[Knowledge of adolescents with inflammatory bowel disease: Results of a multicenter cross-sectional survey]

Arch Pediatr. 2015 May;22(5):468-75. doi: 10.1016/j.arcped.2015.01.013. Epub 2015 Feb 26.
[Article in French]

Abstract

Aim: To assess knowledge acquired by adolescents about their inflammatory bowel disease (IBD).

Methods: An anonymous questionnaire was given during consultation to adolescents followed for IBD by pediatricians from 13 hospitals between 1 September 2012 and 1 July 2013. After parental consent, these physicians completed a form at the inclusion of each patient, in which the characteristics of IBD were detailed. The patients mailed back their questionnaire.

Results: A total of 124 patients from 12 to 19 years of age were included with a response rate of 82% (all anonymous); 23% of the patients thought that diet was a possible cause of IBD and 22% that one of the targets of their treatment was to cure their disease for good. Of the patients reported having Crohn disease, 46% knew the anoperineal location and 14% knew that Crohn disease can affect the entire digestive tract. Twenty-five percent of the patients were able to name one side effect of azathioprine (88% had already received this treatment), 24% were able to name one side effect of infliximab (54% had already received this treatment), 70% of the adolescents knew that smoking worsens Crohn disease, 68% declared they had learned about their IBD from their pediatrician, and 81% said they would like to receive more information.

Conclusion: Adolescents with IBD have gaps in their general knowledge and the different treatments of their disease. Their main source of information is their pediatrician, warranting the implementation of customized patient education sessions.

Publication types

  • Multicenter Study

MeSH terms

  • Adolescent
  • Azathioprine / adverse effects
  • Azathioprine / therapeutic use
  • Colitis, Ulcerative / drug therapy
  • Colitis, Ulcerative / etiology
  • Colitis, Ulcerative / psychology*
  • Crohn Disease / drug therapy
  • Crohn Disease / etiology
  • Crohn Disease / psychology*
  • Cross-Sectional Studies
  • Feeding Behavior
  • Female
  • France
  • Health Literacy*
  • Humans
  • Infliximab / adverse effects
  • Infliximab / therapeutic use
  • Male
  • Patient Education as Topic
  • Risk Factors
  • Smoking / adverse effects
  • Smoking / psychology
  • Surveys and Questionnaires

Substances

  • Infliximab
  • Azathioprine