Evidence map›Paper›PMID 28254516›Full record

ArticlePatient education and counseling2017

Relationship between Teach-back and patient-centered communication in primary care pediatric encounters.

Adam Badaczewski, Laurie J Bauman, Arthur E Blank, Benard Dreyer, Mary Ann Abrams, Ruth E K Stein, Debra L Roter, Jobayer Hossain, Hal Byck, Iman Sharif

Abstract read
In one paragraph

Article in Patient education and counseling, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 29 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
29citing papers in PubMed, 3 pooled it
–field-weighted citation impact
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, 3 syntheses or guidelines pooled it.

  1. Pooled it
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  4. Trial
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  7. Article
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  12. Patient and Clinician Perspectives on Communication in Primary Care Centres in Qatar-A Focus Group Study.Health expectations : an international journal of public participation in health care and health policy · 2025
    Article
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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

10 authors.

Adam BadaczewskiNemours/Alfred I. duPont Hospital for Children, Wilmington, DE, USA.
Laurie J BaumanAlbert Einstein College of Medicine/Children's Hospital at Montefiore, Bronx, NY, USA.
Arthur E BlankAlbert Einstein College of Medicine/Children's Hospital at Montefiore, Bronx, NY, USA.
Benard DreyerNew York University School of Medicine, New York, NY, USA.
Mary Ann AbramsNationwide Children's Hospital, The Ohio State University College of Medicine, Columbus, OH, USA.
Ruth E K SteinAlbert Einstein College of Medicine/Children's Hospital at Montefiore, Bronx, NY, USA.
Debra L RoterJohns Hopkins Bloomberg School of Public Health, Baltimore, MD, USA.
Jobayer HossainNemours/Alfred I. duPont Hospital for Children, Wilmington, DE, USA.
Hal ByckNemours/Alfred I. duPont Hospital for Children, Wilmington, DE, USA; The Sidney Kimmel Medical College at Thomas Jefferson University, Philadelphia, PA, USA.
Iman SharifNemours/Alfred I. duPont Hospital for Children, Wilmington, DE, USA; The Sidney Kimmel Medical College at Thomas Jefferson University, Philadelphia, PA, USA. Electronic address: iman.sharif@nyumc.org.

Funding

Subproject Title: Clinical Research Education, Mentoring and Career Development CoreU54GM104941 · NIGMS · UNIVERSITY OF DELAWARE · PI Megan M Wenner · 2013 to 2026
$60.5M
Improving Communication with Low Literacy CaretakersR21HL091821 · NHLBI · NEMOURS CHILDREN'S HOSPITAL, DELAWARE · PI SHARIF, IMAN · 2009 to 2010
$371k
NHLBI NIH HHS R21 HL091821NIGMS NIH HHS U54 GM104941
6 · The paper itself

Abstract

objectiveWe proposed and tested a theoretical framework for how use of Teach-back could influence communication during the pediatric clinical encounter.

methodsAudio-taped pediatric primary care encounters with 44 children with asthma were coded using the Roter Interaction Analysis System to measure patient-centered communication and affective engagement of the parent. A newly created Teach-back Loop Score measured the extent to which Teach-back occurred during the clinical encounter; parental health literacy was measured by Newest Vital Sign. Logistic regression was used to test the relationship between Teach-back and features of communication. Focus groups held separately with clinicians and parents elicited perceptions of Teach-back usefulness.

resultsTeach-back was used in 39% of encounters. Visits with Teach-back had more patient centered communication (p=0.01). Adjusting for parent health literacy, parent age, and child age, Teach-back increased the odds of both patient centered communication [proportional AOR (95% CI)=4.97 (4.47-5.53)]and negative affect [AOR (95% CI)=5.39 (1.68-17.31)]. Focus group themes common to clinicians and parents included: Teach-back is effective, could cause discomfort, should be used with children, and nurses should use it.

conclusionsTeach-back was associated with more patient-centered communication and increased affective engagement of parents. PRACTICE IMPLICATIONS: Standardizing Teach-back use may strengthen patient-centered communication.

Indexed as

CommunicationHealth LiteracyPhysician-Patient RelationsTeach-Back CommunicationAdolescentChildDelawareFemaleHumansMaleParentsPatient-Centered CarePediatricsTape RecordingCommunicationGlobal affectPatient-centeredTeach-back

Identifiers

PMID28254516
PMCPMC5466453

What OpenQuestion holds

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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.