TY - JOUR T1 - Patient understanding of liver cirrhosis and improvement using multimedia education JF - Frontline Gastroenterology JO - Frontline Gastroenterol SP - 214 LP - 219 DO - 10.1136/flgastro-2016-100761 VL - 8 IS - 3 AU - Matthew A Goldsworthy AU - Waleed Fateen AU - Helene Thygesen AU - Mark A Aldersley AU - Ian A Rowe AU - Rebecca L Jones Y1 - 2017/07/01 UR - http://fg.bmj.com/content/8/3/214.abstract N2 - Objective For patients to engage with the long-term management of liver cirrhosis, sufficient understanding of their condition is essential. The aim of this study was to assess baseline patient knowledge and to test whether a condition-specific multimedia screencast could improve this.Design Service quality improvement study.Setting A UK tertiary liver centre. Patients were recruited during 12 general hepatology outpatient clinics.Patients Fifty-two patients with liver cirrhosis were included. Sixty-two per cent were male; their median age was 56 years and their median clinic attendance period was 3 years.Interventions Participants completed a baseline questionnaire assessing their knowledge of the management and complications of cirrhosis. They then watched a tailored screencast discussing this condition, which had been developed by expert hepatologists in collaboration with patient representatives. Knowledge was reassessed using a new copy of the original questionnaire after an interval of at least one month.Main outcome measures Patient scores on knowledge questionnaires at baseline and follow-up.Results Fifty-two patients achieved a median score of 25.0% before viewing the screencast. Thirty-five patients then completed a follow-up questionnaire after an interval period. The median questionnaire score in this group improved from 25.0% to 66.7%; an increase of 41.7% compared with baseline (p<0.001).Conclusions Despite regular review at a specialist clinic, participants had poor baseline knowledge of liver cirrhosis. Delivering information by screencast led to a significant improvement. We therefore present an effective way to empower patients with accurate, up-to-date and retainable information that can easily be translated to many other conditions. ER -