The effectiveness of the teach-back method on adherence and self-management in health education for people with chronic disease: a systematic review.
Thi Thuy Ha Dinh, Ann Bonner, Robyn Clark...
https://pubmed.ncbi.nlm.nih.gov/26878928/Actively Recruiting
Led by University of Michigan · Updated on 2026-06-10
375
Participants Needed
16
Research Sites
N/A
Total Duration
Researchers are evaluating a precision medicine approach for patients with nephrotic syndrome and related glomerular diseases through the NEPTUNE Match study. This study aims to improve communication between kidney patients and their physicians about clinical trial options that match the patients specific disease profile. The study involves participants from the NEPTUNE observational cohort, including those with biopsy-confirmed Focal Segmental Glomerulosclerosis, Minimal Change Disease, or Membranous Nephropathy, as well as younger patients with documented nephrotic syndrome. The study uses a Molecular Nephrology Board to assess participant profiles and match them with suitable clinical trials. A specialized Communication Team then shares this information with patients and their clinicians to help inform trial enrollment decisions. The study monitors outcomes over several months, including the effectiveness of communication methods, psychological distress, and kidney health endpoints specific to each matched trial. The study is open-label and involves no placebo or drug intervention but focuses on communication and matching strategies. Participants are involved in the matching process using data from their prior NEPTUNE observational study participation. Assessments include measuring communication effectiveness with the Teach Back method shortly after communication, as well as psychological distress evaluations at follow-up. Kidney health outcomes are tracked for up to five years depending on the individual trial. Participation requires regular nephrology care at a NEPTUNE study site, and consent and assent are obtained as appropriate.
CONDITIONS
NEPTUNE Match Study
H
Hailey E Desmond, MS
C
Chrysta C Lienczewski, BS
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University of Michigan
Lead Sponsor
National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK)
Collaborating Sponsor
This table compares participation in this trial with other options available for this condition. The information is drawn from published research and the trial’s study details and is provided for educational purposes only.
| Factors | NEPTUNE Match Communication Intervention | Current Clinical Trial Referral |
|---|---|---|
| What it is | A structured communication intervention where a team reviews each participant’s molecular results in a Molecular Nephrology Board and actively matches them to enrolling clinical trials, providing personalized education and communicating results to patients and families. | Usual clinical practice for trial recruitment, which may include physician-initiated referrals, passive information sharing, or patient inquiry, without systematic molecular matching or team-based education. |
| Role in trial | Primary intervention being evaluated; all enrolled participants receive MNB-informed trial matching and tailored communication of their trial options. | Represents the standard experience outside the trial where patients may be informed of research participation opportunities, but are not systematically matched or proactively educated by an interdisciplinary team. |
| Primary use | To improve the process of matching children and adults with nephrotic syndrome to relevant clinical trials by using a coordinated team and molecular data, fostering patient understanding and access to research. | To connect patients to clinical trials usually through healthcare provider awareness or patient inquiry, sometimes relying on routine medical visits, rather than precision matching. |
| How it is given or performed | A qualified interdisciplinary communication team interprets MNB molecular results and provides personalized communication and education at NEPTUNE network sites, including pediatric and adult nephrology specialists. | Referrals or trial information are typically relayed during clinic visits, occasionally via educational materials or electronic platforms, without guaranteed specialist team involvement or structured education. |
| Evidence status | Currently under clinical investigation in the NEPTUNE Match study; results on participant matching and communication outcomes are not yet posted. | Standard clinical trial recruitment may be less targeted and often faces barriers in patient awareness and enrollment. Systematic review evidence supports education interventions such as the teach-back method for improving patient knowledge and self-management in chronic disease. |
| Important limitations | Effectiveness, impact on long-term patient outcomes, and generalizability to non-NEPTUNE centers are unproven. Results are pending and real-world adoption needs future evidence. | Standard trial referral approaches can result in missed opportunities for eligible patients, lack of personalized matching, and variable communication quality. Educational interventions may not be routinely applied. |
Disclaimer: This comparison is created with the help of artificial intelligence(AI) and may contain errors or missing information. It is not medical advice and does not mean one option is better or safer than another. Clinical trials are still being studied, and joining a trial is your choice. Please consult your healthcare professional before making any decisions.
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Duration - 2 to 4 weeks
Participants are screened for eligibility to participate in the trial.
Duration - Up to 4 weeks
Participants receive personalized clinical trial matching assessments from the Molecular Nephrology Board communicated by a specialized team. This helps inform patients and their doctors about suitable clinical trial options.
1 communication visit
Duration - Up to 60 months
Participants are followed to assess communication effectiveness, psychological well-being, and kidney health outcomes over time, with specific evaluations occurring up to 60 months depending on individual trial enrollment.
Follow-up assessments at 12 to 18 weeks and ongoing kidney health monitoring
Study Type
INTERVENTIONAL
Masking
NONE
Allocation
NA
Model
SINGLE_GROUP
Primary Purpose
OTHER
Number of Arms
1
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Lead Sponsor
National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK)
Collaborating Sponsor