The information needs and preferences of persons with longstanding inflammatory bowel disease
Canadian Journal of Gastroenterology, 08/17/2012
Wong S et al. – Approximately 10 years after diagnosis, only a small percentage of persons with inflammatory bowel disease (IBD) believed they received the correct amount of information about the issues they regarded as most important to have discussed at diagnosis.Methods
- The population-based Manitoba IBD Cohort (n=271, mean disease duration 11 years) was surveyed to assess its information needs across 23 issues, both retrospectively at the time of diagnosis and currently.
- Most participants (64%) were initially diagnosed by a gastroenterologist, or otherwise by a family physician (19%) or surgeon (12%).
- Recalling time of diagnosis, at least 80% rated as very important information about common symptoms of IBD, possible complications, long-term prognosis, medication side effects, self management of symptoms and when to involve the doctor, yet only 10% to 36% believed they received the right amount of information about these issues.
- Dietary guidance was also regarded as important by 80% to 89%, yet only 8% to 16% received the correct amount of information.
- Regarding current needs, a large proportion believed it would be very helpful to have more information about long-term prognosis (66%) and diet considerations (60% to 68%).
- The following information sources were regarded as very acceptable: medical specialist (81%); brochure (79%); family doctor (64%); and website (64%), with 51% ranking the medical specialist as the first choice.
- In a comparison of the responses of this cohort to those of a recently diagnosed sample, there was remarkable consistency in the information needs and most desired sources of information.