Pilot QI Health Literacy Project to Promote Patient-Provider Communication
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2023
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University of Hawaii at Manoa
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Poor communication can cause patients to misunderstand health information leading to poor health outcomes and significant health expenditure. Effective communication skills are essential for healthcare professionals to provide quality care and ensure patients understand provided health information. The overarching purpose of this quality improvement project was to pilot a communication skills workshop with simulations to promote communication skills (teachback and plain language) for healthcare students. The workshop was presented to a group of medical residents at the Kapiolani Pediatric Outpatient Clinic to provide preliminary data on the efficacy of this workshop and whether it can elicit behavioral changes. A total of 17 medical residents attended the workshop in May 2022. Data collection was in two parts. First, pre- and post-surveys collected data on residents’ confidence and intention to use communication skills after the workshop. Second, clinical data using validated surveys collected patients’ and observation data on behavioral changes among residents using communication skills at baseline, after the workshop, and for three months following. The workshop data from 17 residents revealed a significantly positive impact on their confidence and intention to use the teach-back method and also their confidence in using plain language. A total of 129 patients and 63 observation data were collected. Patient results showed that significantly more residents used the teach-back method after the workshop (77%) compared to baseline (3%). Patients’ data showed no significant changes in residents using plain language. However, observation data showed that significantly more residents used plain language after the workshop (70%) than baseline (30%). 3 This pilot study shows promising results in communication workshop promoting behavioral changes - using the teach-back method. Shortcomings include the possibility that direct observation altered residents’ behavior and the lack of generalizability due to the small sample size. As a template, the workshop can be used by healthcare students, staff, and providers to improve their communication skills during patient interactions to help improve the quality of care. Future studies can continue its work and test its effectiveness in more extensive and diverse settings and patient populations.
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Communication in medicine, Physician and patient, Interpersonal communication
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