Feasibility, acceptability and cost efficiency of using webinars to deliver first-line patient education for people with Irritable Bowel Syndrome as part of a dietetic-led gastroenterology service in primary care

J Hum Nutr Diet. 2020 Dec;33(6):758-766. doi: 10.1111/jhn.12799. Epub 2020 Aug 20.

Abstract

Background: Irritable bowel syndrome (IBS) is a chronic functional gastrointestinal disorder. International research suggests dietary intervention as a first-line approach, although dietetic services are struggling to cope with demand. Digital technology may offer a solution to deliver appropriate patient education. The present study aimed to assess the feasibility, acceptability and cost efficiency of using webinars to deliver first-line IBS advice to patients as part of a dietetic-led gastroenterology service in primary care.

Methods: Patients were directed to an IBS First Line Advice webinar on a specialist NHS website. Data were collected from patients pre- and post-webinar use using an online survey.

Results: In total, 1171 attendees completed the pre-webinar survey and 443 completed the post-webinar survey. Attendees ranged from under 17 years to over 75 years. Of the attendees, 95% found the webinar easy to access and 91% were satisfied with the content of the webinar. Those with excellent or good knowledge rose from 25% pre-webinar to 67% post-webinar, and confidence in managing their condition improved for 74% of attendees. Using the webinars led to a 44% reduction in referrals for one-to-one appointments with a specialist dietitian in the first year of use. The value of the clinical time saved is estimated at £3593 per annum. The one-off cost of creating the webinar was £3597.

Conclusions: The use of webinars is a feasible, acceptable and cost-efficient way of delivering first-line patient education to people suffering with Irritable Bowel Syndrome as part of a dietetic-led gastroenterology service in primary care.

Keywords: IBS; digital; digital transformation; patient education; patient empowerment; webinar.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adolescent
  • Adult
  • Aged
  • Cost-Benefit Analysis
  • Dietetics / economics
  • Dietetics / methods*
  • Feasibility Studies
  • Female
  • Gastroenterology / economics
  • Gastroenterology / methods*
  • Humans
  • Internet-Based Intervention* / economics
  • Irritable Bowel Syndrome / diet therapy*
  • Irritable Bowel Syndrome / economics
  • Male
  • Middle Aged
  • Patient Acceptance of Health Care
  • Patient Education as Topic / economics
  • Patient Education as Topic / methods*
  • Primary Health Care / economics
  • Primary Health Care / methods*
  • Referral and Consultation / economics
  • Referral and Consultation / statistics & numerical data
  • Surveys and Questionnaires
  • Young Adult