title: Development and testing of a CD-ROM program for improving adolescent knowledge of inflammatory bowel disease.
abstract: OBJECTIVE
  The aim of this study was to design a theory-based educational program for adolescents with inflammatory bowel disease (IBD) using an interactive multimedia CD-ROM and to test its effectiveness in improving knowledge in IBD.
  
  
  METHODS
  Curriculum-based instruction using educational theory and principles was designed for adolescents on an interactive multimedia CD-ROM. Twenty subjects completed summative evaluation of the CD-ROM measuring gain in knowledge about IBD immediately and 9 months after instruction.
  
  
  RESULTS
  Subjects found the CD-ROM to be informative, appealing, and easy to use. The mean baseline score of the adolescents on the Crohn's and Colitis Knowledge questionnaire was 12.2 (standard deviation 5.14, range 3-24). After an average of 30 minutes of self-directed learning, adolescent subjects increased their posttest score to a mean of 19.8, a gain of 7.6 points over baseline (95% confidence interval 5.2-10.1, P < 0.0001). Knowledge of medications, disease complications, and gastrointestinal structure and function was gained and retained upon retesting at 9 months with a mean Crohn's and Colitis Knowledge questionnaire score of 17.5 (standard deviation 3.9, range 12-26), which was still an improvement over the mean pretest knowledge score of 12.2 (P < 0.001).
  
  
  CONCLUSIONS
  Adolescents with IBD have low baseline knowledge about their disease. A rigorously developed interactive educational tool is now available for instructing adolescent patients about their IBD.
authors.affiliation: Division of Pediatric Gastroenterology, Cincinnati Children's Hospital Medical Center, University of Cincinnati College of Medicine, Cincinnati, OH, USA. lynelle.boamah@med.navy.mil
authors.forename: Lynelle M
authors.initials: LM
authors.lastname: Boamah
authors.forename: Janet R
authors.initials: JR
authors.lastname: Bohren
authors.forename: Scott
authors.initials: S
authors.lastname: Pentiuk
authors.forename: Raymond
authors.initials: R
authors.lastname: Baker
authors.forename: Michael
authors.initials: M
authors.lastname: Yi
authors.forename: M Susan
authors.initials: MS
authors.lastname: Moyer
mesh_terms: D000293:Adolescent; D016251:CD-ROM; D003194:Computer-Assisted Instruction; D004521:Educational Measurement / Q000379:methods; D005260:Female; D007722:Health Knowledge, Attitudes, Practice; D006801:Humans; D015212:Inflammatory Bowel Diseases; D008297:Male; D019212:Multimedia; D010353:Patient Education as Topic / Q000379:methods*; D017060:Patient Satisfaction; D012984:Software; D011795:Surveys and Questionnaires