Development and validation of the QUECOMIICAT questionnaire: a tool to assess disease-related knowledge in patients with inflammatory bowel disease

• Francesc Casellas ^[1] ; Ester Navarro ^[1] ; Paloma Amil ^[2] ; Claudia Barber ^[1] ; Laura Marín ^[3] ; Jordi Guardiola ^[4] ; Eloy Espín ^[1] ; Empar Sainz ^[5] ; Xavier Aldeguer ^[8] ; Marta Gallego ^[9] ; Francisca Murciano ^[6] ; Esther García-Planella ^[7] ; Juan Manuel Mendive ^[10] ; Javier Martín-de-Carpi ^[11] ; Assumpció González-Mestre ^[2]
  1. [1] Hospital Vall d'Hebron

     Hospital Vall d'Hebron

     Barcelona, España

     
  2. [2] Generalitat de Catalunya

     Generalitat de Catalunya

     Barcelona, España

     
  3. [3] Hospital Universitari Germans Trias i Pujol

     Hospital Universitari Germans Trias i Pujol

     Barcelona, España

     
  4. [4] Hospital Universitari de Bellvitge

     Hospital Universitari de Bellvitge

     l'Hospitalet de Llobregat, España

     
  5. [5] Hospital Universitario Arnau de Vilanova

     Hospital Universitario Arnau de Vilanova

     Lérida, España

     
  6. [6] Hospital del Mar

     Hospital del Mar

     Barcelona, España

     
  7. [7] Hospital de la Santa Creu i Sant Pau

     Hospital de la Santa Creu i Sant Pau

     Barcelona, España

     
  8. [8] Hospital Universitari Doctor Josep Trueta. Girona, Spain
  9. [9] Hospital Clínic i Provincial de Barcelona. Barcelona, Spain
  10. [10] CAP la Mina. SAP Litoral. Gerència d’Atenció Primària de Barcelona. Barcelona, Spain
  11. [11] Hospital de Sant Joan de Deu. Barcelona, Spain

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• Localización: Revista Española de Enfermedades Digestivas, ISSN-e 2340-4167, ISSN 1130-0108, Vol. 111, Nº. 8, 2019, págs. 586-592
• Idioma: inglés
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• Dialnet Métricas: 1 Cita
• Resumen

  • Introduction: adequate knowledge of inflammatory bowel disease (IBD) is essential for a successful patient-centered management of IBD. Objective: due to the scarcity of up-to-date tools for measuring IBD literacy, this single-center, prospective study aimed to develop and validate a new questionnaire to assess IBD-related knowledge. Material and methods: the study included patients followed up at the Crohn-Colitis Care Unit (UACC) at the Hospital Vall d’Hebron (Barcelona, Spain). Patients admitted to the UACC for the first time were subsequently enrolled into a standard IBD educational program. A pilot questionnaire was developed and validated in 92 IBD patients by determining the internal consistency reliability (Cronbach’s α test), feasibility, construct validity (correlation with the Crohn’s and Colitis Knowledge [CCKNOW] questionnaire and a knowledge visual analog scale [VAS]) and sensitivity (score change before and after a standard IBD educational program). The questionnaire, named “Qüestionari Coneixements Malaltia Inflamatòria Intestinal Catalunya” (IBD-knowledge questionnaire Catalonia) (QUECOMIICAT) was written in Spanish and had 25 items addressing six dimensions: general concepts, clinic, treatment, surgery, habits and social context. Results: the median (interquartile range) completion time was 15 (10-20) minutes and the floor and ceiling effects were 1.1% and 2.1%, respectively. The Cronbach’s α coefficient was α = 0.75. QUECOMIICAT significantly correlated with the VAS (rho = 0.34, p < 0.01) and CCKNOW questionnaires (rho = 0.74, p < 0.01). Patient knowledge significantly increased 24 hours after attending a standard IBD educational program and remained statistically significant one month later (Pearson’s test-retest correlation coefficient r = 0.81, p < 0.001). Conclusion: in conclusion, the QUECOMIICAT questionnaire is a new up-to-date tool to assess IBD-related knowledge with good feasibility and validation results for use in the routine clinical practice.