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) , Mathurin 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 (25)

1 Pôle Maladies de l'appareil digestif [CHU Toulouse]
2 AP-HP - Hopital Saint-Louis [AP-HP]
3 EMily (UMR_S_1160 / U1160) - Ecotaxie, microenvironnement et développement lymphocytaire
4 Hôpital Bicêtre [AP-HP, Le Kremlin-Bicêtre]
5 CHU Nantes - Centre Hospitalier Universitaire de Nantes
6 CHRU Lille - Centre Hospitalier Régional Universitaire [CHU Lille]
7 Département d'Hépato-Gastroentérologie et de Transplantation Hépatique [CHU Saint-Eloi]
8 CHU Marseille
9 CHU - Hôpital Archet 2 [Nice]
10 Département d'Hépato-Gastroentérologie [Hôpital Trousseau, Tours]
11 CHU Saint-Antoine [AP-HP]
12 Service de Gastro-entérologie et Hépatologie [CHU Saint-Etienne]
13 Groupe Hospitalier Intercommunal Le Raincy-Montfermeil
14 ADEN - Nutrition, inflammation et dysfonctionnement de l'axe intestin-cerveau
15 IRIB - Institute for Research and Innovation in Biomedicine
16 Service d'Hépato-Gastroentérologie [CHU Rouen]
17 Centre Hospitalier de Tourcoing
18 Service de Gastroentérologie [Hôpital Beaujon]
19 IMM - Institut mutualiste Monsouris
20 Hôpital Louis Mourier - AP-HP [Colombes]
21 Service d'Hépato Gastroenterologie [CHU Amiens-Picardie]
22 NGERE - Nutrition-Génétique et Exposition aux Risques Environnementaux
23 Service d'Hépato-gastro-entérologie [CHRU Nancy]
24 SBIM - Service de biostatistique et information médicale de l’hôpital Saint Louis (Equipe ECSTRA)
25 GETAID - Groupe d’Étude Thérapeutique des Affections Inflammatoires du Tube Digestif

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.

Mots clés: inflammatory bowel disease; disease progression; diagnosis; quality of life; teaching; previous surgery; patient knowledge

Domaines: Hépatologie et Gastroentérologie

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, 2021, 15 (3), pp.432-440. ⟨10.1093/ecco-jcc/jjaa195⟩. ⟨hal-02964444⟩