Impact of an Education Programme on IBD Patients' Skills: Results of a Randomised Controlled Multicentre Study [ECIPE].

Adult Educational Measurement Female France / epidemiology Health Knowledge, Attitudes, Practice Humans Inflammatory Bowel Diseases / epidemiology Male Patient Education as Topic Prospective Studies Self-Management

Education Program Inflammatory Bowel Diseases Randomized Control Trial

Journal

Journal of Crohn's & colitis

ISSN: 1876-4479

Titre abrégé: J Crohns Colitis

Pays: England

ID NLM: 101318676

Informations de publication

Date de publication:
05 Mar 2021

Historique:

pubmed: 25 9 2020

medline: 3 11 2021

entrez: 24 9 2020

Statut: ppublish

Résumé

Better patient knowledge on inflammatory bowel disease [IBD] could improve outcome and quality of life. The aim of this study was to assess if an education programme improves IBD patients' skills as regards their disease. The GETAID group conducted a prospective multicentre randomised controlled study. IBD patients were included at diagnosis, or after a significant event in the disease course. Patients were randomised between 'educated' or control groups for 6 months. Education was performed by trained health care professionals. A psycho-pedagogic score [ECIPE] was evaluated by a 'blinded' physician at baseline and after 6 and 12 months [M6 and M12]. The primary endpoint was the increase of ECIPE score at M6 of more than 20%. A total of 263 patients were included in 19 centres (male:40%; median age:30.8; Crohn's disease [CD]:73%). Of these, 133 patients were randomised into the educated group and 130 into the control group. The median relative increase in ECIPE score at M6 was higher in the educated group as compared with the control group (16.7% [0-42.1%] vs 7% [0-18.8%], respectively, p = 0.0008). The primary endpoint was met in 46% vs 24% of the patients in the educated and control groups, respectively [p = 0.0003]. A total of 92 patients met the primary endpoint. In multivariate analysis, predictors of an increase of at least 20% of the ECIPE score were randomisation in the educated group (odds ratio [OR] = 2.59) and no previous surgery [OR = 1.92]. These findings support the set-up of education programmes in centres involved in the management of IBD patients.

Sections du résumé

BACKGROUND BACKGROUND

METHODS METHODS

The GETAID group conducted a prospective multicentre randomised controlled study. IBD patients were included at diagnosis, or after a significant event in the disease course. Patients were randomised between 'educated' or control groups for 6 months. Education was performed by trained health care professionals. A psycho-pedagogic score [ECIPE] was evaluated by a 'blinded' physician at baseline and after 6 and 12 months [M6 and M12]. The primary endpoint was the increase of ECIPE score at M6 of more than 20%.

RESULTS RESULTS

A total of 263 patients were included in 19 centres (male:40%; median age:30.8; Crohn's disease [CD]:73%). Of these, 133 patients were randomised into the educated group and 130 into the control group. The median relative increase in ECIPE score at M6 was higher in the educated group as compared with the control group (16.7% [0-42.1%] vs 7% [0-18.8%], respectively, p = 0.0008). The primary endpoint was met in 46% vs 24% of the patients in the educated and control groups, respectively [p = 0.0003]. A total of 92 patients met the primary endpoint. In multivariate analysis, predictors of an increase of at least 20% of the ECIPE score were randomisation in the educated group (odds ratio [OR] = 2.59) and no previous surgery [OR = 1.92].

CONCLUSIONS CONCLUSIONS

These findings support the set-up of education programmes in centres involved in the management of IBD patients.

Identifiants

DOI: 10.1093/ecco-jcc/jjaa195 PMID: 32969469

pubmed: 32969469

pii: 5910905

doi: 10.1093/ecco-jcc/jjaa195

doi:

Types de publication

Journal Article Multicenter Study Randomized Controlled Trial

Langues

eng

Sous-ensembles de citation

Pagination

432-440

Investigateurs

Franck Brazier (F)

Jean-Louis Dupas (JL)

Mathurin Fumery (M)

Martine Leconte (M)

Annie Bornet (A)

Yoram Bouhnik (Y)

Geraldine Herbet (G)

Suzanna Ostrec (S)

Carmen Stefanescu (C)

Xavier Treton (X)

Benoît Coffin (B)

Delphine Coutarel (D)

Joséphanne Romarin (J)

Franck Carbonnel (F)

Lysiane Marthey (L)

Valérie Kail (V)

Maria Nachury (M)

Benjamin Pariente (B)

Stéphanie Challier (S)

Mylène Ducerne (M)

Jean-Charles Grimaud (JC)

Isabelle Lutgen (I)

Valérie Lebayle (V)

Laetitia Legoux (L)

Stéphane Nahon (S)

Romain Altwegg (R)

Ludovic Caillo (L)

Laurent Peyrin-Biroulet (L)

Nelly Benard (N)

Béatrice Boucard (B)

Arnaud Bourreille (A)

Elise Kerdreux (E)

Katia Ferreira (K)

Caroline Trang-Poisson (C)

Nadia Arab (N)

Virginie Cluzeau (V)

Evalyne Eyraud (E)

Jerôme Filippi (J)

Xavier Hébuterne (X)

Aurore Paput (A)

Amine Rahill (A)

Laura Armengol-De Beir (L)

Julien Blot (J)

Elise Foloppe (E)

Guillaume Savoye (G)

Gaëlle Vienney (G)

Marion Simon (M)

Laurent Beaugerie (L)

Anne Bourrier (A)

Najim Chafai (N)

Clotilde Debove (C)

Nadia Hoyeau (N)

Julien Kirchgesner (J)

Cécilia Landman (C)

Jérémie H Lefèvre (JH)

Isabelle Nion-Larmurier (I)

Yann Parc (Y)

Philippe Seksik (P)

Harry Sokol (H)

Matthieu Allez (M)

Clotilde Baudry (C)

Joëlle Bonnet (J)

Leïla Chedouba (L)

Nathalie Descrouet (N)

Nassim Hammoudi (N)

Jean-Félix Lepasteur (JF)

Andrée Nisard (A)

Marion Vincent (M)

Sylvie Chevret (S)

Kristell Desseaux (K)

Regine Berolo (R)

Emilie Del Tedesco (E)

Xavier Roblin (X)

Emilie Bergereau (E)

Patrick Faure (P)

Audrey Haenning (A)

Marianne Lassailly (M)

Jacques Moreau (J)

Sandra Orempuller (S)

Bruno Mesnard (B)

Souheyla Mezrag Biskri (SM)

Noémie Tavernier (N)

Floriane Verhaeghe (F)

Gwenola Vernier (G)

Alexandre Aubourg (A)

Magalie Chauvigneau (M)

Charles Lamblin (C)

Marie-Christine Lorin (MC)

Laurence Picon (L)