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Journal articles
Impact of an Education Program on Ibd Patient’s Skills: Results of A Randomized Controlled Multicenter Study (Ecipe)
J Moreau
1
N Hammoudi
2, 3
L Marthey
4
C Trang-Poisson
5
M Nachury
6
R Altwegg
7
J-C Grimaud
8
S Orempuller
1
X Hébuterne
9
A Aubourg
10
C Baudry
2, 3
P Seksik
11
X Roblin
12
S Nahon
13
G Savoye
14, 15, 16
B Mesnard
17
C Stefanescu
18
M Simon
19
B Coffin
20
M Fumery
21
F Carbonnel
4
L Peyrin-Biroulet
22, 23
K Desseaux
24, 2
M Allez
2, 3
Groupe d'Etude Thérapeutique Des Affections Getaid
C Stefanescu 18
Author
M Simon 19
Author IdHAL : simon-marsan ORCID : https://orcid.org/0000-0003-4914-522X
B Coffin 20
Author
M Fumery 21
Author
1
CHU Toulouse [Toulouse] (Hôtel-Dieu Saint Jacques
2, rue Viguerie
TSA 80035
31059 Toulouse cedex 9 - France)
2
AP-HP - Hopital Saint-Louis [AP-HP] (1 Avenue Claude Vellefaux, 75010 Paris - France)
3
EMily (UMR_S_1160 / U1160) - Ecotaxie, microenvironnement et développement lymphocytaire (Hôpital Saint-Louis, 1 avenue Claude Vellfaux, IUH, Centre Georges Hayem, 75010 PARIS - France)
- INSERM - Institut National de la Santé et de la Recherche Médicale : U1160 (101, rue de Tolbiac, 75013 Paris - France)
- UP - Université de Paris : UMR_S_1160 (85 boulevard Saint-Germain 75006 Paris - France)
4
AP-HP Hôpital Bicêtre (Le Kremlin-Bicêtre) (78 Rue du Général Leclerc 94270 Le Kremlin-Bicêtre - France)
5
CHU Nantes - Centre hospitalier universitaire de Nantes (1 Place Alexis-Ricordeau, 44000 Nantes - France)
6
CHRU Lille - Centre Hospitalier Régional Universitaire [Lille] (2, avenue Oscar Lambret - 59037 Lille Cedex - France)
7
Hôpital Saint-Éloi [Montpellier] (France)
- CHRU Montpellier - Centre Hospitalier Régional Universitaire [Montpellier] (191 avenue du doyen Gaston Giraud 34295 Montpellier cedex 5 - France)
8
CHU Marseille (France)
9
CHU - Hôpital Archet 2 [Nice] (CS 23079
06202 Nice cedex 3 - France)
10
CHU Trousseau [Tours] (CHU Trousseau, Unité de Médecine et Physiologie Spatiale, F-37044 Tours - France)
11
CHU Saint-Antoine [AP-HP] (184, rue du Faubourg Saint-Antoine
75571 Paris cedex 12 - France)
12
Service de gastroentérologie [CHU Saint-Etienne] (France)
- CHU de Saint-Etienne - Centre Hospitalier Universitaire de Saint-Etienne (42055 Saint Etienne cedex 2 - France)
13
Groupe Hospitalier Intercommunal Le Raincy-Montfermeil (10 Rue du Général Leclerc, 93370 Montfermeil - France)
14
ADEN - Nutrition, inflammation et dysfonctionnement de l'axe intestin-cerveau (22 bd Gambetta
76183 Rouen Cedex - France)
- UNIROUEN - Université de Rouen Normandie : U1073 (1, rue Thomas Becket 76821 Mont-Saint-Aignan Cedex - France)
- NU - Normandie Université (Esplanade de la Paix - CS 14032 - 14032 Caen Cedex 5 - France)
- INSERM - Institut National de la Santé et de la Recherche Médicale : U1073 (101, rue de Tolbiac, 75013 Paris - France)
15
IRIB - Institute for Research and Innovation in Biomedicine (22 Boulevard Gambetta
76183 Rouen Cedex - France)
- UNIROUEN - Université de Rouen Normandie : FED 4220 (1, rue Thomas Becket 76821 Mont-Saint-Aignan Cedex - France)
- NU - Normandie Université (Esplanade de la Paix - CS 14032 - 14032 Caen Cedex 5 - France)
- INSERM - Institut National de la Santé et de la Recherche Médicale : FED 4220 (101, rue de Tolbiac, 75013 Paris - France)
- CNRS - Centre National de la Recherche Scientifique (France)
16
Service d'Hépato-Gastroentérologie [CHU Rouen] (1 rue Germont 76031 Rouen - France)
- Hôpital Charles Nicolle [Rouen] (CHU de Rouen 1 rue de Germont, 76031 Rouen cedex - France)
- UNIROUEN - Université de Rouen Normandie (1, rue Thomas Becket 76821 Mont-Saint-Aignan Cedex - France)
- NU - Normandie Université (Esplanade de la Paix - CS 14032 - 14032 Caen Cedex 5 - France)
- CHU Rouen (1, rue de Germont 76031 Rouen cedex - France)
- NU - Normandie Université (Esplanade de la Paix - CS 14032 - 14032 Caen Cedex 5 - France)
17
Centre Hospitalier de Tourcoing (Centre Hospitalier (CH) de Tourcoing, 155, rue du Président Coty 59200 TOURCOING - France)
18
Service de Gastroentérologie [Hôpital Beaujon] (France)
- Hôpital Beaujon [AP-HP] (100, boulevard du Général Leclerc 92 Clichy - France)
19
Institut mutualiste Monsouris (France)
20
Hopital Louis Mourier - AP-HP [Colombes] (178 Rue des Renouillers, 92700 Colombes - France)
21
Service d'Hépato Gastroenterologie [CHU Amiens-Picardie] (CHU Amiens-Picardie
Site Sud – Entrée Principale
1 Rond-Point du Professeur Christian Cabrol
80054 Amiens cedex 1 - France)
- CHU Amiens-Picardie (France)
22
NGERE - Nutrition-Génétique et Exposition aux Risques Environnementaux (Université de Lorraine, Faculté de Médecine, 9 avenue de la Forêt de Haye, 54500 Vandoeuvre-les-Nancy - France)
- INSERM - Institut National de la Santé et de la Recherche Médicale : UMRS954/UMRS1256 (101, rue de Tolbiac, 75013 Paris - France)
- UL - Université de Lorraine (34 cours Léopold - CS 25233 - 54052 Nancy cedex - France)
23
Hôpital de Brabois, CHU de Nancy, Vandoeuvre-lès-Nancy (CHU de Nancy, Vandoeuvre-lès-Nancy - France)
24
SBIM - Service de biostatistique et information médicale de l’hôpital Saint Louis (Equipe ECSTRA) (SBIM - Hôpital Saint Louis,
1 avenue Claude Vellefaux
75010 Paris - France)
- INSERM - Institut National de la Santé et de la Recherche Médicale : UMR 1153 (101, rue de Tolbiac, 75013 Paris - France)
- INCA - Institut national du cancer [Boulogne] (Institut National du Cancer 52, avenue André Morizet 92513 Boulogne Billancourt Cedex - France)
- CHU Saint Louis [APHP] (Hôpital Saint Louis, 1 avenue Claude Vellefaux 75010 Paris - France)
- UP - Université de Paris (85 boulevard Saint-Germain 75006 Paris - France)
Abstract : Background
A better patient’s knowledge on their Inflammatory Bowel Disease (IBD) could improve its outcome and quality of life. The aim of this study was to assess if an education program improves IBD patients’ skills as regards to their disease.
Methods
The GETAID group conducted a prospective multicenter randomized controlled study. IBD patients were included at diagnosis, or after a significant event in the disease course. Patients were randomized between “educated” or control groups for 6 months. Education was performed by trained healthcare 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
263 patients were included in 19 centers (Male:40%; Median age:30.8; CD:73%). 133 patients were randomized in the educated group, and 130 in the control group. The median relative increase of the ECIPE score at M6 was higher in the educated group as compared to 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 randomization in the educated group (OR=2.59) and no previous surgery (OR=1.92).
Conclusion
These findings support the set-up of education programs in centers involved in the management of IBD patients.
Document type :
Journal articles
Complete list of metadatas
https://hal-normandie-univ.archives-ouvertes.fr/hal-02964444
Contributor : Sabine Douville <>
Submitted on : Monday, October 12, 2020 - 2:21:36 PM
Last modification on : Sunday, October 25, 2020 - 7:06:44 AM
Contributor : Sabine Douville <>
Submitted on : Monday, October 12, 2020 - 2:21:36 PM
Last modification on : Sunday, October 25, 2020 - 7:06:44 AM
Identifiers
- HAL Id : hal-02964444, version 1
- DOI : 10.1093/ecco-jcc/jjaa195
Collections
COMUE-NORMANDIE | ADEN | UNIROUEN | UNIV-LORRAINE | NGERE-UL | CNRS | UP-SANTE | UNIV-PARIS | BMS-UL | POLITIQUES-PUBLIQUES
Citation
J Moreau, N Hammoudi, L Marthey, C Trang-Poisson, M Nachury, et al.. Impact of an Education Program on Ibd Patient’s Skills: Results of A Randomized Controlled Multicenter Study (Ecipe). Journal of Crohn's and Colitis, Elsevier - Oxford University Press, 2020, ⟨10.1093/ecco-jcc/jjaa195⟩. ⟨hal-02964444⟩
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