Evidence map›Paper›PMID 26453368›Full record

ArticleJournal of nutrition education and behavior2016

Using Teach-Back to Understand Participant Behavioral Self-Monitoring Skills Across Health Literacy Level and Behavioral Condition.

Kathleen Porter, Yvonnes Chen, Paul Estabrooks, Lauren Noel, Angela Bailey, Jamie Zoellner

Abstract read
In one paragraph

Article in Journal of nutrition education and behavior, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 29 papers.

0numbers the graph read from it
0cells of the map it votes in
29citing papers in PubMed
9.1field-weighted citation impact, top 2% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

29 citing papers in PubMed, 43 citations in OpenAlex.

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  7. Evaluating the Impact of a Health Literacy Intervention on the Quality of Dietetic Communication in Outpatient Kidney Care.Journal of human nutrition and dietetics : the official journal of the British Dietetic Association · 2026
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  14. Development of a plain-language guide for discussing breast cancer genetic counseling and testing with patients with limited health literacy.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2021
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors at 1 institution in 1 country.

Kathleen PorterDepartment of Human Nutrition, Foods, and Exercise, Virginia Tech, Blacksburg, VA. Electronic address: kjporter@vt.edu.
Yvonnes ChenWilliam Allen White School of Journalism and Mass Communications, Virginia Tech, Blacksburg, VA.
Paul EstabrooksDepartment of Human Nutrition, Foods, and Exercise, Virginia Tech, Blacksburg, VA; Department of Family and Community Medicine, Virginia Tech Carillion School of Medicine, Blacksburg, VA.
Lauren NoelDepartment of Human Nutrition, Foods, and Exercise, Virginia Tech, Blacksburg, VA.
Angela BaileyDepartment of Human Nutrition, Foods, and Exercise, Virginia Tech, Blacksburg, VA.
Jamie ZoellnerDepartment of Human Nutrition, Foods, and Exercise, Virginia Tech, Blacksburg, VA.
Virginia Tech · US

Funding

SIPsmartER: A nutrition literacy approach to reducing sugar-sweetened beveragesR01CA154364 · NCI · VIRGINIA POLYTECHNIC INST AND ST UNIV · PI ZOELLNER, JAMIE · 2011 to 2015
$2.8M
NCI NIH HHS 1R01CA154364-01A1NCI NIH HHS R01 CA154364
6 · The paper itself

Abstract

objectiveTo assess differences, by health literacy status and behavioral condition, in participants' abilities to self-monitor behaviors accurately and recall key behavioral messages using data from a teach-back call.

designCross-sectional.

settingRural, southwestern Virginia.

participantsAdults (n = 301). The majority were female (81.1%), 31.9% had a high school education or less, 66.1% earned < $25,000/y, and 32.9% were low health literate.

interventionFirst class session of 2 community-based behavioral interventions: SIPsmartER (reduce sugar-sweetened beverage intake) or MoveMore (increase physical activity).

main outcome measuresReported accuracy of behavioral diary completion, proportion of behavioral messages recalled during the first round of teach-back, and rounds of teach-back. ANALYSIS: Descriptive statistics and generalized linear model.

resultsLow health literate participants were significantly less accurate in diary completion (P < .001), recalled fewer behavioral messages correctly (P < .001), and needed more rounds of teach-back (P < .001) than high health literate participants. Compared with SIPsmartER participants, MoveMore participants more accurately completed diaries (P = .001) but recalled a lower proportion of behavioral messages correctly (P < .001) and required more rounds of teach-back (P < .001). CONCLUSIONS AND IMPLICATIONS: Health literacy status and behavioral target affect the ability to self-monitor and recall key concepts. Researchers should consider using teach-back early in the intervention to assess and reinforce participants' ability to self-monitor.

Indexed as

Health BehaviorHealth Knowledge, Attitudes, PracticeAdultBeveragesFemaleHealth LiteracyHumansMaleMiddle AgedMotor ActivityVirginiabeverageshealth literacyphysical activityself-report

Identifiers

PMID26453368
PMCPMC4715922
OpenAlexW2196454754

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.