Steatotic Liver Disease Education Enhances Knowledge and Confidence to Adhere to Provider Recommendations in Diverse and Vulnerable Populations
Year: 2024
Type: article
Abstract: Background and Aims Patient knowledge of steatotic liver disease (SLD) is suboptimal. We assessed the impact of SLD education on patient knowledge and confidence to follow provider recommendations among a diverse vulnerable population. Methods In this prospective study from February 19, 2020, to January 31, 2024, 296 adults with SLD were surveyed before and after receipt of formal SLD education. Linear regression (adjusted for age, sex, race) assessed factors associated with baseline SLD knowledge score and its change after education (delta in prescores and postscores), along with confidence to follow provider recommendations following receipt of education. Results Participant characteristics were as follows: median age 53 years, 40.9% male, 55.1% Hispanic (27.0% Asian and 10.5% White), and 23.8% reported heavy alcohol use. SLD knowledge and confidence to follow provider recommendations increased posteducation (all P < .05). On multivariable analyses, greater than high school education (vs high school or less) (coef. 0.62), perceived severity of disease (coef. 0.62), treatment efficacy (coef. 1.38), self-efficacy to discuss SLD (coef. 0.71), and perceived susceptibility to disease risk (coef. 0.93) were associated with greater baseline knowledge (all P < .05). Following education, heavy alcohol use (vs none) was associated with greater change in knowledge (coef. 0.74), while perceived severity (coef. −0.52) and treatment efficacy (coef. −0.72) were associated with lesser change in knowledge (all P < .05). While perceived barriers (coef. −0.14) were associated with less confidence, self-efficacy to discuss SLD, older age, Hispanic, and other race was associated with greater confidence to follow provider recommendations (coef. 0.38, 0.18, 0.64, and 1.26, respectively, all P < .05). Conclusion Formal SLD education enhanced knowledge and confidence to follow provider recommendations in Hispanics and heavy alcohol users. SLD education is integral to SLD management in safety net populations.
Source: Gastro Hep Advances
Language: English
Subfield: Epidemiology
Field: Medicine
Domain: Health Sciences
Open Access status: gold
Estimated APC paid: $2,000
Funders: Merck, San Francisco General Hospital Foundation, National Institutes of Health, University of California, San Francisco, National Institute on Alcohol Abuse and Alcoholism, National Institute on Minority Health and Health Disparities, Helen Diller Family Comprehensive Cancer Center, University of California, San Francisco
OpenAlex ID: W4404532173