Patients' information-seeking activity is associated with treatment compliance in inflammatory bowel disease patients

Pittet, Valérie; Rogler, Gerhard; Mottet, Christian; Froehlich, Florian; Michetti, Pierre; de Saussure, Philippe; Burnand, Bernard; Vader, John-Paul; Schibli, Susanne; Tutuian, Radu; Swiss IBD Cohort Study Group, The (2014). Patients' information-seeking activity is associated with treatment compliance in inflammatory bowel disease patients. Scandinavian journal of gastroenterology, 49(6), pp. 662-673. Informa Healthcare 10.3109/00365521.2014.896408

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BACKGROUND Despite the chronic and relapsing nature of inflammatory bowel diseases (IBD), at least 30% to 45% of the patients are noncompliant to treatment. IBD patients often seek information about their disease. AIM To examine the association between information-seeking activity and treatment compliance among IBD patients. To compare information sources and concerns between compliant and noncompliant patients. METHODS We used data from the Swiss IBD cohort study, and from a qualitative survey conducted to assess information sources and concerns. Crude and adjusted odds ratios (OR) for noncompliance were calculated. Differences in the proportions of information sources and concerns were compared between compliant and noncompliant patients. RESULTS A total of 512 patients were included. About 18% (n = 99) of patients were reported to be noncompliant to drug treatment and two-thirds (n = 353) were information seekers. The OR for noncompliance among information seekers was 2.44 (95%CI: 1.34-4.41) after adjustment for confounders and major risk factors. General practitioners were 15.2% more often consulted (p = 0.019) among compliant patients, as were books and television (+13.1%; p = 0.048), whereas no difference in proportions was observed for sources such as internet or gastroenterologists. Information on tips for disease management were 14.2% more often sought among noncompliant patients (p = 0.028). No difference was observed for concerns on research and development on IBD or therapies. CONCLUSION In Switzerland, IBD patients noncompliant to treatment were more often seeking disease-related information than compliant patients. Daily management of symptoms and disease seemed to be an important concern of those patients.

Item Type:

Journal Article (Original Article)

Division/Institute:

04 Faculty of Medicine > Department of Gastro-intestinal, Liver and Lung Disorders (DMLL) > Clinic of Visceral Surgery and Medicine > Gastroenterology
04 Faculty of Medicine > Department of Gynaecology, Paediatrics and Endocrinology (DFKE) > Clinic of Paediatric Medicine
04 Faculty of Medicine > Department of Gynaecology, Paediatrics and Endocrinology (DFKE) > Clinic of Paediatric Medicine > Paediatric Gastroenterology

UniBE Contributor:

Schibli, Susanne and Tutuian, Radu

Subjects:

600 Technology > 610 Medicine & health

ISSN:

0036-5521

Publisher:

Informa Healthcare

Language:

English

Submitter:

André Schaller

Date Deposited:

20 Mar 2015 09:32

Last Modified:

29 Mar 2015 21:04

Publisher DOI:

10.3109/00365521.2014.896408

PubMed ID:

24617517

Additional Information:

Swiss IBD Cohort Study Group: Kollaboration. Nur Berner Autoren sind namentlich erwähnt.

Uncontrolled Keywords:

Crohn's disease compliance to treatment information concerns information seeking ulcerative colitis

URI:

https://boris.unibe.ch/id/eprint/65293

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