Education for the teach-back group and control group
depression, perineum, pain
During the trial, women from the teach-back group and control group received three education sessions arranged by trained RNSs who played the educator role. The first education session was arranged on the day of admission or the following day before birth. The main purpose of the first session was to help the women understand and prepare for labour. The topics discussed in the first session included birth modes, the labour process and pain relief, newborn health and care (common health issues and basic care skills), perinatal diet and exercises, and perinatal psychological health. On the day of discharge after birth, women received the second group education session hosted by an educator. The main purpose of the second session was to help the women increase their awareness of postpartum health issues, get to know the practice of postpartum recovery and learn newborn care skills. The topics discussed in the second session included postpartum recovery, postpartum maternal health, perineum care, breastfeeding, postpartum blues and depression, neonatal care, neonatal screening tests, newborn vaccinations and early child development. There were three women and one educator attending each group-session. At 2 weeks postpartum, a short online meeting was arranged between one woman and one educator. During the meeting, the educator answered questions raised by the woman and suggested solutions to the difficulties and problems faced by the woman in postpartum recovery and caring for the newborn. The teach-back group and control group shared the educational contents, materials, and the basic communication methods, e.g., power-point presentations, educational video clips, live demonstrations, information booklets, group discussion, and Q&As, except that before the end of each education session, the women in the teach-back group were asked to use their own words to restate what they had just learned, and the educator assessed women’s understanding of the subject, identified misunderstandings, corrected mistakes, and provided additional information if needed, until the women could correctly restate what they were expected to learn. Education sessions offered to the teach-back group lasted longer than the ones offered to the control group. More details about education sessions were presented in Table Education sessions for the teach-back group and the control groupDuration: 45minsGroup meeting with three women and one educator; power-point presentation; educational video clips; live demonstration; Q&ADuration: 60minsGroup meeting with three women and one educator; power-point presentation; educational video clips; live demonstration; Q&A; teach-backDuration: 60minsGroup meeting with three women and one educator; power-point presentation; educational video clips; live demonstration; information booklet; Q&ADuration: 75minsGroup meeting with three women and one educator; power-point presentation; educational video clips; live demonstration; information booklet; Q&A; teach-backDuration: 20minsIndividual online discussion with one woman and one educator Q&A;Duration: 30minsIndividual online discussion with one woman and one educator; Q&A; teach-back