Using the teach-back method to improve postpartum maternal-infant health among women with limited maternal health literacy: a randomized controlled study
Abstract Aim This study aimed to evaluate the effects of using the teach-back method among women with limited maternal health literacy (LMHL) on maternal health literacy(MHL), postpartum health behaviours and maternal-infant health outcomes. Methods A randomized controlled study was conducted in the...
| Main Authors: | , , , |
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| Format: | Article |
| Language: | English |
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BMC
2023-01-01
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| Series: | BMC Pregnancy and Childbirth |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s12884-022-05302-w |
| _version_ | 1797952299111284736 |
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| author | Gui Zhi Cheng An Chen Youdi Xin Qian Qian Ni |
| author_facet | Gui Zhi Cheng An Chen Youdi Xin Qian Qian Ni |
| author_sort | Gui Zhi Cheng |
| collection | DOAJ |
| description | Abstract Aim This study aimed to evaluate the effects of using the teach-back method among women with limited maternal health literacy (LMHL) on maternal health literacy(MHL), postpartum health behaviours and maternal-infant health outcomes. Methods A randomized controlled study was conducted in the obstetrics department of Anhui Provincial Hospital, China. A total of 258 pregnant women with LMHL were recruited at the point of admission to the hospital for birth and randomly assigned to the control group (n = 130), where women received routine education sessions, and the teach-back group (n = 128), where women received routine education sessions plus a teach-back intervention. The two groups were assessed in terms of MHL before and after the intervention, breastfeeding execution, uptake of 42-day postpartum check-ups, complete uptake of one-time recommended vaccines, and physical health outcomes. Statistical tests were employed for data analysis. Results There was no significant difference between the two groups in terms of MHL and other social, demographic, and medical status at baseline. After the intervention, the teach-back group had a higher level of MHL (p < 0.001), better postpartum health behaviours in terms of exclusive breastfeeding within 24 hours postpartum (x 2 = 22.853, p<0.001), exclusive breastfeeding within 42 days postpartum (x 2 = 47.735, p<0.001), uptake of 42-day postpartum check-ups (x 2 = 9.050, p = 0.003) and vaccination (x 2 = 5.586, p = 0.018) and better maternal-infant health outcomes in terms of the incidence of subinvolution of the uterus (x 2 = 6.499, p = 0.011), acute mastitis (x 2 = 4.884, p = 0.027), postpartum constipation (x 2 = 5.986, p = 0.014), overweight (x 2 = 4.531, p = 0.033) and diaper dermatitis (x 2 = 10.896, p = 0.001). Conclusions This study shows that the teach-back method is effective for enhancing MHL, leading to positive postpartum health behaviours, and improving postpartum maternal-infant health outcomes among women with LMHL. The teach-back method may play an important role in improving postpartum maternal-infant health and could be considered in maternal health education. Trial registration number Our trial has been prospectively registered at ClinicalTrials.gov (Ref. No.: NCT04858945) and the enrollment date was 26/04/2021. |
| first_indexed | 2024-04-10T22:45:09Z |
| format | Article |
| id | doaj.art-9fe362511eae4970b8d5c8b82579d9cc |
| institution | Directory Open Access Journal |
| issn | 1471-2393 |
| language | English |
| last_indexed | 2024-04-10T22:45:09Z |
| publishDate | 2023-01-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Pregnancy and Childbirth |
| spelling | doaj.art-9fe362511eae4970b8d5c8b82579d9cc2023-01-15T12:23:51ZengBMCBMC Pregnancy and Childbirth1471-23932023-01-0123111410.1186/s12884-022-05302-wUsing the teach-back method to improve postpartum maternal-infant health among women with limited maternal health literacy: a randomized controlled studyGui Zhi Cheng0An Chen1Youdi Xin2Qian Qian Ni3The First Affiliated Hospital of University of Science and Technology of China (USTC), Division of Life Sciences and Medicine, University of Science and Technology of ChinaInstitute of Healthcare Engineering, Management and Architecture (HEMA), Department of Industrial Engineering and Management, Aalto UniversityThe First Affiliated Hospital of University of Science and Technology of China (USTC), Division of Life Sciences and Medicine, University of Science and Technology of ChinaThe First Affiliated Hospital of University of Science and Technology of China (USTC), Division of Life Sciences and Medicine, University of Science and Technology of ChinaAbstract Aim This study aimed to evaluate the effects of using the teach-back method among women with limited maternal health literacy (LMHL) on maternal health literacy(MHL), postpartum health behaviours and maternal-infant health outcomes. Methods A randomized controlled study was conducted in the obstetrics department of Anhui Provincial Hospital, China. A total of 258 pregnant women with LMHL were recruited at the point of admission to the hospital for birth and randomly assigned to the control group (n = 130), where women received routine education sessions, and the teach-back group (n = 128), where women received routine education sessions plus a teach-back intervention. The two groups were assessed in terms of MHL before and after the intervention, breastfeeding execution, uptake of 42-day postpartum check-ups, complete uptake of one-time recommended vaccines, and physical health outcomes. Statistical tests were employed for data analysis. Results There was no significant difference between the two groups in terms of MHL and other social, demographic, and medical status at baseline. After the intervention, the teach-back group had a higher level of MHL (p < 0.001), better postpartum health behaviours in terms of exclusive breastfeeding within 24 hours postpartum (x 2 = 22.853, p<0.001), exclusive breastfeeding within 42 days postpartum (x 2 = 47.735, p<0.001), uptake of 42-day postpartum check-ups (x 2 = 9.050, p = 0.003) and vaccination (x 2 = 5.586, p = 0.018) and better maternal-infant health outcomes in terms of the incidence of subinvolution of the uterus (x 2 = 6.499, p = 0.011), acute mastitis (x 2 = 4.884, p = 0.027), postpartum constipation (x 2 = 5.986, p = 0.014), overweight (x 2 = 4.531, p = 0.033) and diaper dermatitis (x 2 = 10.896, p = 0.001). Conclusions This study shows that the teach-back method is effective for enhancing MHL, leading to positive postpartum health behaviours, and improving postpartum maternal-infant health outcomes among women with LMHL. The teach-back method may play an important role in improving postpartum maternal-infant health and could be considered in maternal health education. Trial registration number Our trial has been prospectively registered at ClinicalTrials.gov (Ref. No.: NCT04858945) and the enrollment date was 26/04/2021.https://doi.org/10.1186/s12884-022-05302-wTeach-backMaternal health literacyPostpartum maternal-infant health |
| spellingShingle | Gui Zhi Cheng An Chen Youdi Xin Qian Qian Ni Using the teach-back method to improve postpartum maternal-infant health among women with limited maternal health literacy: a randomized controlled study BMC Pregnancy and Childbirth Teach-back Maternal health literacy Postpartum maternal-infant health |
| title | Using the teach-back method to improve postpartum maternal-infant health among women with limited maternal health literacy: a randomized controlled study |
| title_full | Using the teach-back method to improve postpartum maternal-infant health among women with limited maternal health literacy: a randomized controlled study |
| title_fullStr | Using the teach-back method to improve postpartum maternal-infant health among women with limited maternal health literacy: a randomized controlled study |
| title_full_unstemmed | Using the teach-back method to improve postpartum maternal-infant health among women with limited maternal health literacy: a randomized controlled study |
| title_short | Using the teach-back method to improve postpartum maternal-infant health among women with limited maternal health literacy: a randomized controlled study |
| title_sort | using the teach back method to improve postpartum maternal infant health among women with limited maternal health literacy a randomized controlled study |
| topic | Teach-back Maternal health literacy Postpartum maternal-infant health |
| url | https://doi.org/10.1186/s12884-022-05302-w |
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