Teach-back Method on Patient Satisfaction and Adherence to Wound Care Regimen

Case Comprehensive Cancer Center (Case CCC)

Status: Completed

Conditions: Keratinocyte Carcinoma

Treatments: Other: Participant satisfaction survey; Behavioral: SOC education; Behavioral: Ask-tell-ask education; Other: Wound care adherence survey

Study type: Interventional

Funder types: Other

Identifiers

NCT04377971

CASE1620

Details and patient eligibility

About

The purpose of this study is to examine a different way to educate patients about taking care of their wound and see how this method affects patient satisfaction, compliance to the wound care regimen, and patient experience.

The teach-back method is delivered using the ask-tell-ask method. Investigators will ask the patient about their knowledge of wound care healing, provide the patient educational component, then ask the patient to repeat what was said. If the answer is wrong or incomplete, the researcher will go over the information again with the patient to clear up any misunderstandings.

Full description

Patients undergoing Mohs Micrographic surgery for skin cancers on the lower extremities for the first time that are left to heal by secondary intention are randomized either to receive a scripted teach-back session or a standard of care wound care education. This study wishes to compare wound care adherence, patient experience, wound complications, and the number of phone calls made by patients to the office between the two cohorts

primary objective is to determine whether study participants who have received the teach-back method have an increase wound care adherence at one week post-operatively, compared to those who received the standard of care.

To characterize differences in the patient experience between the two interventional groups 2 weeks after surgery.

To determine whether the number of phone calls made post-operatively by patients will decrease in a 2 week follow-up time period.

To characterize the differences in patient wound care adherence at 2 weeks after surgery.

To determine whether there is a difference in complication incidence post-operatively

Enrollment: 40 patients

Sex: All

Ages: 18 to 100 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• Presenting to outpatient Mohs clinic at University Department of Dermatology, Two Chagrin Highlands for the first time
• Have excision(s) from Mohs Micrographic Surgery on the lower extremities that are left to heal by secondary intention
• English-speaking

Exclusion criteria

• Non-English speaking
• A clinical diagnosis of mental, learning, and visual disabilities
• A clinical diagnosis of dementia
• Those who have received Mohs Micrographic Surgery before regardless of area

Trial design

Primary purpose: Supportive Care

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Single Blind

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40 participants in 2 patient groups

Ask-tell-ask method

Experimental group

Description:

Study team will provide participant education using the ask-tell-ask method. Participants will receive a post-operative instruction sheet containing detailed information regarding wound care for reference and will receive a phone call at 1 week to inquire about wound care adherence. Participants will come to clinic at 2 weeks to have wounds assessed in addition to answering surveys regarding wound care adherence and participant experience.

Treatment:

Other: Wound care adherence survey

Behavioral: Ask-tell-ask education

Other: Participant satisfaction survey

Standard of Care (SOC)

Active Comparator group

Description:

Participants will receive SOC education from the researcher. Participants will receive a post-operative instruction sheet containing detailed information regarding wound care for reference and will receive a phone call at 1 week to inquire about wound care adherence. Participants will come to clinic at 2 weeks to have wounds assessed in addition to answering surveys regarding wound care adherence and participant experience.

Treatment:

Other: Wound care adherence survey

Behavioral: SOC education

Other: Participant satisfaction survey