Premium
Patients' knowledge of pregnancy‐related issues in inflammatory bowel disease and validation of a novel assessment tool (‘ CCPKnow ’)
Author(s) -
Selinger C. P.,
Eaden J.,
Selby W.,
Jones D. B.,
Katelaris P.,
Chapman G.,
McDonald C.,
McLaughlin J.,
Leong R. W. L.,
Lal S.
Publication year - 2012
Publication title -
alimentary pharmacology and therapeutics
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 3.308
H-Index - 177
eISSN - 1365-2036
pISSN - 0269-2813
DOI - 10.1111/j.1365-2036.2012.05130.x
Subject(s) - medicine , cronbach's alpha , pregnancy , readability , inflammatory bowel disease , construct validity , disease , crohn's disease , physical therapy , surgery , patient satisfaction , psychometrics , clinical psychology , linguistics , philosophy , genetics , biology
Summary Background Inflammatory bowel diseases ( IBD ) require complex therapeutic decisions and life choices concerning pregnancy, but little is known about patient's knowledge of IBD and its treatment before and during pregnancy. Aim To develop a novel tool (Crohn's and Colitis Pregnancy Knowledge Score ‘ CCPKnow ’) to assess knowledge of pregnancy‐related issues in IBD . The validated tool was then applied to determine knowledge in patients. Method Discriminate ability of ‘ CCPKnow ’ was validated in four groups with different levels of IBD knowledge. Reliability and readability were tested by Cronbach‐α and Flesch‐Kencaid. Construct validity was subsequently assessed against general IBD knowledge ( CCKnow ) in 145 women with IBD . Associations between patient factors and knowledge were studied. Results Median CCPKnow scores differed significantly between the validation groups ( P < 0.001). CCPKnow displayed excellent internal consistency, reliability (Cronbach‐α 0.94), readability (reading age 9 years) and close correlation with CCKnow (Spearman's ρ 0.64; P < 0.001). Of 145 patients, 44.8% had poor, 27.6% adequate, 17.3% good and only 10.3% very good knowledge. Better knowledge was associated with Caucasian ethnicity, higher income, having a partner, having children, C rohn's and Colitis Association membership, longer disease duration and C rohn's disease. Conclusions Crohn's and Colitis Pregnancy Knowledge Score, a novel knowledge assessment tool of pregnancy and IBD , demonstrated excellent test characteristics. We found that nearly half of the women with IBD had poor knowledge, identifying a pressing need for better education.