Summary of findings 2. Web‐based patient education versus other delivery of patient education for the management of inflammatory bowel disease.

Web‐based patient education versus other delivery of patient education for the management of inflammatory bowel disease
Patient or population: people with inflammatory bowel disease Setting: hospitals and tertiary centres in USA and Turkey Intervention: web‐based education Comparison: educational information via easy‐to‐read, illustrated, colour‐printed books
Outcomes	Impacts	№ of participants (studies)	Certainty of the evidence (GRADE)	Comments
Disease activity (8 weeks)	UC participants: 8/16 in the web‐based group and 10/16 in the control education group were in remission; 6/16 and 4/16 had mild disease; 2/16 and 1/16 had severe disease; and 0/16 and 0/16 had very severe disease. CD participants: 5/14 in the web‐based group and 10/14 in the control education group were in remission; 7/14 and 3/14 had mild disease; 2/14 and 1/14 had severe disease; and 0/14 and 0/14 had very severe disease.	1 study (32 UC participants and 26 CD participants)	⊕⊝⊝⊝ Very lowa
Flare‐ups or relapse (continuous)	‐	‐	‐	‐
Flare‐ups or relapse (dichotomous)	‐	‐	‐	‐
Quality of life, IBDQ (32 minimum score to 224 maximum score; high score = better quality of life) (8 weeks)	Mean (SD) quality of life scores: Web‐based group 156.53 (30.97) Control group 155.63 (34.30)	1 study (58 participants)	⊕⊝⊝⊝ Very lowa
*The risk in the intervention group (and its 95% confidence interval) is based on the assumed risk in the comparison group and the relative effect of the intervention (and its 95% CI). CD: Crohn's Disease; IBDQ: Inflammatory Bowel Disease Questionnaire; SD: standard deviation; UC: ulcerative colitis
GRADE Working Group grades of evidence High certainty: we are very confident that the true effect lies close to that of the estimate of the effect. Moderate certainty: we are moderately confident in the effect estimate: the true effect is likely to be close to the estimate of the effect, but there is a possibility that it is substantially different. Low certainty: our confidence in the effect estimate is limited: the true effect may be substantially different from the estimate of the effect. Very low certainty: we have very little confidence in the effect estimate: the true effect is likely to be substantially different from the estimate of effect.

^a Downgraded three levels: two levels for serious imprecision due to very low participant and event numbers, and one level due to serious concerns with risk of bias for randomisation, allocation concealment, blinding and attrition.