Document Detail


A critical review of self-management and educational interventions in inflammatory bowel disease.
MedLine Citation:
PMID:  20145446     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
The purpose of this study was to examine self-management and educational interventions developed to support people with inflammatory bowel disease (IBD) and to identify which type of intervention seems to be most effective. The search was deliberately overinclusive to capture studies that evaluated educational and self-management interventions. The following databases were searched: MEDLINE, Embase, CINAHL, PsycINFO, the National Research Register, and Cochrane. Twenty-three studies were included. Thirteen of these were randomized controlled trials. The content of the interventions reviewed varied widely. As expected, it is the three studies that have explicitly labeled themselves as self-management interventions that have incorporated the greatest number of self-management techniques. Two of these studies reported the greatest number of improved outcomes in relation to symptom reporting, psychological well-being, and healthcare resource use. There is clearly a role for information in IBD, but this review supports research in other conditions that shows that education cannot be assumed to lead to improvements in health and well-being. Much of the research in this area focuses on education rather than self-management. Where self-management techniques have been applied, the findings tend to be more promising. Gastroenterology nurses (or in the United Kingdom, IBD specialist nurses) may be best placed to facilitate self-management in this group.
Authors:
Cate Barlow; Debbie Cooke; Kathleen Mulligan; Eric Beck; Stanton Newman
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Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't; Review    
Journal Detail:
Title:  Gastroenterology nursing : the official journal of the Society of Gastroenterology Nurses and Associates     Volume:  33     ISSN:  1538-9766     ISO Abbreviation:  Gastroenterol Nurs     Publication Date:    2010 Jan-Feb
Date Detail:
Created Date:  2010-02-10     Completed Date:  2010-05-14     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8915377     Medline TA:  Gastroenterol Nurs     Country:  United States    
Other Details:
Languages:  eng     Pagination:  11-8     Citation Subset:  N    
Affiliation:
Department of Primary Care & Population Health, University College London, London, United Kingdom
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MeSH Terms
Descriptor/Qualifier:
Adaptation, Psychological
Health Status
Humans
Inflammatory Bowel Diseases / prevention & control*,  psychology
Nurse's Role
Outcome Assessment (Health Care)
Patient Education as Topic / methods*
Quality of Life / psychology
Randomized Controlled Trials as Topic
Research Design
Self Care / methods*,  psychology

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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