1. HEALTH LITERACY AND PATIENT SELF-MANAGEMENT
Behavioral Health Integration Complex Care Initiative
HEALTH LITERACY AND PATIENT SELF-MANAGEMENT
Jeffrey Ring

3. The Skills of Teach-Back
The teach-back method, also called the show me method, is a communication confirmation method used to confirm whether a patient (or caregiver) understands what is being explained to them, often regarding a treatment plan.
Teach-back and shared decision-making will actually take less time (It may take 2-3 min. when you are skilled)

4. The Skills of Teach-Back
Caring voice and attitude
Comfortable body language and eye contact
Plain language
Ask patient to explain back, using their own words
Use non-shaming, open-ended questions
Strive for open-ended questions
Motivational Interviewing

5. The Skills of Teach-Back
Emphasize that the responsibility to explain clearly is on you, the provider
If the patient is not able to teach back correctly, explain again and re-check
Use reader-friendly print materials to support learning
Document use of and patient response to teach- back.

6. Teach-Back Practice: An Exercise Plan

7. Health Literacy Defined
The capacity to obtain, communicate, process and understand basic health information and services to make appropriate health decisions.

8. Simple and Clear Language: Practice Exercise

9. Helping Patients/Clients Understand Complex Ideas
A patient’s/client’s BMI is 40, which can contribute to hypertension
Your patient’s HBa-1c is at 9 indicating that she may have diabetes
Your patient’s blood pressure is 160/90. This which is a risk factor for cardiovascular disease
Your patient’s PHQ-9 of 20 indicates that his depression has not resolved

10. Plain Language Guidelines (Centers for Disease Control)
What is “Plain Language”?
Short sentences
Use an active voice
Use everyday nouns and pronouns (when possible)
Use or draw pictures to illustrate
Communication Strategies
Use motivational interviewing skills
Use teach back

11. Thank you