A Pathway Modeling.

Autor:	Hong YR; University of Florida, Gainesville, FL, USA., Jo A; University of Florida, Gainesville, FL, USA., Huo J; University of Florida, Gainesville, FL, USA., Cardel MI; University of Florida, Gainesville, FL, USA., Mainous AG 3rd; University of Florida, Gainesville, FL, USA.
Jazyk:	angličtina
Zdroj:	Journal of primary care & community health [J Prim Care Community Health] 2022 Jan-Dec; Vol. 13, pp. 21501319211066658.
DOI:	10.1177/21501319211066658
Abstrakt:	Teach-back method can help promote interactive communication between patients and providers. However, the mechanism of how teach-back operates in routine care is uninvestigated. Using pathway analysis, we explored the potential pathways of patient teach-back to health outcomes among individuals with diabetes. Study sample included 2901 US adults with diabetes ascertained from the 2011 to 2016 Longitudinal Medical Expenditure Panel Survey. Our pathway model analysis showed that patient teach-back was associated with better interaction with providers, shared decision-making, and receiving lifestyle advice. Teach-back had a direct negative effect on condition-specific hospitalization and indirect negative effects through lifestyle advice and diabetic complication. Teach-back method may promote active interactions between patients and providers by creating an opportunity to be more engaged in shared decision-making and receive additional health advice from providers. These improvements seem to be associated with a reduction in risks for complications and related hospitalization.
Databáze:	MEDLINE
Externí odkaz:	Zobrazit plný text záznamu