Impact of evidence-based information on horse owners' misconceptions of colic.

Abstract

BACKGROUND: Misconceptions can be defined as 'false, persistent beliefs' or 'inaccurate, prior knowledge' and can influence decision-making. OBJECTIVES: To investigate the impact of evidence-based information on UK horse owners' decision-making for colic. STUDY DESIGN: Mixed-methods cross-sectional study. METHODS: An online survey was distributed to UK horse owners, with four sections: owner demographics; views on decision-making and referral to an equine hospital facility for colic; current knowledge and approach to colic; impact of evidence-based information (including evidence on recognising and responding to colic, and colic surgery survival and outcome data) on decision-making. Statistical analysis was performed using Kendall's tau for continuous variables and Chi-squared testing for categorical variables. Multivariable analysis was performed using a generalised linear model with binomial distribution (logistic regression), with p&#x2009;<&#x2009;0.05 for model fit. Content analysis was used for free-text answers. RESULTS: In total, 1544 participants met inclusion criteria. Owners were more likely to agree to referral if their horse was insured (p&#x2009;<&#x2009;0.001, 95% confidence interval [CI]: 1.86-2.93), and less likely if their horse was older (p&#x2009;<&#x2009;0.001, CI: 0.90-0.94) or they felt pressure (p&#x2009;<&#x2009;0.001, CI: 0.44-0.70). Pressure to refer was mainly from veterinary professionals (66%, 367/549) or peers (20%, 110/549). Many participants were unaware of how quickly irreversible intestinal damage could occur (58%, 903/1544), costs of colic surgery and UK insurance cover limits (63%, 966/1544), post-operative survival rates for geriatric vs. non-geriatric horses (65%; 996/1544), or prognosis for return to work following colic surgery (68%, 1052/1544). Sharing evidence-based information had limited impact on decision-making. Free text response analysis identified previous experience of colic, anecdotal information, finances and peer pressures as barriers to change. MAIN LIMITATIONS: Potential for response bias, UK participants only. CONCLUSIONS: Misconceptions around colic were common, with many horse owners reluctant to change their approach after evidence-based information. Intent to pursue referral was less likely with increasing horse age and perceived pressure to refer.