P1034 The Egyptian ICRID-IBDQ: A novel IBD knowledge questionnaire from development and validation to comparison of different patient education modalities

Abstract

Abstract Background Inflammatory bowel diseases are chronic debilitating diseases whose proper management depends on patients’ good knowledge. It is the role of the physician to ensure good knowledge by tailoring appropriate methods of patient education. Methods This study included 105 patients with established diagnosis of IBD presenting to the Integrated Clinical and Research Center for Intestinal Disorders (ICRID) unit, Department of Endemic hepato-gastroenterology and infectious diseases, Faculty of medicine-Kasr Al Ainy Hospital, Cairo university. It included 2 phases: The first was cross-sectional analytical where the Egyptian “ICRID-IBDQ” questionnaire assessing the IBD patients’ knowledge was developed, validated, and used within the study population. This questionnaire comprised questions about the nature of the disease, lifestyle, diet, treatment modalities along with its effect on pregnancy and fertility; and the knowledge level was estimated by the number of correct answers considering scores above 75% as “Good”, 50-75% as “Fair”, and below 50% “Poor”. The second phase was comparative interventional where the patients were randomly allocated to 3 different educational methods: Direct education by physician, by infographic videos, and both combined, with the utility of the three in patient education compared using the ICRID-IBQ. Results The estimated patient knowledge of IBD is 26.3%, corresponding to “Poor”. The factors significantly associated with better knowledge on multivariate analysis are higher level of education (college or more) (p value <0.001, OR 8.7), female gender (p value 0.002, OR 4.9) and positive family history (p value 0.042, OR 7.7). All fields had “poor” knowledge, and the field with the most defective knowledge was surgery. All patients receiving education improved, total percentage of improvement measured from 26.3% to 78.9% (p value <0.001). There was no statistical difference between the 3 educational groups: Direct education by physician, infographic video or both combined (p value 0.09). Conclusion The importance of patient education has to be seriously addressed and tailored educational programs using combined methods have to be implemented by healthcare facilities to improve IBD patients’ quality of treatment and of life. Infographic videos are valuable tools which may aid in improving knowledge by patient education.