Steatotic Liver Disease Education Enhances Knowledge and Confidence to Adhere to Provider Recommendations in Diverse and Vulnerable Populations
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 J...
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Elsevier
2025-01-01
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| Series: | Gastro Hep Advances |
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| Online Access: | http://www.sciencedirect.com/science/article/pii/S2772572324001857 |
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| author | Shyam Patel Diana Partida Catherine Magee Flor E. Garza Romero Jennifer Y. Chen Michelle Tana Mandana Khalili |
| author_facet | Shyam Patel Diana Partida Catherine Magee Flor E. Garza Romero Jennifer Y. Chen Michelle Tana Mandana Khalili |
| author_sort | Shyam Patel |
| collection | DOAJ |
| description | 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. |
| format | Article |
| id | doaj-art-940909d511f14acfb9bad6035e871e0d |
| institution | DOAJ |
| issn | 2772-5723 |
| language | English |
| publishDate | 2025-01-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Gastro Hep Advances |
| spelling | doaj-art-940909d511f14acfb9bad6035e871e0d2025-08-20T02:49:22ZengElsevierGastro Hep Advances2772-57232025-01-014310058910.1016/j.gastha.2024.11.005Steatotic Liver Disease Education Enhances Knowledge and Confidence to Adhere to Provider Recommendations in Diverse and Vulnerable PopulationsShyam Patel0Diana Partida1Catherine Magee2Flor E. Garza Romero3Jennifer Y. Chen4Michelle Tana5Mandana Khalili6Division of Gastroenterology and Hepatology, Department of Medicine, University of California San Francisco, San Francisco, California; Division of Gastroenterology and Hepatology, Department of Medicine, Zuckerberg San Francisco General Hospital, San Francisco, California; Department of Medicine, California Pacific Medical Center, San Francisco, CaliforniaDivision of Gastroenterology and Hepatology, Department of Medicine, University of California San Francisco, San Francisco, California; Division of Gastroenterology and Hepatology, Department of Medicine, Zuckerberg San Francisco General Hospital, San Francisco, CaliforniaDivision of Gastroenterology and Hepatology, Department of Medicine, Zuckerberg San Francisco General Hospital, San Francisco, CaliforniaDivision of Gastroenterology and Hepatology, Department of Medicine, University of California San Francisco, San Francisco, CaliforniaDivision of Gastroenterology and Hepatology, Department of Medicine, University of California San Francisco, San Francisco, California; Division of Gastroenterology and Hepatology, Department of Medicine, Zuckerberg San Francisco General Hospital, San Francisco, CaliforniaDivision of Gastroenterology and Hepatology, Department of Medicine, University of California San Francisco, San Francisco, California; Division of Gastroenterology and Hepatology, Department of Medicine, Zuckerberg San Francisco General Hospital, San Francisco, CaliforniaDivision of Gastroenterology and Hepatology, Department of Medicine, University of California San Francisco, San Francisco, California; Division of Gastroenterology and Hepatology, Department of Medicine, Zuckerberg San Francisco General Hospital, San Francisco, California; Correspondence: Address correspondence to: Mandana Khalili, MD, MAS, University of California San Francisco, San Francisco General Hospital, 1001 Potrero Avenue, Building 5, Suite 3D4, San Francisco, California 94110.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.http://www.sciencedirect.com/science/article/pii/S2772572324001857BeliefsAlcohol-Associated Liver DiseaseUnderserved PopulationsHealth DisparityMetabolic Dysfunction-Associated Steatohepatitis |
| spellingShingle | Shyam Patel Diana Partida Catherine Magee Flor E. Garza Romero Jennifer Y. Chen Michelle Tana Mandana Khalili Steatotic Liver Disease Education Enhances Knowledge and Confidence to Adhere to Provider Recommendations in Diverse and Vulnerable Populations Gastro Hep Advances Beliefs Alcohol-Associated Liver Disease Underserved Populations Health Disparity Metabolic Dysfunction-Associated Steatohepatitis |
| title | Steatotic Liver Disease Education Enhances Knowledge and Confidence to Adhere to Provider Recommendations in Diverse and Vulnerable Populations |
| title_full | Steatotic Liver Disease Education Enhances Knowledge and Confidence to Adhere to Provider Recommendations in Diverse and Vulnerable Populations |
| title_fullStr | Steatotic Liver Disease Education Enhances Knowledge and Confidence to Adhere to Provider Recommendations in Diverse and Vulnerable Populations |
| title_full_unstemmed | Steatotic Liver Disease Education Enhances Knowledge and Confidence to Adhere to Provider Recommendations in Diverse and Vulnerable Populations |
| title_short | Steatotic Liver Disease Education Enhances Knowledge and Confidence to Adhere to Provider Recommendations in Diverse and Vulnerable Populations |
| title_sort | steatotic liver disease education enhances knowledge and confidence to adhere to provider recommendations in diverse and vulnerable populations |
| topic | Beliefs Alcohol-Associated Liver Disease Underserved Populations Health Disparity Metabolic Dysfunction-Associated Steatohepatitis |
| url | http://www.sciencedirect.com/science/article/pii/S2772572324001857 |
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