Holcomb Jennifer, Ferguson Gayla M, Thornton Logan, Highfield Linda
Department of Management, Policy and Community Health, The University of Texas Health Science Center at Houston (UTHealth) School of Public Health, Houston, TX, United States.
Division of Population Health and Evidence-Based Practice, Healthcare Transformation Initiatives, The University of Texas Health Science Center at Houston (UTHealth) John P. and Kathrine G. McGovern Medical School, Houston, TX, United States.
Front Med (Lausanne). 2022 Nov 3;9:918686. doi: 10.3389/fmed.2022.918686. eCollection 2022.
Teach Back is a commonly used communication method to improve patient understanding and retention of health information. The method has been shown to be effective in improving patient and healthcare system outcomes, including patient health literacy and hospital readmissions. Community health workers (CHWs) are frontline healthcare workers who can help address patient health and social needs associated with hospital readmissions. However, a gap exists in Teach Back curricula and training methods reflecting the scope of work for CHWs. The objective of this training was to provide CHWs with didactic information and skill building practice curriculum focused on the integration of Teach Back into clinical patient interactions, care coordination, and follow-up support. A multidisciplinary team of academic and clinical partners at a large academic health university developed, implemented, and evaluated a 3-week pilot Teach Back training with CHWs through a quality improvement approach. The CHWs reported overall satisfaction with the training and instructors. The academic clinical partnership allowed the training to be tailored to the daily clinical workflow as reflected in the CHWs agreement that the training was relevant and practical. With the repeated exposure to Teach Back each week, the CHWs also reported an increase in confidence and conviction in using Teach Back. Additional implementation and evaluation of the training curriculum for CHWs is needed to gain further insights into Teach Back and training best practices and translation into practice.
反馈教学法是一种常用的沟通方法，用于提高患者对健康信息的理解和记忆。该方法已被证明在改善患者和医疗系统的结局方面是有效的，包括患者的健康素养和医院再入院率。社区卫生工作者（CHWs）是一线医疗工作者，他们可以帮助解决与医院再入院相关的患者健康和社会需求。然而，在反映社区卫生工作者工作范围的反馈教学法课程和培训方法方面存在差距。本次培训的目的是为社区卫生工作者提供侧重于将反馈教学法融入临床患者互动、护理协调和后续支持的教学信息和技能培养实践课程。一所大型学术健康大学的多学科团队的学术和临床合作伙伴通过质量改进方法，为社区卫生工作者开展了为期3周的反馈教学法试点培训，并进行了评估。社区卫生工作者对培训和教员总体满意。学术临床合作伙伴关系使培训能够根据日常临床工作流程进行调整，这体现在社区卫生工作者认为培训相关且实用的共识中。随着每周对反馈教学法的反复接触，社区卫生工作者还报告说，他们在使用反馈教学法时的信心和信念有所增强。需要对社区卫生工作者培训课程进行进一步的实施和评估，以深入了解反馈教学法和培训最佳实践，并将其转化为实际应用。
