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Postgrad Med. 2018 Nov 16:1-8. doi: 10.1080/00325481.2019.1549458. [Epub ahead of print]

Effect of video-assisted patient education on compliance with therapy, quality of life, psychomorbidity, and cost of illness in irritable bowel syndrome.

Author information

1
a Department of Gastroenterology and Hepatology , Kasturba Medical College, Manipal Academy of Higher Education (MAHE) , Manipal , India.
2
b Department of Pharmacotherapy , UNTS College of Pharmacy, University of North Texas Health Science Center , Fort Worth , TX , USA.
3
c Department of Pharmacy Practice , Manipal College of Pharmaceutical Sciences , Manipal , India.
4
d Department of Psychiatry , Kasturba Medical College , Manipal , India.
5
e Department of Community Medicine , Kasturba Medical College , Manipal , India.

Abstract

OBJECTIVE:

Patient education is important in irritable bowel syndrome (IBS), but its effects on outcomes have not been studied extensively.

METHODS:

Patients were enrolled and prospectively divided into an interventional and usual care group. Both received standard of care, but the former additionally received video-assisted patient education. Self-administered questionnaires IBS-quality of life (QOL), Beck Anxiety-Depression Inventory II (BAI, BDI), and Hospital Anxiety and Depression Scale (HADS) were administered at baseline, 3 months, and 6 months. Compliance was defined as drug intake of >80% of the prescribed dose. COI included prospective, prevalence-based, societal perspective.

RESULTS:

Of the 107 patients included, 84 [78.5%; male = 66 (78.57%); median age = 44 (range 20-77 years)] completed the follow up. While the median (inter-quartile range; IQR) QOL scores decreased significantly in both the groups (p < 0.001 for either group), the final scores were significantly better in the interventional group [49 (44-52.5) versus 80 (76-103), respectively; p < 0.005]. There was a significant improvement in the BDI; p < 0.001]. However, the rest did not achieve statistical significance. At 6 months, total median (IQR) semi-annual cost per patient was INR 14,639 (8253-17,909) [US $240 (135-294].

CONCLUSION:

Video-assisted patient education should be a part of the treatment of IBS since it improves the QOL and depression scores.

KEYWORDS:

Irritable bowel syndrome; cost of illness; patient education; psychomorbidity

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