Trial reportNursing open2025
Teach-Back Communication Versus Pictorial-Based Learning on Self-Care Knowledge and Adherence, Self-Efficacy and Peristomal Skin Healing in Patients After Emergency Surgery Colostomy: A 3-Arm, Randomised, Controlled Trial.
Trial report in Nursing open, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers, 1 of them a synthesis that pooled it.
What it found
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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.
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.
Who cites it
3 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Teach-Back in Clinical Communication: A Systematic Review and Meta-analysis.Journal of general internal medicine · 2026Pooled it
- Trial
- Intelligent monitoring system for quality of life of colostomy patients based on deep learning and AR.Scientific reports · 2025Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
4 authors.
Funding
Abstract
aimTo compare the effects of two different education techniques, Teach-back communication and Pictorial-based learning, on new colostomates' knowledge and adherence to self-care, self-efficacy and peristomal skin lesions.
designA three-arm randomised controlled clinical trial was conducted.
methodsSelf-care education can bring about numerous benefits for colostomy patients; thus, it is important to choose an appropriate educational approach for postoperative ostomates. A total of 111 new ostomates admitted to the surgical wards were randomly assigned into three groups using a permuted-block design. All participants received routine education. The two intervention groups received education that included the same educational topics during 30-40 min sessions over 3 days using Teach-back or pictorial-based methods. The demographic and clinical information form, self-care knowledge questionnaire, self-care adherence checklist, stoma self-efficacy scale and peristomal skin checklist were completed before the intervention (the day after surgery) and at follow-ups (on day four and 1 month after surgery). Analysis of covariance in SPSS-21 software was used for data analysis with a significance level of 0.05 or less.
resultsAfter taking confounding variables into account (supplementary insurance status, place of residence, smoking history and diet), both Teach-back and pictorial-based groups demonstrated a significant improvement in colostomy self-care knowledge and adherence as well as in self-efficacy compared to the control group (all p < 0.001). Additionally, at the follow-up stage, patients in the Teach-back group had higher levels of self-efficacy than those in the pictorial-based group (p = 0.036). At this point, all three groups had similar erythematous lesions all around peristomal skin. PATIENT OR PUBLIC CONTRIBUTION: Implementing either teach-back or pictorial-based resulted in improved knowledge of colostomy care and adherence as well as enhanced self-efficacy. However, it was reported that teach-back communication was more effective in sustaining overall self-efficacy than pictorial-based education. In light of this, nurses should use these strategies to provide more effective and enduring training for new colostomy patients.
trial registrationIranian Clinical Trial Registration Center: IRCT20160110025929N27.
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