Shenam Ticku, Olivia Watrous, Danielle Burgess, Yuanyuan Laura Luo, Sabina DSouza, Catherine Simpson, Kareem King, Christine A Riedy, Brittany Seymour
A Three Delays theoretical framework to describe social determinants as barriers to dental care
Community dentistry and oral epidemiology
telemedicine plays increasing role health care delivery providers expected receive adequate training effectively communicate patients telemedicine encounters teachback approach verifies patients understanding health care information provided health care professionals including patients design development teachback training content providers result relevant training content however limited number studies embrace patient engagement capacity none remote care settings aimed design evaluate feasibility patientcentered telehealthfocused teachback training family medicine residents promote use teachback remote visits codeveloped potential platform enhance teachback methods virtual care visits curriculum medical residents promote teachback remote visits patient participated development workshops videos patientprovider panel teachback conducted pilot 2arm cluster nonrandomized controlled trial family medicine residents intervention site n12 received didactic simulationbased training addition weekly cuestoaction assessment included pre postsurveys observations residents interviews patients providers assess differences pre postintervention scores among intervention group chisquare 1tailed tests used total 4 differenceindifference models constructed evaluate prepost differences intervention control groups following outcomes familiarity teachback importance teachback confidence teachback ability ease use teachback medical residents highly rated experience teachback training sessions mean 8610 residents 912 75 used plain language training simulations half asked roleplaying patient use words explain told encounter postintervention increase residents confidence ability use teachback mean 733 vs 783 p04 statistically significant difference familiarity perception importance ease use teachback none differenceindifference models statistically significant main barrier practicing teachback time constraints study highlights ways effectively integrate bestpractice training telehealth teachback skills medical residency program time pilot study points important opportunities improvement similar interventions future largerscale implementation efforts well ways mitigate providers concerns barriers incorporating teachback practice teachback impact remote practice increasing providers ability actively engage empower patients using features whiteboards chat rooms miniviews remote platform