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©The Author(s) 2021. Published by Baishideng Publishing Group Inc. All rights reserved.
Determinants of disease-specific knowledge among children with inflammatory bowel disease and their parents: A multicentre study
Kinga Kowalska-Duplaga, Anita Gawlik-Scislo, Elzbieta Krzesiek, Elzbieta Jarocka-Cyrta, Izabella Łazowska-Przeorek, Mariusz Duplaga, Aleksandra Banaszkiewicz
Kinga Kowalska-Duplaga, Department of Pediatrics, Gastroenterology and Nutrition, Jagiellonian University Medical College, Kraków 30-663, Poland
Anita Gawlik-Scislo, Children's Hospital of the Medical University of Warsaw, Medical University of Warsaw, Warsaw 02-091, Poland
Elzbieta Krzesiek, Department of Pediatrics, Gastroenterology and Nutrition, Wroclaw Medical University, Wroclaw 50-369, Poland
Elzbieta Jarocka-Cyrta, Department of Pediatrics, University of Warmia and Mazury, Olsztyn 10-561, Poland
Izabella Łazowska-Przeorek, Aleksandra Banaszkiewicz, Department of Pediatric Gastroenterology and Nutrition, Medical University of Warsaw, Warsaw 02-091, Poland
Mariusz Duplaga, Department of Health Promotion and e-Health, Jagiellonian University Medical College, Kraków 31-066, Poland
Author contributions: Kowalska-Duplaga K participated in design and oversight of the study, was involved with data collection, made critical revisions related to important intellectual content of the manuscript, drafted the manuscript; Gawlik-Scislo A involved with data collection, interpreted the results of the study; Krzesiek E involved with data collection; Jarocka-Cyrta E involved with data collection; Łazowska-Przeorek I involved with data collection, interpreted the results of the study; Duplaga M performed data analysis, drafted the manuscript, making critical revisions related to important intellectual content of the manuscript, interpreted the results of the study; Banaszkiewicz A participated in design and oversight of the study, involved with data collection, drafted the manuscript, making critical revisions related to important intellectual content of the manuscript; all authors read and approved the final manuscript.
Institutional review board statement: The study was approved by the University Bioethical Committee (Consent No. AKBE/120/16).
Conflict-of-interest statement: The authors declare no conflict of interests.
Data sharing statement: No additional data are available.
CONSORT 2010 statement: The authors have read the CONSORT 2010 Statement, and the manuscript was prepared and revised according to the CONSORT 2010 Statement.
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See:
http://creativecommons.org/Licenses/by-nc/4.0/ Corresponding author: Aleksandra Banaszkiewicz, PhD, Professor, Department of Pediatric Gastroenterology and Nutrition, Medical University of Warsaw, Zwirki i Wigury 63a, Warsaw 02-091, Poland. aleksandra.banaszkiewicz@wum.edu.pl
Received: April 6, 2021
Peer-review started: April 6, 2021
First decision: May 27, 2021
Revised: June 2, 2021
Accepted: July 5, 2021
Article in press: July 5, 2021
Published online: July 21, 2021
BACKGROUND
Disease knowledge is associated with increased treatment compliance and improvement of symptoms in inflammatory bowel disease (IBD). IBD-knowledge inventory device (IBD-KID) was developed and validated specifically as a tool to measure disease-related knowledge in children with IBD and their parents.
AIM
To prospectively assess the determinants of disease-related knowledge regarding paediatric IBD patients and their parents, using the IBD-KID.
METHODS
A questionnaire-based survey was carried out in paediatric patients and their parents. The determinants of patients’ and parents’ IBD-KID scores were assessed according to hierarchical linear regression models.
RESULTS
The study group consisted of 269 IBD patients and 298 parents. The patients’ mean (standard deviation, SD) IBD-KID score was 10.87 (± 3.97), while the parents’ was 11.95 (± 3.97). Both groups exhibited poor knowledge of the side effects of steroid therapy, the role of surgical treatment in IBD, dietary restrictions and the risks associated with the use of herbal medicines. The patients’ IBD-KID scores were statistically associated with patient sex [B coefficient (standard error, SE) = 1.03 (0.44), P = 0.021] and patient age [B (SE) = 0.03 (0.01), P < 0.001]. The parents’ IBD-KID scores were significantly related to patient age [B (SE) = 0.02 (0.01), P = 0.003], and treatment with immunosuppressive agent [B (SE) = 1.85 (0.48), P < 0.001]. The final models explained 26.9% of the variance of patients’ IBD-KID scores and 18.5% of the variance of parents’ scores.
CONCLUSION
The variables originating from parents’ knowledge were significantly associated with patients’ IBD-KID scores. The study results indicate the need to implement better education programmes for patients and parents.
Core Tip: This was a prospective study that assessed the disease-related knowledge regarding paediatric inflammatory bowel disease (IBD) among children and their parents using previously validated IBD-knowledge inventory device (IBD-KID). The variables originating from parent’s knowledge, were significantly associated with patient’s IBD-KID score. Parents of patients treated with immunosuppressive agents showed higher diseases-specific knowledge. The results of the study indicate the need to implement better education programmes for patients and parents.
