Clinical trial NCT04377971: Teach-back Method on Patient Satisfaction and Adherence to Wound Care Regimen
Official title: The Effectiveness of the Teach-back Method on Patient Satisfaction and Adherence to Wound Care Regimen After Mohs Micrographic Surgery: A Pilot Study
Study type: INTERVENTIONAL
Overall status: COMPLETED
Phase: NA
Conditions: Keratinocyte Carcinoma
Keywords: Mohs Micrographic
Lead sponsor: Case Comprehensive Cancer Center
Sponsor class: OTHER
First posted: 2020-05-07
Enrollment: 40
Sex: ALL
Minimum age (years): 18
Maximum age (years): 100
Standard ages: ADULT
OLDER_ADULT
Accepts healthy volunteers: no
Allocation: RANDOMIZED
Intervention model: PARALLEL
Primary purpose: SUPPORTIVE_CARE

Brief summary: 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.

Detailed 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

Eligibility criteria: 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

Primary outcomes:
measure: Wound care adherence as measured by wound care adherence survey
timeFrame: 1 week
Secondary outcomes:
measure: Patient experience as measured by participant satisfaction survey
timeFrame: At 2 weeks
measure: Number of phone calls made post-operatively by participants
timeFrame: At 2 weeks
measure: Complication incidence post-operatively
timeFrame: At 2 weeks
measure: Wound care adherence as measured by wound care adherence survey
timeFrame: At 2 weeks
Other outcomes:
Locations:
city: Cleveland
country: United States
facility: University Hospitals Cleveland Medical Center, Case Comprehensive Cancer Center
state: Ohio
Study officials:
affiliation: University Hospitals Cleveland Medical Center, Case Comprehensive Cancer Center
name: Christina Wong, MD
role: PRINCIPAL_INVESTIGATOR
References: