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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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Abstract

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
RIS ID:	https://nottingham-repository.worktribe.com/output/853317
Schools/Departments:	University of Nottingham, UK > Faculty of Medicine and Health Sciences
Identification Number:	https://doi.org/10.1136/flgastro-2016-100761
Depositing User:	Eprints, Support
Date Deposited:	19 Feb 2018 14:27
Last Modified:	15 Aug 2024 15:22
URI:	https://eprints.nottingham.ac.uk/id/eprint/49867

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