Multimedia-Based Education Led to Improvement in Disease Knowledge Among Patients with Cirrhosis.

Autor: Verma M; Department of Medicine, Jefferson Einstein Hospital, Philadelphia, USA. Manisha.Verma@jefferson.edu.; Jefferson Einstein Hospital, Thomas Jefferson University, 5501 Old York Road, Klein 505, Philadelphia, PA, USA. Manisha.Verma@jefferson.edu., Chan M; Department of Medicine, Jefferson Einstein Hospital, Philadelphia, USA., Toroghi S; Hospital Medicine, Jefferson Abington Hospital, Philadelphia, USA., Gallagher M; Department of Medicine, Jefferson Einstein Hospital, Philadelphia, USA., Lo K; Department of Medicine, Jefferson Einstein Hospital, Philadelphia, USA., Navarro V; Department of Medicine, Jefferson Einstein Hospital, Philadelphia, USA.
Jazyk: angličtina
Zdroj: Digestive diseases and sciences [Dig Dis Sci] 2024 Dec; Vol. 69 (12), pp. 4364-4372. Date of Electronic Publication: 2024 Nov 07.
DOI: 10.1007/s10620-024-08704-2
Abstrakt: Background: Current evidence shows limited patient understanding of liver disease, coupled with no standard guidelines or methods to offer patient education in a busy clinical environment. We developed multimedia-based education (MBE) for those with cirrhosis & tested its effectiveness in improving patient knowledge from baseline to 1 month.
Methods: This prospective study enrolled cirrhotic patients who had a scheduled visit with a hepatologist at an ambulatory academic practice or were admitted to the liver inpatient service. Once consented, patients completed a baseline knowledge questionnaire, and were given a link to watch the videos (text or email). Four videos were developed by the study team with input from clinicians and patients (liver function, symptoms and complications, medical management and preventive actions & nutrition). At month 1, the study coordinator confirmed with the patient that they had watched the videos at least once, and patients completed the same knowledge questionnaire. The scores between pre- and post-intervention were compared using the Wilcoxon signed rank test.
Results: Of the 120 enrolled, 113 completed baseline and 75 completed follow-up. 48% had alcohol-related liver disease as the underlying cause of cirrhosis. Mean MELD score at enrollment was 14.7 ± 8.14. There was a statistically significant improvement in knowledge scores across all domains from baseline to month 1 (p < 0.05). The overall knowledge score improved from 65 to 83% (p < 0.001), with highest improvement by 40% in the domain of liver function and causes of cirrhosis.
Conclusions: MBE can help improve patients' knowledge about liver function, management, and prevention and can be used in both ambulatory and inpatient hepatology practice.
Competing Interests: Declarations. Conflict of interest: Nothing to disclose for all authors. Study materials including videos and data can be made available upon request.
(© 2024. The Author(s), under exclusive licence to Springer Science+Business Media, LLC, part of Springer Nature.)
Databáze: MEDLINE
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