Dissertation
Using Teach-Back method to enhance self-efficacy in medication use and adherence among community-dwelling older adults experiencing polypharmacy
Doctor of Nursing Practice (D.N.P.), Drexel University
01 May 2018
DOI:
https://doi.org/10.17918/D8X37G
Abstract
Clear communication is fundamental to quality nursing care. Research shows that the communication gap between healthcare providers and older adult patients contributes to poor medication management. More than half of the older adult population in the U.S. have low health literacy. Low health literacy is one of the primary reasons for the communication gap between healthcare providers and community-dwelling older adults. Many older adults suffer from multiple chronic illnesses and polypharmacy. The aim of the project is to evaluate the impact of using the Teach-Back method for education on self-efficacy in medication use and adherence among community-dwelling older adults experiencing polypharmacy. The project used a one group pretest-posttest design. Wilcoxon Signed-Rank test was used in SPSS for the analysis of the test scores. The instruments used for pretest and posttest were Self-Efficacy for Appropriate Medication Use Scale (SEAMS-13) (Cronbach's alpha coefficient = 0.89) and Adherence to Refills and Medications Scale (ARMS-7) (Cronbach's alpha coefficient = 0.80). Wilcoxon Signed-Rank test revealed that the posttest scores of ARMS-7 were statistically significantly lower than the pretest scores of ARMS-7, Z = -3.826, P < 0.01. Also, the posttest scores of SEAMS-13 were statistically significantly higher than the pretest scores of SEAMS-13, Z = -4.207, P < 0.01. Primarily, the evidence-based communication method of Teach-Back is cost-effective but straightforward. The effectiveness of using Teach-Back can be paramount to improve self-efficacy in medication use and adherence among community-dwelling older adults experiencing polypharmacy.
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Details
- Title
- Using Teach-Back method to enhance self-efficacy in medication use and adherence among community-dwelling older adults experiencing polypharmacy
- Creators
- Rachel H. Jung - DU
- Contributors
- Jaime C. Slaughter-Acey (Advisor) - DU
- Awarding Institution
- Drexel University
- Degree Awarded
- Doctor of Nursing Practice (D.N.P.)
- Publisher
- Drexel University; Philadelphia, Pennsylvania
- Number of pages
- 70 pages
- Resource Type
- Dissertation
- Language
- English
- Academic Unit
- Doctoral Nursing; Nursing (Graduate); College of Nursing and Health Professions; Drexel University
- Other Identifier
- 8033; 991014632523504721