Associations between the use of teach-back (vs standard discharge care) and perceived self-management by older participants at home
| Items of the patient activation measure | Standard discharge* | Teach-back* | ||||
| (Strongly) Agree | (Strongly) Disagree | (Strongly) Agree | (Strongly) Disagree | OR (95% CI) | AOR (95% CI) | |
| 1.I understand the nature and causes of my health condition(s), n (%) | 63 (91.3) | 6 (8.7) | 60 (92.3) | 5 (7.7) | 1.14 (0.33 to 3.94) | NR† |
| 2.I know how to prevent further problems with my health condition, n (%) | 45 (76.3) | 14 (23.7) | 42 (80.8) | 10 (19.2) | 1.31 (0.52 to 3.26) | 1.36 (0.53 to 3.47)‡ |
| 3.I am confident that I can tell when I need to go get medical care and when I can handle a health problem myself, n (%) | 58 (82.9) | 12 (17.1) | 64 (98.5) | 1 (1.5) | 13.24 (1.67 to 105.01)§ | NR† |
| 4.I am confident that I can follow through on medical treatments I need to do at home, n (%) | 63 (92.6) | 5 (7.4) | 57 (90.5) | 6 (9.5) | 0.75 (0.22 to 2.61) | NR† |
*Participants who reported 'not applicable' are not included in the analysis: 3 (item 1), 26 (item 2), 2 (item 3) and 6 (item 4).
†Number of observations is too small to adjust for confounders.
‡Adjusted for comorbidity level (Charlson Comorbidity Index).
§p<0.05.
AOR, adjusted OR; ED, emergency department.