Document Type : Original Article

Authors

1 Department of Community Medicine, School of Medicine, Hormozgan University of Medical Sciences, Bandar Abbas, Iran

2 Student Research Committee, Department of Nursing and Midwifery, Hormozgan University of Medical Sciences, Bandar Abbas, Iran

3 Department of Nursing, Faculty of Nursing and Midwifery, Hormozgan University of Medical Sciences, Bandar Abbas, Iran

Abstract

Background: Patients’ adherence to the therapeutic regimen predicts the success of treatment and reduces the complications and severity of the disease. The purpose of this study was to determine the effectiveness of an educational intervention based on Teach-back method with adherence to treatment in patients with type 2 diabetes.
Methods: We performed a quasi-experimental study on 90 patients with type 2 diabetes in the control and experimental groups. Data collection tools were a two-part questionnaire which consisted of the demographic information and the Mandaloo treatment adherence questionnaire with 40 questions. An educational intervention was performed for the members of the intervention group. One week and forty days after the intervention, the two groups filled out the treatment adherence questionnaire again. The gathered data were analyzed in SPSS software version 22 using statistical tests of Wilcoxon, Chisquare, Makhli, Ben Foroni, the repeated-measures variance of analysis, and independent t-test. The significance level in this study was considered less than 0.05.
Results: The mean scores of adherence to treatment in the training group before the intervention, one week, and forty days after the intervention were 120.52±11.49, 157.60±17.96, and 140.65±18.80, respectively; also, in the control group, the mean scores were 113.38±16.89, 150.67±18.58, and 145.02±18. 47, respectively. There was no difference in terms of adherence to treatment between the control and experiment groups (P=0.164).
Conclusion: The findings also showed that adherence to treatment in both groups in all three measurement times was at the fitness level.

Highlights

Saeed Hosseini Teshnizi (Google Scholar)

Aref Faghih (Google Scholar)

Keywords

  1. American Diabetes Association. 5. Lifestyle Management: Standards of Medical Care in Diabetes-2019. Diabetes Care. 2019;42(Suppl 1):S46-S60. doi: 10.2337/dc19-S005. PMID: 30559231.
  2. Jamalnia S, Javanmardifard S, Akbari H, Sadeghi E, Bijani M. Association Between Cognitive Impairment and Blood Pressure Among Patients with Type II Diabetes Mellitus in Southern Iran. Diabetes Metab Syndr Obes. 2020;13:289-296. doi: 10.2147/DMSO.S238247. PMID: 32104025. PMCID: PMC7008183.
  3. American Diabetes Association. 2. Classification and Diagnosis of Diabetes: Standards of Medical Care in Diabetes-2019. Diabetes Care. 2019;42(Suppl 1):S13-S28. doi: 10.2337/dc19-S002. PMID: 30559228.
  4. Agha MT, Sobhani AR, Yoosofi H, Asadinoghabi F. Behaviour and metabolic control of diabetic patients in Bandar Abbas diabetic clinic. Iranian J Publ Health. 2003;32:54-9.
  5. Moattari M, Jamalnia S, Mansoori P, Mani A, Dabbaghmanesh MH, Sayadi M. The prevalence of cognitive impairment in Patients with Type II Diabetes and its Relationship with Quality of Life, Self-Management Profiles, and HbA1c. Iranian Journal of Diabetes and Obesity. 2016;8(1):35-40.
  6. Dickinson JK, Guzman SJ, Maryniuk MD, O'Brian CA, Kadohiro JK, Jackson RA, et al. The Use of Language in Diabetes Care and Education. Diabetes Care. 2017;40(12):1790-99. doi: 10.2337/dci17-0041. PMID: 29042412.
  7. Shersher V, Haines TP, Sturgiss L, Weller C, Williams C. Definitions and use of the teach-back method in healthcare consultations with patients: A systematic review and thematic synthesis. Patient Educ Couns. 2021;104(1):118-129. doi: 10.1016/j.pec.2020.07.026. PMID: 32798080.
  8. Adam L, O'Connor C, Garcia AC. Evaluating the Impact of Diabetes Self-Management Education Methods on Knowledge, Attitudes and Behaviours of Adult Patients with Type 2 Diabetes Mellitus. Can J Diabetes. 2018;42(5):470-77.e2. doi: 10.1016/j.jcjd.2017.11.003. PMID: 29449096.
  9. Ha Dinh TT, Bonner A, Clark R, Ramsbotham J, Hines S. The effectiveness of the teach-back method on adherence and self-management in health education for people with chronic disease: a systematic review. JBI Database System Rev Implement Rep. 2016;14(1):210-47. doi: 10.11124/jbisrir-2016-2296. PMID: 26878928.
  10. Almkuist KD. Using Teach-Back Method to Prevent 30-Day Readmissions in Patients with Heart Failure: A Systematic Review. MedSurg Nursing. 2017;26(5).
  11. Awuah-Asamoah MS. Effects of Teach-Back Method of Education on Knowledge of Heart Failure Self-Care Management and Post-Discharge Knowledge Retention. 2019. Available at: https://hsrc.himmelfarb.gwu.edu/son_dnp/51.
  12. Yen PH, Leasure AR. Use and Effectiveness of the Teach-Back Method in Patient Education and Health Outcomes. Fed Pract. 2019;36(6):284-9. PMID: 31258322. PMCID: PMC6590951.
  13. Tanharo D, Ghods R, Pourrahimi M, Abdi M, Aghaii S, Vali N. Adherence to treatment in diabetic patients and its affecting factors. Pajouhan Scientific Journal. 2018;17(1):37-44. doi: 10.21859/psj.17.1.37.
  14. Lewis CP, Newell JN. Patients' perspectives of care for type 2 diabetes in Bangladesh -a qualitative study. BMC Public Health. 2014;14:737. doi: 10.1186/1471-2458-14-737. PMID: 25047797. PMCID: PMC4223568.
  15. Ghanbari AK, Tabrizi KN, Dalvandi A, Kavari SH, Noroozi M. Effect of an educational program based on the teach-back method on adherence to treatment regimen in dialysis patients with end stage renal disease referred to Sina Hospital during 2015-2016. Iranian Journal of Rehabilitation Research in Nursing. 2017;4(1):24-30.
  16. Seyed Fatemi N, Rafii F, Hajizadeh E, Modanloo M. Psychometric properties of the adherence questionnaire in patients with chronic disease: A mix method study. Koomesh. 2018;20(2):179-91.
  17. American Diabetes Association. Standards of medical care in diabetes—2019 abridged for primary care providers. Clinical diabetes: a publication of the American Diabetes Association. 2019;37(1):11.
  18. Tamura-Lis W. Teach-Back for quality education and patient safety. Urol Nurs. 2013;33(6):267-71,298. PMID: 24592519.
  19. Vermeire E, Wens J, Van Royen P, Biot Y, Hearnshaw H, Lindenmeyer A. Interventions for improving adherence to treatment recommendations in people with type 2 diabetes mellitus. Cochrane Database Syst Rev. 2005;2005(2):CD003638. doi: 10.1002/14651858.CD003638.pub2. PMID: 15846672. PMCID: PMC9022438.
  20. Shojaeezadeh D, Sharifirad G, Tol A, Mohajeri Tehrani MR, Alhani F. Effect of empowerment model on distress and diabetes control in patients with type 2 diabetes. 2012.
  21. Khosravi Bonjar A, Saravani-Aval S, Saleh-Moghadam AR, Delaramnasab M, Shahdadi H, Abdollahimohammad A, et al. The effect of e-learning on adherence to the therapeutic regimen in patients with type II diabetes. Journal of Diabetes Nursing. 2017;5(2):95-109.
  22. Jokar M, Oshvandi K, Seifi Z, Paki S. The Effect of Teach-back Communication Strategy on Improving Attitude Components of Type II Diabetic Patients: A Clinical Trial Study. Journal of Diabetes Nursing. 2016;4(4):30-42.