title: Education provides significant benefits to patients with hepatitis B virus or hepatitis C virus infection: a systematic review.
abstract: OBJECTIVE
  Education of individuals who are at risk for, or have been diagnosed with, chronic hepatitis B virus (HBV) or hepatitis C virus (HCV) infections can improve their participation in disease management. We performed a systematic review to evaluate the effects of educational interventions for patients with HBV or HCV infections.
  
  
  METHODS
  We searched multiple databases for peer-reviewed studies of individuals with HBV or HCV infection, or those at risk for infection. Our final analysis included 14 studies that evaluated any educational intervention and reported the effectiveness or patient outcomes relevant to the intervention (7 patients with HCV infection, 4 patients with HBV infection, and 3 patients with either). Data extracted from studies included details on educational interventions, patient populations, comparison groups, and outcome measures. The quality of each study was appraised.
  
  
  RESULTS
  Types of educational interventions assessed ranged from information websites and nurse-led sessions to community-wide and institutional programs. The educational interventions showed significant (P < .05) improvements to patients' knowledge about their disease, behaviors (including testing and uptake of vaccination), willingness to commence and adhere to treatment, and other outcomes such as self-efficacy and vitality or energy scores. These significant benefits were shown in 5 of 7 studies of HBV infection and 8 of 10 studies of HCV infection. On a 20-point quality scale, study scores ranged from 6 to 19.
  
  
  CONCLUSIONS
  Simple educational interventions for patients with HBV or HCV infection significantly increase patients' knowledge about their disease. More complex, multimodal educational interventions seem to cause behavioral changes that increase rates of testing, vaccination (for HBV), and treatment.
authors: Francis Family Liver Clinic, Toronto Western Hospital, University Health Network and Division of Gastroenterology, University of Toronto, Toronto, Ontario, Canada. hemant.shah@uhn.ca
authors: Hemant A
authors: HA
authors: Shah
authors: Mahmoud
authors: M
authors: Abu-Amara
mesh_terms: D001521:Behavior Therapy / Q000379:methods; D006266:Health Education / Q000379:methods*; D007722:Health Knowledge, Attitudes, Practice; D006509:Hepatitis B / Q000517:prevention & control* / Q000628:therapy*; D006526:Hepatitis C / Q000517:prevention & control* / Q000628:therapy*; D006801:Humans
keywords: Educational Tools; Evaluation; HBV; HCV; HIV; Liver Disease; Viral Infections; hepatitis B virus; hepatitis C virus; human immunodeficiency virus