• J Am Board Fam Med · Nov 2020

    Association of Patient-Provider Teach-Back Communication with Diabetic Outcomes: A Cohort Study.

    • Young-Rock Hong, Jinhai Huo, Ara Jo, Michelle Cardel, and Arch G Mainous.
    • From the Department of Health Services Research, Management and Policy, University of Florida, Gainesville (YRH, JH, AJ, AGM); Department of Health Outcomes and Biomedical Informatics, University of Florida, Gainesville (MC); Department of Community Health and Family Medicine, University of Florida, Gainesville (AGM).
    • J Am Board Fam Med. 2020 Nov 1; 33 (6): 903-912.

    Background And ObjectivesThe purpose of this study is to examine the patterns of patient teach-back experience (also known as "interactive communication loop") and determine its association with risk for diabetic complications and hospitalization, and health expenditures among individuals with diabetes.MethodsA retrospective cohort study of 2901 US adults aged 18 years or older with a confirmed diagnosis of diabetes was conducted using data from the 2011 to 2016 Longitudinal Medical Expenditure Panel Survey. Survey-design adjusted multivariable models were used to examine whether having patient teach-back experience at the baseline year (Year 1) is associated with development of diabetic complications, hospitalization, and health expenditure at follow-up year (Year 2). Health expenditures were adjusted for inflation and expressed in 2017 US dollars. All adjusted models included patient sociodemographic and clinical characteristics.ResultsAnalyses found that patients with teach-back experience were less likely to develop diabetic complications (adjusted odds ratio [AOR], 0.70; 95% CI, 0.52-0.96) and be admitted to the hospital due to diabetic complications (AOR, 0.51; 95% CI, 0.29-0.88) at 1-year followup. Patients having teach-back experience also had a significantly smaller increase in total expenditures of $1920 compared with those not having teach-back of $3639 (a differential change of -$1579; 95% CI, -$1717 to -$1443; P < .001).ConclusionsTeach-back could be an effective communication strategy that has potential to improve health outcomes, resulting in savings in diabetes care.© Copyright 2020 by the American Board of Family Medicine.

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