132 Chapter 6 After controlling for comorbidity level and cognitive impairment at the time of ED discharge, participants receiving teach-back had a higher likelihood of full retention of information regarding the diagnosis and treatment at the ED (AOR 2.19; 95%CI 1.01 to 4.75; p=0.048), medication (AOR:14.89; 95%CI 4.12 to 53.85; p<0.001) and follow-up appointments (AOR: 3.68; 95%CI 1.33 to 10.19; p=0.012). Perceived self-management and satisfaction with discharge instructions of older adults No significant group differences were observed on items related to perceived self-management postdischarge, except for one item (table 4). Participants who received teach-back appear to be more confident in determining when they needed to receivemedical care (andwhen to handle a healthproblemthemselves). However, we were unable to detect a reliable association between this aspect of self-management and the use of teach-back at ED discharge (OR 13.24; 95%CI 1.67 to 105.01; p=0.014). Satisfaction with discharge instructions was high in both study groups with mean scores of 8.5 (SD 1.2) and 8.7 (SD 0.9) in the standard discharge group and the teach-back group, respectively. No significant score differences between the two groups were found (p=0.41). Of the 67 interviewed participants receiving Figure 2 Time plot on older participants’ overall retention of discharge instructions
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