P422 'IBDPassport': Evaluating the quality of an internet-based travel resource for Inflammatory Bowel Disease
K. Greveson*, M. Hamilton, C.D. Murray
Royal Free Hospital, Department of Gastroenterology, London, United Kingdom
Travellers' with Inflammatory bowel disease (IBD) are at greater risk of travel-related morbidity with European guidelines recommending expert consultation prior to travel, particularly for those on immunosuppression.1 Previous research into travel and IBD found travel consultations and patient travel preparation and knowledge to be deficient.2,3 As a result we developed a dedicated, evidence-based non-profit IBD travel advice website(
A link to the website, along with a structured web-based survey was sent to a sample of 15 UK IBD patients,IBD nurse specialists and gastroenterologists respectively.The survey contained demographic questions and asked respondents to rate the content, functionality and credibility of the website using a series of parameters including a 5-point Global Quality Score and Integrity Score 5. Readability statistics were graded on a 100 word sample of text from each page on the website using the Flesch Reading Ease and Flesch-Kincaid Grade level scores.
A total of 33 individuals responded (73% response rate; 11, 33% Patient; 10, 30% Nurse; 12, 36% Gastroenterologist (Table 1). The mean Global Quality score for all respondents was 4.5 out of a possible 5 (Range 3-5). The Flesch-Kincaid Grade level score was US school grade 10.9 (range 7.2-17.1)and median Flesch Reading Ease score 50.5 out of a possible 100(Range 22.4-65.1).The integrity score was 4.0 out of 6.The majority of respondents strongly agreed that the website was an accurate source of travel information for IBD (60%),used appropriate citations (67%), and was easy to navigate(70%).26/33(79%)felt the website improved their knowledge of travel-related issues in IBD(Table 2).All respondents would recommend the site to friends or colleagues.
Table 1: Respondent Demographics
|Demographics n=33||Patient n = 11||IBD Nurse specialist n= 10||Gastroenterologist n= 12|
|Gender Female (%)||4 (36%)||10 (100%)||1 (8%)|
|Median Age (Range)||46 (25–73)||37 (30–61)||51 (39–58)|
|Diagnosis Crohn’s (%)||4 (36%)||n/a||n/a|
|Median years diagnosed (Range)||12 (2–30)||n/a||n/a|
|Travel in past 5 years Yes (%)||10/11 (91%)||n/a||n/a|
|Problems with IBD when travel Yes (%)||5/11 (45%)||n/a||n/a|
|Median years in Post (Range)||n/a||6 (3–18)||10 (3–18)|
Table 2: Website quality evaluation parameters
|All n=33||Patient n = 11||IBD Nurse specialist n= 10||Gastroenterologist n= 12|
|Global Quality Score Median (Range)||4.5 / 5 (3–5)||5 (3–5)||4.5 (4–5)||4.5 (4–5)|
|Quality parameters (Strongly agree %)|
|Accurate source of information||20 (60%)||9 (82%)||7 (70%)||4 (33%)|
|Appropriate citations used as evidence||22 (67%)||7 (64%)||9 (90%)||6 (50%)|
|Balanced and unbiased||23 (70%)||8 (73%)||9 (90%)||6 (50%)|
|Easy to navigate||23 (70%)||8 (73%)||8 (80%)||7 (58%)|
|Adequate information to prepare for travel||18 (55%)||5 (45%)||7 (70%)||6 (50%)|
|Improved IBD-related travel knowledge||26 (79%)||9 (82%)||9 (90%)||8 (67%)|
|Would recommend to friends/ colleagues||33 (100%)||11 (100%)||10 (100%)||12 (100%)|
IBD Passport is the first internet-based travel resource created for both IBD patients and professionals to provide IBD-specific travel information. Our findings demonstrate that patients and healthcare professionals consider IBD Passport to be an excellent quality, evidence-based resource. The readability statistics are favorable when compared to results from other studies examining website quality.
 Rahier JF, Magro F, Abreu C et al. , (2014), econd European evidence based consensus on the prevention, diagnosis and management of opportunistic infections in inflammatory bowel disease, Journal of Crohn's Colitis, 8: 443-468
 Soonawala D, van Eggermond AM, Fidder H ,Visser LG, (2012), Pre-travel Preparation and Travel-related Morbidity in Patients with Inflammatory Bowel Disease, Inflamm Bowel Disease
 K Greveson, T C Shepherd, M I Hamilton, C D Murray, (2014), A Recent Flare of Disease does not Prohibit Travel: Early results of a Single Centre Study in Inflammatory Bowel Disease and Travel , Gastroenterology , Volume 146, Issue 5 , Supplement 1, S-1-S-1099.
 Bernard A et al, (2007), A systematic review of patient inflammatory bowel disease information resources on the world Wide Web, American Journal of Gastroenterology , 2070-2077