The Effectiveness of Teach Back Method on Blood Pressure Control in Patients with Hypertension

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The Ohio State University

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The DNP quality improvement project evaluated the effect of teach back (Tback) on blood pressure (BP) control in a hypertension population over a period of 1 month. Tback is an education method where the provider educates the patient on their health, after which the patient repeats it back to the provider. Tback has been shown to improve self-management. The DNP project was implemented in the first month of a 3-month long existing self-monitoring blood pressure community referral program (SMBPCRP) at a Federally Qualified Health Care facility. The SMBPCRP comprises of an initial registration appointment, 2-week follow-up , monthly follow up with a pharmacist/nurse practitioner, and optional meetings with a registered dietitian. Tback was used at the initial registration appointment where education on lifestyle modifications was introduced, tailored to the patient's unique needs. Blood pressure control and self-management were evaluated among those who received Tback (n=18) and those who received routine care (n=15). Participants who received Tback had improved blood pressure control with decreased systolic and diastolic BP as well as higher daily SMBP frequency in the first three weeks in the group who had received Tback. Incorporation of Tback improves BP control and self-management in the short term. Refinement of Tback timing and reinforcement may have beneficial effects in the long term.



teach back, hypertension population, health education, self-monitoring blood pressure, blood pressure education