The Effect of Education Using Teach-Back Method on Self-Efficacy and Readmission in Patients with Heart Failure

Document Type : Original article

Authors

1 Graduated in Master in Medical-Surgical Nursing, School of Nursing and Midwifery, Mashhad University of Medical Sciences, Mashhad, Iran

2 Department of Medical-Surgical Nursing, School of Nursing and Midwifery, Mashhad University of Medical Sciences, Mashhad, Iran

3 Department of Cardiovascular, School of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran

10.22038/nnj.2025.89491.1503

Abstract

Background and Aims: Self-efficacy affects self-care behaviors in patients with heart failure. The teach-back method is designed to enhance patients’ understanding of health education. This study aimed to determine the effect of education using the teach-back method on self-efficacy and readmission of patients with heart failure.
Materials and Methods: In this randomized controlled clinical trial, 62 eligible patients with heart failure hospitalized in Imam Reza and Ghaem hospitals in Mashhad, Iran were selected by a convenience sampling method and randomly allocated to two intervention and control groups. In the intervention group, self-care education was implemented individually by the teach-back method for 3-4 days, and the control group received routine education. The Sullivan Cardiac Self-Efficacy Questionnaire was completed by the patients before the intervention and one month after discharge,and the rate of readmission was assessed one month after discharge .Then, the data were analyzed.
Results: The results showed that the two groups were homogeneous in terms of individual and confounding variables. Before the intervention, there was no statistically significant difference in the mean scores of self-efficacy between the two groups (P˃0.05). However, after the intervention, the mean score of self-efficacy in the intervention group increased significantly compared to the control group (P<0.001). There was no statistically significant difference in terms of the rate of readmission within one month after the intervention between the two groups (P˃0.70)
Conclusion: Education using teach-back method improves the self-efficacy of patients with heart failure, so this method is recommended for teaching these patients to improve their self-efficacy and health.

Keywords

References

[1] Beghini A, Sammartino AM, Papp Z, von Haehling S, Biegus J, Ponikowski P, Adamo M, Falco L, Lombardi CM, Pagnesi M, Savarese G. 2024 update in heart failure. ESC heart failure. 2025 Feb;12(1):8-42.
[2] Karimi P, Mohammadi MA, Dadkhah B, Mozaffari N. The relationship between caregiver contributions to self-care and quality of life in heart failure patients in Ardabil hospitals in Ardebil-Iran. International Journal of Africa Nursing Sciences. 2023 1;18:100511
[3] Zare-Kaseb A, Zeydi AE, Bakhtiari-Dovvombaygi H, Nazari AM. Effects of education based on teach-back methods on self care and quality of life of the patients with heart failure: a systematic review. BMC Cardiovascular Disorders. 2024 ;24(1):1-3
[4] Mesbahi H, Kermansaravi F, Kiyani F. The Effect of Teach-Back Training on Self-Care and Readmission of Patients with Heart Failure. Medical-Surgical Nursing Journal. 2020 1;9(3).
[5] Saadatian M, Yoosefian N, Saravi FK, Yaghoubinia F. The effect of the teach-back method on illness perception and self-efficacy in patients with coronary artery disease. Med Surg Nurs J. 2022 1;11(1):1-9
[6] Vatmasari RA, Putra KR, Windarwati H. Effect of Web-Based Education on Self-efficacy and Self-care Ability in Heart Failure Patients. Iranian Journal of Nursing and Midwifery Research. 2025 1;30(1):53-60
[7] Chen AMH, Yehle KS, Albert NM, Ferraro KF, Mason HL, Murawski MM, et al. Relationships between health literacy and heart failure knowledge, self-efficacy and self-care adherence. Journal of Research in Social and Administrative Pharmacy. 2014: 10: 378–386
[8] Nuraeni A, Sugiharto F, Anna A, Sari E, Mirwanti R, Trisyani Y, Emaliyawati E. Self-efficacy in self-care and its related factors among patients with coronary heart disease in Indonesia: a rasch analysis. Vascular Health and Risk Management. 2023 31:583-93.
[9] Jahanshahi F, Abyaneh NA, Abyaneh EE. Investigating the effect of peer education on Self-Efficacy in patients with heart failure in selected hospitals of Saveh County. International Journal of Medical Research & Health Sciences. 2016;5(11):630-5
[10] Yang M, Kondo T, Adamson C, Butt JH, Abraham WT, Desai AS, Jering KS, Kober L, Kosiborod MN, Packer M, Rouleau JL. Knowledge about self‐efficacy and outcomes in patients with heart failure and reduced ejection fraction. European Journal of Heart Failure. 2023;25(10):1831-9
[11] Ahmadzadeh K, Farshidi H, Nikparvar M, Ezati-Rad R, Mahmoodi M. The relationship between health literacy level and quality of life in heart failure patients. Journal of Health Literacy. 2021; 6(2):61-8
[12] Oh S, Choi H, Oh EG, Lee JY. Effectiveness of discharge education using teach-back method on readmission among heart failure patients: A systematic review and meta-analysis. Patient Education and Counseling. 2023;107:107559
[13] Dinh TT, Bonner A, Clark R, Ramsbotham J, Hines S. The effectiveness of the teach-back method on adherence and self-management in health education for people with chronic disease: a systematic review. JBI Evidence Synthesis. 2016;14(1):210-47
[14] Hagenhoff BD, Feutz C, Conn VS, Sagehom KK, Moranville‐Hunziker M. Patient education needs as reported by congestive heart failure patients and their nurses. Journal of advanced nursing. 1994 ;19(4):685-90.
[15] Rafiee F, Shahpoorian F, Naasher Z, Azarbaad M, Hosseini F. The Importance of Learning Needs of CHF Patients from Patients' and Nurses' Perspective. Iran Journal of Nursing (IJN). 2009; 22(57): 19-30 [Persian]
[16] Sullivan MD, LaCroix AZ, Russo J, Katon WJ. Self-efficacy and self-reported functional status in coronary heart disease: a six-month prospective study. Journal of Psychosomatic medicine. 1998; 60(4): 473-8
[17] Aghamohammadi T, Maddah Ss, Mohammadi Sf, Dalvandi A, Khaleghipour M. The impact of self-management program on self-efficacy of elderly patients with heart failure. The Journal of Urmia Nursing and Midwifery Faculty. (2017);14(12): 1013-1023
[18] Farahaninia M, Hoseinabadi TS, Raznahan R, Haghani S. The teach-back effect on self-efficacy in patients with type 2 diabetes. The Review of Diabetic Studies: RDS. 2021 May 1;16(1):46
[19] Bagheri Saveh MI, AshkTorab T, Borz Abadi Farahani Z, Zayeri F, Zohari Anboohi S. The realationship between selfefficacy and self-care behaviours in chronic heart failure. Advances in Nursing and Midwifery. 2013;22(78):17-26.
[20] Peyman N, Shahedi F, Abdollahi M, Doosti H, Zadehahmad Z. Impact of self-efficacy strategies education on self-care behaviors among heart failure patients. The Journal of Tehran University Heart Center. 2020;15(1):6
[21] White M, Garbez R, Carroll M, Brinker E, Howie-Esquivel J. Is "teach-back" associated with knowledge retention and hospital readmission in hospitalized heart failure patients? The Journal of cardiovascular nursing. 2013; 28(2): 137-46
[22] Brown M-M, M. Mack K, E. Guzzetta C, Tefera E. The feasibility of using teach-back to reinforce discharge instructions and its influence on the number of 30-day readmissions of heart failure patients. Heart & lung: the journal of critical care. 2014; 43: 379-387  

]23[ Shahbaz A, Hemmati-Maslakpak M. Relationship of self-care behaviors with hospital readmission in people with heart failure. Iranian Journal of Cardiovascular Nursing. 2017.10;6(2):24-33

Navid No
Volume 28, Issue 93
June 2025
Pages 12-23

Files

Share

How to cite

Statistics