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Person-centered education – II: improving knowledge level of colorectal cancer patients through education

M. Elisa Castro-Peraza, Nieves Lorenzo-Rocha, Angeles Arias-Rodriguez, Kirsi Johansson, Vincente Medina-Arana, Inmaculada Sosa-Alvarez, Encarnacion Garzon-Rodriguez, M. Remedios Afonso-Martin


diagnosis. Written education materials often provide useful support from professionals to patients and family. This study aims to test the assertions that: a) patients are more knowledgeable and certain about care issues related to colorectal cancer using InfoCRCBook (a book with specific information on CRC) and b) knowledge acquisition is related to socio-demographic variables.

Methods: Two-groups intervention study. One group received InfoCRCBook and the other non-systematic orally-delivered education. Data were collected using a structured questionnaire guided by an interview. CRC patients on a waiting list for colorectal surgery were eligible for inclusion in the study. The main outcome is knowledge level.

Results: The sample consisted of 151 patients. According to socio-demographic variables, gender was not related to knowledge level. Age and schooling were, however, significantly related (p<0.001). The analysis of interactions among variables showed that educational level and the use of the InfoCRCBook explained 72.6% of the knowledge level. Age as a covariate did not affect this relationship.

Discussion: The results showed, at all academic levels, that patients increased their knowledge using InfoCRCBook, but mainly at a lower educational level.

Conclusion: Pre-operative education using the InfoCRCBook is more effective than standard non-systematic orally-delivered education in all ages, gender and levels of education. The acquired knowledge affects not only the management of the illness, but extends additionally to areas such as living a healthier lifestyle and a greater awareness of the role and concerns of the family. The results of this study are advanced as important in identifying populations at risk and in increasing early diagnosis.


Access to information, behavior, colorectal cancers, colorectal surgery, information seeking, person-centered care, person-centered patient education

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