Impact of an Education Programme on IBD Patients’ Skills: Results of a Randomised Controlled Multicentre Study [ECIPE]
J. Moreau, Nassim Hammoudi, Lysiane Marthey, Caroline Trang-Poisson, Maria Nachury, Romain Altwegg, J. C. Grimaud, Sandra Orempuller, Xavier Hébuterne, Alexandre Aubourg, C Baudry, Philippe Seksik, Xavier Roblin, Stéphane Nahon, Guillaume Savoye, B Mesnard, Carmen Stefănescu, M. Simon, Benoît Coffin, Mathurin Fuméry, Franck Carbonnel, Laurent Peyrin‐Biroulet, K. Desseaux, Matthieu Allez, GETAID, Franck Brazier, J.-L. Dupas, Mathurin Fumery, Martine Leconte, Annie Bornet, Yoram Bouhnik, Geraldine Herbet, Suzanna Ostrec, Carmen Stefănescu, Xavier Tréton, Benoît Coffin, Delphine Coutarel, Joséphanne Romarin, Franck Carbonnel, Lysiane Marthey, Valérie Kail, Maria Nachury, Benjamin Pariente, Stéphanie Challier, Mylène Ducerne, Jean–Charles Grimaud, Isabelle Lutgen, Valérie Lebayle, Laetitia Legoux, Stéphane Nahon, Romain Altwegg, Ludovic Caillo, Laurent Peyrin‐Biroulet, Nelly Benard, Béatrice Boucard, Arnaud Bourreille, Elise Kerdreux, Katia Ferreira, Caroline Trang-Poisson, Nadia Arab, Virginie Cluzeau, Evalyne Eyraud, Jérôme Filippi, Xavier Hébuterne, Aurore Paput, A Rahill, Laura Armengol-De Beir, Julien Blot, Elise Foloppe, Guillaume Savoye, Gaëlle Vienney, Marion Simon, Laurent Beaugerie, Anne Bourrier, Najim Chafaı̈, Clotilde Debove, Nadia Hoyeau, Julien Kirchgesner, Cécilia Landman, Jérémie H. Lefèvre, Isabelle Nion–Larmurier, Yann Parc, Philippe Seksik, Harry Sokol, Matthieu Allez, Clotilde Baudry, Joëlle Bonnet, Leïla Chedouba, Nathalie Descrouet, Nassim Hammoudi, Jean-Félix Lepasteur, A Nisard, Marion Vincent, Sylvie Chevret, Kristell Desseaux, Regine Berolo, Émilie Del Tedesco, Xavier Roblin, Emilie Bergereau, Patrick Fauré
Abstract
BACKGROUND: Better patient knowledge on inflammatory bowel disease [IBD] could improve outcome and quality of life. The aim of this study was to assess if an education programme improves IBD patients' skills as regards their disease. METHODS: The GETAID group conducted a prospective multicentre randomised controlled study. IBD patients were included at diagnosis, or after a significant event in the disease course. Patients were randomised between 'educated' or control groups for 6 months. Education was performed by trained health care professionals. A psycho-pedagogic score [ECIPE] was evaluated by a 'blinded' physician at baseline and after 6 and 12 months [M6 and M12]. The primary endpoint was the increase of ECIPE score at M6 of more than 20%. RESULTS: A total of 263 patients were included in 19 centres (male:40%; median age:30.8; Crohn's disease [CD]:73%). Of these, 133 patients were randomised into the educated group and 130 into the control group. The median relative increase in ECIPE score at M6 was higher in the educated group as compared with the control group (16.7% [0-42.1%] vs 7% [0-18.8%], respectively, p = 0.0008). The primary endpoint was met in 46% vs 24% of the patients in the educated and control groups, respectively [p = 0.0003]. A total of 92 patients met the primary endpoint. In multivariate analysis, predictors of an increase of at least 20% of the ECIPE score were randomisation in the educated group (odds ratio [OR] = 2.59) and no previous surgery [OR = 1.92]. CONCLUSIONS: These findings support the set-up of education programmes in centres involved in the management of IBD patients.