Patient understanding of liver cirrhosis and improvement using multimedia education

Goldsworthy, Matthew A., Fateen, Waleed, Thygesen, Helene, Aldersley, Mark A., Rowe, Ian A. and Jones, Rebecca L. (2017) Patient understanding of liver cirrhosis and improvement using multimedia education. Frontline Gastroenterology, 8 (3). pp. 214-219. ISSN 2041-4137

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Objective: For patients to engage with the long-term management of liver cirrhosis, sufficient understanding of their condition is essential. The aim of this study was to assess baseline patient knowledge and to test whether a condition-specific multimedia screencast could improve this.

Design: Service quality improvement study.

Setting: A UK tertiary liver centre. Patients were recruited during 12 general hepatology outpatient clinics.

Patients: Fifty-two patients with liver cirrhosis were included. Sixty-two per cent were male; their median age was 56 years and their median clinic attendance period was 3 years.

Interventions: Participants completed a baseline questionnaire assessing their knowledge of the management and complications of cirrhosis. They then watched a tailored screencast discussing this condition, which had been developed by expert hepatologists in collaboration with patient representatives. Knowledge was reassessed using a new copy of the original questionnaire after an interval of at least one month.

Main outcome measures: Patient scores on knowledge questionnaires at baseline and follow-up.

Results: Fifty-two patients achieved a median score of 25.0% before viewing the screencast. Thirty-five patients then completed a follow-up questionnaire after an interval period. The median questionnaire score in this group improved from 25.0% to 66.7%; an increase of 41.7% compared with baseline (p<0.001).

Conclusions: Despite regular review at a specialist clinic, participants had poor baseline knowledge of liver cirrhosis. Delivering information by screencast led to a significant improvement. We therefore present an effective way to empower patients with accurate, up-to-date and retainable information that can easily be translated to many other conditions.

Item Type: Article
Schools/Departments: University of Nottingham, UK > Faculty of Medicine and Health Sciences
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Depositing User: Eprints, Support
Date Deposited: 19 Feb 2018 14:27
Last Modified: 20 Feb 2018 02:00

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