Adam Badaczewski|Laurie J. Bauman|Arthur E. Blank|Benard P. Dreyer|Mary Ann Abrams|Ruth E.K. Stein|Debra Roter|Jobayer Hossain|Hal Byck|Iman Sharif
Relationship between Teach-back and patient-centered communication in primary care pediatric encounters
Alfred I. duPont Hospital for Children|Children's Hospital at Montefiore|Albert Einstein College of Medicine|Children's Hospital at Montefiore|Albert Einstein College of Medicine|New York University|Nationwide Children's Hospital|The Ohio State University|Children's Hospital at Montefiore|Albert Einstein College of Medicine|Johns Hopkins University|Alfred I. duPont Hospital for Children|Thomas Jefferson University|Alfred I. duPont Hospital for Children|Thomas Jefferson University|Alfred I. duPont Hospital for Children
proposed tested theoretical framework use teachback could influence communication pediatric clinical encounter audiotaped pediatric primary care encounters 44 children asthma coded using roter interaction analysis system measure patientcentered communication affective engagement parent newly created teachback loop score measured extent teachback occurred clinical encounter parental health literacy measured newest vital sign logistic regression used test relationship teachback features communication focus groups held separately clinicians parents elicited perceptions teachback usefulness teachback used 39 encounters visits teachback patient centered communication p 001 adjusting parent health literacy parent age child age teachback increased odds patient centered communication proportional aor 95 ci 497 447553and negative affect aor 95 ci 539 1681731 focus group themes common clinicians parents included teachback effective could cause discomfort used children nurses use teachback associated patientcentered communication increased affective engagement parents standardizing teachback use may strengthen patientcentered communication