Patient understanding of liver cirrhosis and improvement using multimedia education. Issue 3 (19th January 2017)

• Record Type: Journal Article
• Authors: Goldsworthy, Matthew A; Fateen, Waleed; Thygesen, Helene; Aldersley, Mark A; Rowe, Ian A; Jones, Rebecca L
• Is Part Of: Frontline gastroenterology. Volume 8:Issue 3(2017)
• Page Start: 214
• Page End: 219
• Publication Date: 2017-01-19
• Subjects: LIVER CIRRHOSIS; Gastroenterology -- Periodicals; 616.33005
• DOI: 10.1136/flgastro-2016-100761
• Languages: English
• ISSNs: 2041-4137

Abstract

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.