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Development and validation of the QUECOMIICAT questionnaire: A tool to assess disease-related knowledge in patients with inflammatory bowel disease

Revista Espanola de Enfermedades Digestivas, ISSN: 1130-0108, Vol: 111, Issue: 8, Page: 586-592
2019
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Article Description

Introduction: adequate knowledge of inflammatory bowel disease (IBD) is essential for a successful patient-centered management of IBD. Objective: due to the scarcity of up-to-date tools for measuring IBD literacy, this single-center, prospective study aimed to develop and validate a new questionnaire to assess IBD-related knowledge. Material and methods: the study included patients followed up at the Crohn-Colitis Care Unit (UACC) at the Hospital Vall d’Hebron (Barcelona, Spain). Patients admitted to the UACC for the first time were subsequently enrolled into a standard IBD educational program. A pilot questionnaire was developed and validated in 92 IBD patients by determining the internal consistency reliability (Cronbach’s α test), feasibility, construct validity (correlation with the Crohn’s and Colitis Knowledge [CCKNOW] questionnaire and a knowledge visual analog scale [VAS]) and sensitivity (score change before and after a standard IBD educational program). The questionnaire, named “Qüestionari Coneixements Malaltia Inflamatòria Intestinal Catalunya” (IBD-knowledge questionnaire Catalonia) (QUECOMIICAT) was written in Spanish and had 25 items addressing six dimensions: general concepts, clinic, treatment, surgery, habits and social context. Results: the median (interquartile range) completion time was 15 (10-20) minutes and the floor and ceiling effects were 1.1% and 2.1%, respectively. The Cronbach’s α coefficient was α = 0.75. QUECOMIICAT significantly correlated with the VAS (rho = 0.34, p < 0.01) and CCKNOW questionnaires (rho = 0.74, p < 0.01). Patient knowledge significantly increased 24 hours after attending a standard IBD educational program and remained statistically significant one month later (Pearson’s test-retest correlation coefficient r = 0.81, p < 0.001). Conclusion: in conclusion, the QUECOMIICAT questionnaire is a new up-to-date tool to assess IBD-related knowledge with good feasibility and validation results for use in the routine clinical practice.

Bibliographic Details

Casellas, Francesc; Navarro, Ester; Amil, Paloma; Barber, Claudia; Marín, Laura; Guardiola, Jordi; Espín, Eloy; Sainz, Empar; Aldeguer, Xavier; Gallego, Marta; Murciano, Francsica; García-Planella, Esther; Martín-de-Carpi, Javier; Mendive, Juan Manuel; González-Mestre, Assumpció

Sociedad Espanola de Patologia Digestiva (SEPD)

Medicine

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