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Patients Prefer the Method of "Tell Back- Collaborative Inquiry" to Assess Understanding of Medical Information

From the Department of Family Medicine, East Tennessee State University, Johnson City

Correspondence: Corresponding author: Evelyn C. Kemp, PsyD, RN, Department of Family Medicine, East Tennessee State University, Box 70621, Johnson City, TN 37614-0621 (E-mail: kempe{at}etsu.edu)

Purpose: The goal of this study was to determine which approach to assessing understanding of medical information patients most prefer and perceive to be most effective.

Methods: Two videos were shown to participants: (1) a physician explaining a medical condition and its treatment and (2) a physician inquiring about patient understanding of the medical information the patient had been given using 3 different types of inquiry: Yes-No, Tell Back-Collaborative, and Tell Back-Directive.

Results: The Tell Back-Collaborative inquiry was significantly preferred over the other 2 approaches.

Conclusions: Patients strongly prefer the Tell Back-Collaborative inquiry when assessing their understanding. We recommend that physicians ask patients to restate what they understand using their own words and that they use a patient-centered approach.

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