Cochrane · systematic review · CD013854

Patient education interventions for the management of inflammatory bowel disease

Gordon, M, Sinopoulou, V, Ibrahim, U, et al. · Cochrane Database of Systematic Reviews · 2023 · Cochrane Library

GutAMSTAR 2: not assessed
SoF tableOnly the outcomes this review put in its Summary of Findings table are listed (the Cochrane Handbook caps them at about seven per comparison). Its other analyses are not shown here.
Questions
12
current version
GRADE rated
8
No studies
4
Included studies
NR
No studies 4 · 33.3%Ungraded 0 · 0%Very low 5 · 41.7%Low 0 · 0%Moderate 3 · 25%High 0 · 0%

Ungraded means an effect was reported without a GRADE rating; it is not a gap. No studies means the review found nothing to answer the question. The six categories are a display order, not a score.

Questions and results

Patient education and standard care compared to standard care for the management of inflammatory bowel disease

Population: people with inflammatory bowel disease
4 questions
OutcomeEffectEvidenceStatus / GRADE
Disease activity (3‐12 months)
Patient education and standard care vs standard care
no estimate extracted2 studies · 479 participantsModerate
Downgraded: risk of bias, imprecision
Flare‐ups or relapse (mean number during study period, start‐12 months) (continuous outcome)
Patient education and standard care vs standard care
no estimate extracted2 studies · 1022 participantsModerate
Downgraded: risk of bias, imprecision
Flare‐ups or relapse (4‐12 months) (dichotomous outcome)
Patient education and standard care vs standard care
RR 0.94 [0.41, 2.18]3 studies · 307 participantsVery low
Downgraded: risk of bias, imprecision
Quality of life (2 weeks‐12 months)
Patient education and standard care vs standard care
no estimate extracted6 studies · 1364 participantsModerate
Downgraded: risk of bias, imprecision

Web‐based patient education versus other delivery of patient education for the management of inflammatory bowel disease

Population: people with inflammatory bowel disease
4 questions
OutcomeEffectEvidenceStatus / GRADE
Disease activity (8 weeks)
Web‐based patient education vs other delivery of patient education
no estimate extracted1 study · 32 participantsVery low
Downgraded: risk of bias, imprecision
Flare‐ups or relapse (continuous)
Web‐based patient education vs other delivery of patient education
no estimate extractedNRNo studies
Flare‐ups or relapse (dichotomous)
Web‐based patient education vs other delivery of patient education
no estimate extractedNRNo studies
Quality of life, IBDQ (32 minimum score to 224 maximum score; high score = better quality of life) (8 weeks)
Web‐based patient education vs other delivery of patient education
no estimate extracted1 study · 58 participantsVery low
Downgraded: risk of bias, imprecision

Weekly educational texts messages versus once every other week educational text messages for the management of inflammatory bowel disease

Population: people with inflammatory bowel disease
4 questions
OutcomeEffectEvidenceStatus / GRADE
Disease activity (12 months)
Weekly educational texts messages vs once every other week educational text messages
no estimate extracted1 study · 131 participantsVery low
Downgraded: risk of bias, imprecision
Flare‐ups or relapse (continuous)
Weekly educational texts messages vs once every other week educational text messages
no estimate extractedNRNo studies
Flare‐ups or relapse (dichotomous)
Weekly educational texts messages vs once every other week educational text messages
no estimate extractedNRNo studies
Quality of life, IBDQ (32 minimum score ‐ 224 maximum score; high score = better quality of life) (12 months)
Weekly educational texts messages vs once every other week educational text messages
no estimate extracted1 study · 193 participantsVery low
Downgraded: risk of bias, imprecision