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03-01-2024 | Hepatic Encephalopathy | Original Article

Development and Evaluation of a Patient Cirrhosis Knowledge Assessment

Authors: Patricia P. Bloom, Zheng Che, Ashley Hyde, Emily Johnson, Antonio Miguel-Cruz, Michelle Carbonneau, Deepan Hazra, Puneeta Tandon

Published in: Digestive Diseases and Sciences | Issue 2/2024

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Abstract

Background and Aims

Self-management skills improve outcomes for patients with cirrhosis. While education programs exist to teach these skills, there are limited patient assessments to evaluate their efficacy. We aimed to develop and evaluate cirrhosis knowledge assessments for patients with compensated and decompensated cirrhosis.

Methods

Across two institutions, a 4-stage process was undertaken: first, we developed a comprehensive set of questions regarding cirrhosis self-management. Second, the questions underwent critical review by patients and hepatology providers. Third, patients with cirrhosis answered these questions before and after a written educational tool. Questions were updated based on results. Fourth, patients answered the updated questions before and after a video educational tool. Binomial test or paired sample t-test was used to compare pre- and post-tests depending on question type.

Results

In phase 3, 134 patients completed pre- and post-tests. 44% were decompensated, 81% were diagnosed with cirrhosis at least 3 years, and 52% were 60–75 years. 95% of single-answer questions were answered correctly by at least 70% of patients in the pre-test. None of the answers improved significantly with education. After phase 3, 6 questions were removed and 6 questions were edited to increase challenge. In phase 4, 96 patients (42 compensated, 54 decompensated) completed pre- and post-tests. In the compensated assessment, 3 questions improved after education and the summative score increased (7.9 to 9.0, P < 0.001). In the decompensated assessment, 4 questions improved after education and the summative score increased (7.0 to 7.7, P = 0.004).

Conclusion

Through a rigorous process, we created and evaluated cirrhosis knowledge assessments for patients with compensated and decompensated cirrhosis. Further validation is required and then these assessments can be used to improve patient education.
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Metadata
Title
Development and Evaluation of a Patient Cirrhosis Knowledge Assessment
Authors
Patricia P. Bloom
Zheng Che
Ashley Hyde
Emily Johnson
Antonio Miguel-Cruz
Michelle Carbonneau
Deepan Hazra
Puneeta Tandon
Publication date
03-01-2024
Publisher
Springer US
Published in
Digestive Diseases and Sciences / Issue 2/2024
Print ISSN: 0163-2116
Electronic ISSN: 1573-2568
DOI
https://doi.org/10.1007/s10620-023-08238-z

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