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Title: A Single Educational Intervention Improves Pregnancy-Related Knowledge and Emotional Health Among Women With IBD Who Are Pregnant or Wish to Conceive.
Austin Authors: Flanagan, Emma;Wright, Emily K;Sparrow, Miles P;Moore, Gregory T;Connell, William R;De Cruz, Peter P ;Christensen, Britt;Shelton, Edward;Kamm, Michael A;Ward, Mark G;Dowling, Damian;Brown, Steven;Kashkooli, Soleiman;Thompson, Alexander J;Ross, Alyson L;Kiburg, Katerina V;Bell, Sally J
Affiliation: Department of Gastroenterology, The Royal Melbourne Hospital, Melbourne, Australia
Department of Gastroenterology, Northern Health, Melbourne, Australia
Department of Gastroenterology, Barwon Health, Geelong, Australia
Department of Gastroenterology, St. Vincent's Hospital, Melbourne, Australia
Department of Medicine, University of Melbourne, Melbourne, Australia
Department of Gastroenterology, The Alfred Hospital, Melbourne, Australia
Department of Gastroenterology, Monash University, Melbourne, Australia
Department of Gastroenterology, Monash Health, Melbourne, Australia
Gastroenterology and Hepatology
Issue Date: 11-Mar-2021 2021-03-11
Publication information: Inflammatory Bowel Diseases 2021; 27(12): 1909-1918
Abstract: There is considerable interest in improving the education and care of women with inflammatory bowel disease (IBD) to improve pregnancy outcomes. Despite increased awareness, not all women with IBD have access to pregnancy-related education and the quality of counseling is variable. We aimed to assess the effectiveness of a simple educational intervention for improving pregnancy-related knowledge and to evaluate the effect of education on patient outcomes including anxiety, depression, and quality of life in women with IBD. This prospective study of women with IBD who were pregnant or planning a pregnancy evaluated the effectiveness of a single gastroenterologist-led educational intervention in improving pregnancy-related knowledge, measured using the Crohn's and Colitis Pregnancy Knowledge score 1 month postintervention. Secondary outcomes included the effect on anxiety and depression, quality of life, medication adherence, and patient satisfaction. One hundred women with IBD were recruited. Fifty percent were pregnant at the time of the intervention. Baseline knowledge scores were similar independent of the patients' pregnancy status or whether they had previously received counseling from their gastroenterologist. Median Crohn's and Colitis Pregnancy Knowledge scores postintervention (n = 82) were higher than preintervention scores (14/17 vs 10/17; P < 0.001). In addition, 32% of patients had poor knowledge at baseline (score ≤7/17), compared to only 5% after the intervention (P < 0.001). There was a significant improvement in total anxiety and depression and quality of life scores postintervention. Medication adherence and patient satisfaction were excellent. Uptake of this gastroenterologist-led educational intervention has the potential to improve pregnancy knowledge, promote medication adherence, and enhance quality of life for women with IBD globally.
DOI: 10.1093/ibd/izab021
Journal: Inflammatory Bowel Diseases
PubMed URL: 33704467
Type: Journal Article
Subjects: knowledge
quality of life
Appears in Collections:Journal articles

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