Article

Waters BM, Jensen L, Fedorak RN. Effects of formal education for patients with inflammatory bowel disease: a randomized controlled trial

Faculty of Nursing, University of Alberta, Edmonton.
Canadian journal of gastroenterology = Journal canadien de gastroenterologie (Impact Factor: 1.97). 05/2005; 19(4):235-44.
Source: PubMed

ABSTRACT Patients with inflammatory bowel disease (IBD) suffer physical dysfunction and impaired quality of life (QOL), and need frequent health care. They often lack knowledge about their disease and desire more education. Educational interventions for other chronic diseases have demonstrated reduced health care use and increased knowledge, medication adherence and QOL.
Sixty-nine participants were randomly assigned to formal IBD education and standard of care (pamphlets and ad hoc physician education) or standard of care alone. Assessment of IBD knowledge and QOL occurred at baseline, immediately posteducation and eight weeks posteducation. Participants documented medication adherence and health care use in diaries. Patient satisfaction was assessed at the end of the study.
The education group had higher knowledge scores (P=0.000), perceived knowledge ratings (P=0.01) and patient satisfaction (P=0.001). There was a lower rate of medication nonadherence and health care use for the education group, but the differences were not significant. QOL indices did not change. Significant correlations were found for increased health care use in patients with poorer medication adherence (P=0.01) and lower perceived health (P=0.05).
Formal IBD patient education improves knowledge, perceived knowledge and patient satisfaction. Further study of long-term effects may better demonstrate potential benefits for QOL, medication adherence and health care use.

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    • "Only where there are no differences found between the two disease groups is it then justified in analyzing them together as one IBD group. In the studies reviewed, only 6 of the 14 studies that combined these two populations report separate analyses (Borgaonkar et al., 2004; Mussel et al., 2003; Oxelmark et al., 2007; Schwarz & Blanchard, 1991; Smith et al., 2002; Waters et al., 2005). Of the two, better outcomes were found in the CD group (Schwarz & Blanchard, 1991; Smith et al., 2002), suggesting that with some interventions, patients in the two disease groups may respond differently. "
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