P150 The influence of different information sources, disease related knowledge and anxiety in patients with IBD
V. Warren, A. Rehman, C. Williams, S. Mumtaz, H. Bholah, D. Gracie, J. Hamlin, A. Ford, C. Selinger*
St Jame's University Hospital, Center for Digestive Diseases, Leeds, United Kingdom
IBD patient education aims to increase disease related patient knowledge and reduce anxiety and fears about the illness. The advent of social media and the internet has opened new avenues in addition to traditional paper based materials and face to face educational sessions. We aim to investigate which information sources are associated with better patient knowledge and reduced anxiety.
Ambulatory IBD patients at a large British Teaching hospital were recruited. Data including demographics, disease characteristics, and use of information sources were gathered using structured questionnaires and from medical records. Patient knowledge was assessed by the Crohns and Colitis Knowledge Score (CCKnow; 0-24 points) and anxiety was assessed using the Hospital Anxiety and Depression score (HADS, 0-21 points).
Of 186 participants (57.5% female, mean age 49 years) 95 were suffering from Crohn's disease and 91 from ulcerative colitis. Mean CCKnow and HADS were 10.5 and 6.9 respectively. Women had higher levels of anxiety (7.8 vs 5.7; p<0.001). Better knowledge was associated with higher levels of educational achievement (p<0.001), younger age (pearson correlation -0.3, p<0.001) membership of a patient organisation (12.4 vs 9.6; p<0.001) and general and health related internet use (11 vs 7; p<0.001). Health related internet use was also associated with higher levels of anxiety (8.1 vs 6.3; p=0.015). All information sources (hospital IBD team, information leaflets, general practitioners, official websites, internet news pages and internet patient forums) were associated with better knowledge (p values between 0.015 and <0.001). In contrast to IBD team, information leaflets, and general practitioners the use of internet based information sources was however associated with significantly higher levels of anxiety. Users of patient forums (8.5 vs 6.4; p=0.003) and alternative health sites had the highest levels of anxiety (9.9 vs 6.7; p=0.003).
Patients with IBD gather information from a wide variety of sources and with the exception of alternative health sites all sources are associated with better disease related knowledge. Internet use for health related information - especially the use of unregulated websites such as forums and alternative health sites - is however associated with higher levels of anxiety. Web based materials are associated with better knowledge. However in light of higher anxiety levels patient education should still include paper based written materials and ideally opportunities for face to face information gathering.