{
  "abstract": "Introduction Chronic liver disease (CLD) is a diagnosis of various aetiologies and complications for which clinicians may find difficult to explain to patients within one clinic appointment. This quality improvement project (QIP) aimed to improve patient understanding of their diagnosis with a patient information leaflet.Methods The QIP was registered and approved by the hospital quality improvement team. After reviewing existing patient resources, a leaflet was created consisting of five sections: explanation of the disease; symptoms and complications; general advice including diet, travel, and transplant information; common medications; and useful contacts.To improve accessibility, the content was reviewed with a public health registrar and a member of the outpatient transformation programme. The information was tailored to the appropriate health literacy and numeracy level of the target patient demographic, with a final reading ease score of above 70 and reading age of 9 years. The leaflet proposal was submitted to the hospital patient information team whereby it was approved for publication.Anonymised patient surveys, utilising 5-point likert scales (strongly agree to strongly disagree), were administered to assess patient knowledge of CLD before and after reading the leaflet. The post-leaflet survey included additional questions assessing the usability of the leaflet itself, as well as a free-text section. Results were analysed on Microsoft Excel.Results 10 pre- and 10 post-leaflet patient responses were collected. There were 6 common questions in both surveys to assess change in patient knowledge pre- and post-leaflet ( figure 1 ‘Distribution of patient responses pre- and post-leaflet’). Across all 6 domains of knowledge, the proportion of ‘strongly agree’ responses increased by an average of 33.3 percentage points post-leaflet.80% of respondents found the leaflet easy to understand and 60% found that the information included was at the right level. 40% of patients had questions that were not answered by the leaflet. Free text responses commented on the usefulness of the resource. Suggestions included that the leaflet would be beneficial earlier in the diagnosis, that more images would be desirable, and that addition of advanced information such as alternatives to the common medications, as well as scoring frameworks for stages of cirrhosis would be helpful.Conclusions The Introduction of a comprehensive CLD patient information leaflet allowed greater understanding of the condition in various domains. Individual needs of different levels of information and gaps in patient knowledge vary, and cannot be wholly addressed by general written resources, but this information can be a base for discussion in follow up consultations.Abstract P446 Figure 1Distribution of patient responses pre- and post-leaflet",
  "authors": [
    {
      "affiliations": [
        "Midland Metropolitan University Hospital, SWBH, Birmingham, United Kingdom"
      ],
      "name": "Rosemary Clarke"
    },
    {
      "affiliations": [
        "Whittington Hospital, London, United Kingdom"
      ],
      "name": "Evangelia Fatourou"
    }
  ],
  "title": "P446 Improving patient education with a chronic liver disease patient information leaflet in the outpatient liver clinic",
  "uid": "89b18bf3-b8bf-52de-b51a-e9eac7279137"
}