Health Literacy and Satisfaction with Decision-Making in Inflammatory Bowel Disease Patients | ||
| The Egyptian Journal of Surgery | ||
| Article 20, Volume 44, Issue 3, July 2025, Pages 957-965 PDF (444.49 K) | ||
| Document Type: Original Article | ||
| DOI: 10.21608/ejsur.2025.347631.1328 | ||
| Author | ||
| Ghada Enani* | ||
| Department Colorectal Surgery, King Abdulaziz University, Jeddah, Saudi Arabia | ||
| Abstract | ||
| Background: Health literacy (HL) is a measure of an individual’s ability to understand and utilize health information and is associated with health outcomes in patients with Inflammatory Bowel Disease (IBD). Aim: We aim to measure HL in surgical patients with IBD and investigate its correlation to satisfaction with decisionmaking. Patients and Methods: In this prospective observational study, IBD patients younger than 18 years of age treated surgically in King Abdulaziz University Hospital completed a validated eHealth Literacy Scale and Satisfaction with Decision tools. HL scored as sufficient (27–40), problematic (21–26 points), or deficient (8–20 points). Univariate and multiple logistic regression were performed to examine the association between limited eHealth Literacy Scale and level of satisfaction with decision-making. Results: A total of 44 were included (2.3% of participants have ulcerative colitis, and 97.7% have Crohn’s disease). The age distribution reveals that 77.3% of participants are in the 25–54 age range. The distribution of HL scores in our cohort is categorized into inadequate (18.2%), problematic (59.1%), and sufficient (22.7%) levels. The distribution of satisfaction level of decision-making scale scores among participants were categorized as neutral (20.5%) and satisfied (79.5%). The regression coefficients reveal that the HL score has a significant positive association with decision-making satisfaction (Estimate= 0.5955, SE= 0.0535, t=11.131, P< 0.001). Conclusion: Most of the selected patients with IBD have low and problematic HL scores. HL score is correlated with satisfaction in decision-making. Future research is needed to understand the role of HL in IBD treatment decisions. | ||
| Keywords | ||
| Health Literacy; IBD; Satisfaction with decision making | ||
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