Document Detail


Literacy and Retention of Information After a Multimedia Diabetes Education Program and Teach-Back.
MedLine Citation:
PMID:  21951245     Owner:  NLM     Status:  Publisher    
Abstract/OtherAbstract:
Few studies have examined the effectiveness of teaching strategies to improve patients' recall and retention of information. As a next step in implementing a literacy-appropriate, multimedia diabetes education program (MDEP), the present study reports the results of two experiments designed to answer (a) how much knowledge is retained 2 weeks after viewing the MDEP, (b) does knowledge retention differ across literacy levels, and (c) does adding a teach-back protocol after the MDEP improve knowledge retention at 2-weeks' follow-up? In Experiment 1, adult primary care patients (n = 113) watched the MDEP and answered knowledge-based questions about diabetes before and after viewing the MDEP. Two weeks later, participants completed the knowledge assessment a third time. Methods and procedures for Experiment 2 (n = 58) were exactly the same, except that if participants answered a question incorrectly after watching the MDEP, they received teach-back, wherein the information was reviewed and the question was asked again, up to two times. Two weeks later, Experiment 2 participants completed the knowledge assessment again. Literacy was measured using the S-TOFHLA. After 2 weeks, all participants, regardless of their literacy levels, forgot approximately half the new information they had learned from the MDEP. In regression models, adding a teach-back protocol did not improve knowledge retention among participants and literacy was not associated with knowledge retention at 2 weeks. Health education interventions must incorporate strategies that can improve retention of health information and actively engage patients in long-term learning.
Authors:
Namratha R Kandula; Tiffany Malli; Charles P Zei; Emily Larsen; David W Baker
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Publication Detail:
Type:  JOURNAL ARTICLE    
Journal Detail:
Title:  Journal of health communication     Volume:  16     ISSN:  1087-0415     ISO Abbreviation:  -     Publication Date:  2011 Sep 
Date Detail:
Created Date:  2011-9-28     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9604100     Medline TA:  J Health Commun     Country:  -    
Other Details:
Languages:  ENG     Pagination:  89-102     Citation Subset:  -    
Affiliation:
a Division of General Internal Medicine, Feinberg School of Medicine, Northwestern University , Chicago , Illinois , USA.
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