| Autor: |
Millie D. Long, Welmoed K. van Deen, Laura Weisbein, Carine Khalil, Keren L. Appel, Xian Zhnag, Wenli Chen, Lori Zubrod, Robbie Maris, Afsoon Ghafari, Taylor Dupuy, Christina Y. Ha, Brennan M.R. Spiegel, Christopher V. Almario, Gil Y. Melmed |
| Rok vydání: |
2022 |
| Popis: |
UNSTRUCTURED Background/Aims: Inflammatory bowel disease (IBD) patients are at increased risk of infections, bone fractures and skin cancers. We developed preventive health videos using a patient-centered approach, and tested their impact on preventive health uptake. Methods: Five animated videos explaining preventive health recommendations in IBD were iteratively developed with patient-centered focus groups and interviews. A randomized controlled trial was then conducted in an internet-based IBD cohort to test the impact of video vs. text-based educational interventions. The primary outcome was receipt of the influenza vaccine. Secondary outcomes included intent-to-receive other preventive health services. Results: Five animated videos were developed with patient input. A total of 1056 IBD patients were then randomized to receive the video (n=511) or text-only (n=545) interventions; 55% of the video group and 57% of the text-only group had received influenza vaccination in the prior year. Immediately following the intervention, 73% reported intent-to-receive vaccination, with no difference by type of intervention. The proportion of patients who actually received influenza vaccination following the intervention also did not differ by messaging type (p=0.07). The strongest predictor of both intent-to-receive and actual receipt of influenza vaccination was prior influenza vaccination. Older age was also associated with a higher likelihood of intent-to-receive (age 36-75 relative to 18-35 years; p=0.006) as well as actual receipt (age >75 relative to age 18-35 years; p=0.05) of the influenza vaccine. Conclusions: The proportion of patients receiving influenza vaccine was high in both groups, but there was no difference in receipt of, or in intention-to-receive preventive health recommendations by type of messaging. Notably, a portion of patients in both groups had intended to be vaccinated but did not ultimately receive vaccination. Further evaluation of patient-education strategies is warranted to improve preventive health uptake among patients with IBD. |
| Databáze: |
OpenAIRE |
| Externí odkaz: |
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