Does patient engagement affect IBD patients’ health-related quality of life? Findings from a cross-sectional study among people with inflammatory bowel diseases

Abstract

Background Patients diagnosed with inflammatory bowel disease (IBD) are required to deal with the unpredictability of this clinical condition, which is associated with poorer health-related quality of life (HRQoL) compared to other clinical conditions. Patient engagement is currently demonstrated to relate with chronic patients’ HRQoL, but few studies have been conducted among this population. Methods A cross-sectional study was conducted among 1176 IBD patients. Data were collected on participants’ HRQoL (SIBD-Q) and patient engagement (PHE-s®). Regression analysis was used to examine the effects of patient engagement on HRQoL. Results About the half of the sample (47%) reported a low patient engagement level. 30% of the sample reported a low level of HRQoL. Psycho-emotional functioning resulted to be the aspect of HRQoL most impacted in the 37% of the sample. The regression model showed that PHE-s® is significantly related to the SIBD-Q total score (B = .585; p < .001; R squared = .343) and to the subscales’ scores—systemic symptoms (B = .572; p < .001; R squared = .327), bowel symptoms (B = .482; p < .001; R squared = .232), social (B = .485; p < .001; R squared = .234) and psycho-emotional (B = .607; p < .001; R squared = .369) functioning. Conclusions Patients who are engaged in their IBD care pathway are more likely to report higher level of HRQoL, thus offering clues to potential therapeutic approaches to ameliorating IBD patients’ wellbeing. As this is a modifiable factor, screening for patient health engagement levels, coupled with appropriate interventions, could improve care, and ultimately improve HRQoL outcomes among IBD patients.

Filipinos’ health information‐seeking behaviors and their implications for COVID‐19 vaccination

“…Assessing patient health engagement levels and implementing appropriate measures can improve healthcare delivery and encourage active patient participation in the care process (Barello et al., 2021). While there is no single approach to patient engagement, there are numerous strategies that healthcare providers can employ to ensure patients’ engagement in their healthcare management and access to health information, thereby improving their overall health status (Street et al., 2021).…”

“…Assessing patient health engagement levels and implementing appropriate measures can improve healthcare delivery and encourage active patient participation in the care process (Barello et al, 2021).…”

Patient Centredness, Values, Equity and Sustainability: Professional, Organizational and Institutional Implications

“…Implementation of patient-centred care and patient engagement in routine practices is expected to improve patient outcomes by increasing self-management ability [15], treatment adherence [16], preventive behaviours [17,18], participation in shared decision making [19], satisfaction with care [20], and improving overall quality of life [21,22]. Moreover, many studies reported notable effects of a patient-centred approach to care on improvement in various patient-level outcomes such as distress, functioning, physiologic measures (e.g., blood pressure) and health service utilisation [23,24].…”

“…Research indicates that burnout is highly associated with long-term workload and stress of conscience. Patient-centred care seems to relieve staff's stress of conscience, as healthcare practitioners are enabled to provide appropriate care [22].…”

Patient Engagement in Health Management as a Mediator Between Perceived Risk and COVID-19 Related Distress in Patients With IBD: A Structural Equation Model

“…Conversely, a more engaged patient has been identified as less distressed in response to a perceived risk or sudden change ( 14 ) and more capable of managing his own health ( 15 ), which are aspects particularly challenged by this pandemic. In particular, previous studies revealed that a higher level of patient engagement promotes important outcomes for IBD patients, such as an increased health-related quality of life ( 16 ), and has been proposed as an important ingredient to promote IBD patients' psychosocial wellbeing ( 17 ). Finally, a more engaged patient has been found to better cope with negative emotions and panic, even during quarantine ( 18 , 19 ).…”