A Comparative Analysis of Costs and Outcomes of a Model Teach-Back and Regular Educational Intervention for Enhancing Health Literacy in Nigeria

Authors

  • Olabanji K Fresenius University of Applied Sciences/Obafemi Awolowo University

DOI:

https://doi.org/10.60787/tnhj.v24i2.803

Keywords:

Health literacy, Nigeria, cost impact analysis, teach back intervention

Abstract

Introduction: Health literacy describes patient-provider interactions, involvement in the healthcare system, rights and duties, and health information-seeking habits. It’s resultant impact on illness prevention, individual and social competency, and health outcomes make it relevant for patients and health authorities. This study aimed to model the costs and outcomes associated with a teach-back educational intervention compared to a regular educational intervention to improve health literacy in Nigeria.

Method: A decision tree analysis was designed to capture the progression of participants through a teach back educational intervention, a regular educational intervention and no intervention (control). The decision tree model was built in Microsoft excel, and the various input were obtained from literature and best estimates where applicable.

Result: Baseline results from the model estimated a cost of ₦765,000 and ₦670,000 for the teach- back & regular educational intervention respectively, while cumulative outcomes include Quality of life gain (228.36 vs 140.96), In-Patient hospital costs reduction (-₦ 462,137.40 vs -₦ 285,270.00), Increased adherence rates (145.80 vs 90.00), Gain in self-care ability (31.21 vs 19.26) for the teach -back & regular educational intervention respectively. Scenario analysis showed the same trends.

Conclusion: Education remains the major channel for improving health literacy, and implementing a teach-back intervention will substantially yield more benefits and costs compared to a regular education method. By prioritising health literacy, Nigerian health authorities can empower individuals to take an active role in their healthcare, leading to improved health outcomes and overall well-being.

Downloads

Download data is not yet available.

References

Hepburn M. Health Literacy, Conceptual Analysis for Disease Prevention. Int J Collab Res Intern Med Public Health. 2012;4(3):228-238.

Massey PM, Prelip M, Calimlim BM, Quiter ES, Glik DC. Contextualizing an expanded definition of health literacy among adolescents in the health care setting. Health Educ Res. 2012;27(6):961-974.

Parnell T. Health Literacy in Nursing: Providing Person-Centered Care. Health Literacy in Nursing. [Internet]. 2014. Available from: https://www.proquest.com/books/health-literacy-nursing/docview/2132093448/se-2?accountid=14542

Mancuso JM. Health literacy: A concept/dimensional analysis. Nurs Health Sci. 2008; 10:248-255.

Institute Of Medicine| Board on Neuroscience and Behavioural Health| Committee on Health Literacy. Health literacy: A prescription to end confusion. National Academies Press; 2004.

Berkman ND, Sheridan SL, Donahue KE, Halpern DJ, Crotty K. Low health literacy and health outcomes: An updated systematic review. Ann Intern Med. 2011;155(2):97-107. doi:10.7326/0003-4819-155-2-201107190-00005

Nutbeam D. The evolving concept of health literacy. Soc Sci Med. 2008;67(12):2072-2078. doi: 10.1016/j.socscimed.2008.09.050

Smith S, McCaffery K. Health Literacy: a brief literature review. NSW Clin Excellence Comm, Aust. 2010. Available from: http://www.balid.org.uk/wp-content/uploads/2012/10/Health-Literacy-a-brief-literature-review.-Sian-Smith-Dr-Kirsten-McCaffery-University-of-Sydney-2012-NSW-Clinical-Excellence-Commission-Australia.pdf

Olabanji K. Interventions to Improve Health Literacy in Nigeria: Systematic review of effectiveness and policy recommendations. The Nig Health J. 2023;23(3):707-716. Available from: https://tnhjph.com/index.php/tnhj/article/view/714

Sotoudeh A, Ardakani MF, Jadgal MS, Asadian A, Zareipour MA. Promoting health literacy through the teach back method among Iranian health ambassadors: A randomized controlled trial. Invest Educ Enferm. 2022;40(1):e17. doi: 10.17533/udea.iee.v40n1e17

Bayati T, Dehghan A, Bonyadi F, Bazrafkan L. Investigating the effect of education on health literacy and its relation to health-promoting behaviors in health center. J Educ Health Promot. 2018; 7:127. doi: 10.4103/jehp.jehp_65_18

Tavousi M, Haeri-Mehrizi A, Rakhshani F, Rafiefar S, Soleymanian A, Sarbandi F, et al. Development and validation of a short and easy-to-use instrument for measuring health literacy: the Health Literacy Instrument for Adults (HELIA). BMC Public Health. 2020; 20:656. doi:10.1186/s12889-020-08787-2

Alijanzadeh M, Lin CY, Yahaghi R, Rahmani J, Yazdi N, Jafari E, et al. Measurement Invariance and Differential Item Functioning of the Health Literacy Instrument for Adults (HELIA): A Large-Scale Cross-Sectional Study in Iran. Healthcare. 2022;10(12):2541. doi:10.3390/healthcare10122541

Panagioti M, Skevington SM, Hann M, Howells K, Blakemore A, Reeves D et al. Effect of health literacy on the quality of life of older patients with long-term conditions: a large cohort study in UK general practice. Qual Life Res. 2018;27(5):1257-1268. doi:10.1007/s11136-017-1775-2

Jyani G, Prinja S, Garg B, Kaur M, Grover S, Sharma A et al. Health-related quality of life among Indian population: The EQ-5D population norms for India. J Glob Health. 2023; 13:04018. doi:10.7189/jogh.13.04018

Bassi PU, Builders M, Osaronowen EM, Maduagwuna C, Ibrahim A, Dankyau M. Assessment of direct causes and costs of medical admissions in Bingham University Teaching Hospital – Jos, Nigeria. Sahel Med J. 2017;20(4):192-201.

Ajayi DT, Adedokun BO, Owoeye DO, Akpa O. Treatment Satisfaction and Medication Adherence Among Hypertensive Patients Seeking Care in Selected Hospitals in Ibadan, Nigeria. Arch Basic Appl Med. 2018;6(1):67–72.

Global Self Care Federation. Self-Care Readiness Index. Nigeria. 2021. Available for download at: Self-Care Readiness Index Report | Global Self-Care Federation (wsmi.org)

Vernon J, Trujillo A, Rosenbaum S, DeBuono B. Low Health Literacy: Implications for National Health Policy. Health Policy Manage Faculty Publications. 2007. Available from: https://hsrc.himmelfarb.gwu.edu/sphhs_policy_facpubs/172

Hossein Mirzaee Beni Z, Maasoumi R, Pashaeypoor S, Haghani S. The effects of self-care education based on the health literacy index on self-care and quality of life among menopausal women: a randomized clinical trial. BMC Womens Health. 2022;22(1):452. doi:10.1186/s12905-022-02007-2

Markant DB, Ruggeri A, Gureckis TM, Fei X. Enhanced memory as a common effect of active learning. Mind, Brain, Educ. 2016;10:142-152. doi:10.1111/mbe.12117

Talevski J, Wong-Shee A, Rasmussen B, Kemp G, Beauchamp A. Teach-back: A systematic review of implementation and impacts. PLoS ONE. 2020;15(4):e0231350. doi: 10.1371/journal.pone.0231350

Morrison and Jacobsen. The role of feedback in building teaching presence and student self-regulation in online learning. J Soc Sci Humanit Open. 2023;7(1). doi: 10.1016/j.ssaho.2023.100503.

Kunyinu YA, Femi-Adebayo TT, Adebayo BI, Abdurraheem-Salami I, Odusanya OO. Health literacy: Prevalence and determinants in Lagos State, Nigeria. PLoS One. 2020;15(8):e0237813. doi: 10.1371/journal.pone.0237813

1220 – 1227.

Downloads

Published

2024-06-10

How to Cite

Olabanji, K. (2024). A Comparative Analysis of Costs and Outcomes of a Model Teach-Back and Regular Educational Intervention for Enhancing Health Literacy in Nigeria. The Nigerian Health Journal, 24(2), 1220 – 1227. https://doi.org/10.60787/tnhj.v24i2.803
Abtract Views | PDF Download | EPUB Download: 327 / 81 / 44

Similar Articles

1 2 3 4 5 6 7 8 9 10 > >> 

You may also start an advanced similarity search for this article.