Providing Disease-Related Information Worsens Health-Related Quality of Life in Inflammatory Bowel Disease

Borgaonkar, Mark; Townson, G; Donnelly, M.; Irvine, E. Jan

doi:10.1097/00054725-200207000-00005

Cited by 79 publications

(49 citation statements)

References 17 publications

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“…This was not confirmed in the present study with IBD patients; this may have been partly influenced by the specific conditions and course of IBD; indeed mortality rates due to IBD are low (8/10,000) compared to those observed for cancers and the overall symptomatology is different in inflammatory compared to non-inflammatory chronic diseases. A recent study of Borgaonkar et al showed that disease-related information seeking had a negative effect on quality of life in IBD (28). Our findings showed that this effect should probably be modulated according to information concerns.…”

Section: Discussionsupporting

confidence: 53%

Patients' information-seeking activity is associated with treatment compliance in inflammatory bowel disease patients

Pittet

Rogler

Mottet

et al. 2014

Scandinavian Journal of Gastroenterology

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BACKGROUND: Despite the chronic and relapsing nature of inflammatory bowel diseases (IBD), at least 30% to 45% of the patients are noncompliant to treatment. IBD patients often seek information about their disease. AIM: To examine the association between information-seeking activity and treatment compliance among IBD patients. To compare information sources and concerns between compliant and noncompliant patients. METHODS: We used data from the Swiss IBD cohort study, and from a qualitative survey conducted to assess information sources and concerns. Crude and adjusted odds ratios (OR) for noncompliance were calculated. Differences in the proportions of information sources and concerns were compared between compliant and noncompliant patients. RESULTS: A total of 512 patients were included. About 18% (n = 99) of patients were reported to be noncompliant to drug treatment and two-thirds (n = 353) were information seekers. The OR for noncompliance among information seekers was 2.44 (95%CI: 1.34-4.41) after adjustment for confounders and major risk factors. General practitioners were 15.2% more often consulted (p = 0.019) among compliant patients, as were books and television (+13.1%; p = 0.048), whereas no difference in proportions was observed for sources such as internet or gastroenterologists. Information on tips for disease management were 14.2% more often sought among noncompliant patients (p = 0.028). No difference was observed for concerns on research and development on IBD or therapies. CONCLUSION: In Switzerland, IBD patients noncompliant to treatment were more often seeking disease-related information than compliant patients. Daily management of symptoms and disease seemed to be an important concern of those patients.

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Section: Discussionsupporting

confidence: 53%

Patients' information-seeking activity is associated with treatment compliance in inflammatory bowel disease patients

Pittet

Rogler

Mottet

et al. 2014

Scandinavian Journal of Gastroenterology

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“…9 Patient education has been shown to be beneficial in some chronic diseases. [10][11][12][13][14] Evaluation of a patient education program related to GERD found improvement in quality of life in patients who had completed primary school, but not in patients who had advanced education. 15 In order to properly educate patients with GERD, it is necessary to understand how much they already know about their disease.…”

Section: Introductionmentioning

confidence: 99%

The Degree of Disease Knowledge in Patients with Gastroesophageal Reflux Disease: A Multi-center Prospective Study in Korea

Jeong

Park

Kim

et al. 2017

J Neurogastroenterol Motil

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Background/Aims Patient education has been shown to be beneficial in several diseases. To properly educate patients with gastroesophageal reflux disease (GERD), it is necessary to understand how much they already know about their disease. However, no study has examined the degree of disease knowledge in Korean patients with GERD. Therefore, we conducted this study to assess the degree of knowledge in such patients. Methods This multicenter prospective study was conducted from January 2014 to January 2015. A total of 746 patients (mean age, 52 years; 57.6% female) were enrolled from 7 hospitals in Korea. Inclusion criteria were diagnosis of GERD and ability to properly complete a survey. Degree of disease knowledge was assessed using the translated, validated Korean Urnes questionnaire, which consists of 22 items related to GERD. Results Mean percentage of correct answers was 46.3% and mean GERD knowledge score was 9.6. Degree of knowledge (mean percentage of correct answers) regarding etiology, prognosis, and treatment of GERD were 49.5%, 36.7%, and 37.5%, respectively. Degree of disease knowledge differed significantly according to age ( P < 0.001), education ( P < 0.001), income ( P = 0.028), and occupation ( P < 0.001). In multivariate analysis, using multiple logistic regression, the higher knowledge score group tended to have higher education and professional occupation. Conclusions The surveyed Korean patients had relatively low disease knowledge, suggesting that a GERD educational program may be beneficial in Korea. Formulation of a program is underway.

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“…11 Interestingly, two studies have instead shown worsening QoL after providing disease-related information. 12,13 Some studies in this area have evaluated the effects of group intervention with varying results in different settings of IBD patients. 14 -18 Schwarz and Blanchard 18 showed that a combined IBD-related education with individual behavioral treatment reduced IBD symptoms and IBD-related stress, and further, more effective coping strategies were found in IBD patients.…”

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confidence: 99%

Group-based intervention program in inflammatory bowel disease patients

Oxelmark

Magnusson²,

Löfberg

et al. 2007

Inflammatory Bowel Diseases

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Providing Disease-Related Information Worsens Health-Related Quality of Life in Inflammatory Bowel Disease

Abstract: The addition of educational booklets to IBD patients in a tertiary center does not improve, and may worsen, short-term HRQOL. Education of newly diagnosed or less informed patients should be studied further.

Cited by 79 publications

References 17 publications

Patients' information-seeking activity is associated with treatment compliance in inflammatory bowel disease patients

Patients' information-seeking activity is associated with treatment compliance in inflammatory bowel disease patients

The Degree of Disease Knowledge in Patients with Gastroesophageal Reflux Disease: A Multi-center Prospective Study in Korea

Group-based intervention program in inflammatory bowel disease patients

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