Document Detail


Does a self-management program change dietary intake in adults with irritable bowel syndrome?
MedLine Citation:
PMID:  21455043     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Making dietary changes such as increasing fiber intake is recommended for the management of irritable bowel syndrome symptoms. Few studies have explored the efficacy of education on compliance with recommendations such as increasing fiber, vegetable, and fruit intake in adults with irritable bowel syndrome. This study examined the effect of a multicomponent self-management intervention that included strategies to enhance fiber, vegetable, and fruit intake. Participants with medically diagnosed irritable bowel syndrome were randomized to usual care or individualized comprehensive self-management, delivered either in-person or by telephone. Since previously published analyses show the two delivery modes to be equally effective, the two intervention groups were combined. Of the 188 individuals randomized, 173 participants (113 in the self-management group and 60 in the usual care group; 23 men, 150 women) provided data on at least one of the three follow-up occasions (3, 6, and 12 months postrandomization). Fiber, vegetable, and fruit intakes were measured using the Food Frequency Questionnaire. Participants in the intervention group demonstrated increases (p < .05) in fiber and fruit intake and a trend in vegetable intake at 6 and 12 months postintervention. Improvement in dietary fiber intake following a self-management intervention for IBS continues to 1 year.
Authors:
Hsiu-Feng Hsueh; Monica E Jarrett; Kevin C Cain; Robert L Burr; Wimon Deechakawan; Margaret M Heitkemper
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Publication Detail:
Type:  Comparative Study; Journal Article; Randomized Controlled Trial; Research Support, N.I.H., Extramural    
Journal Detail:
Title:  Gastroenterology nursing : the official journal of the Society of Gastroenterology Nurses and Associates     Volume:  34     ISSN:  1538-9766     ISO Abbreviation:  Gastroenterol Nurs     Publication Date:    2011 Mar-Apr
Date Detail:
Created Date:  2011-04-01     Completed Date:  2011-08-19     Revised Date:  2014-09-13    
Medline Journal Info:
Nlm Unique ID:  8915377     Medline TA:  Gastroenterol Nurs     Country:  United States    
Other Details:
Languages:  eng     Pagination:  108-16     Citation Subset:  N    
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MeSH Terms
Descriptor/Qualifier:
Adult
Algorithms
Dietary Fiber* / administration & dosage
Female
Food Habits*
Fruit
Humans
Irritable Bowel Syndrome / diet therapy,  nursing*
Male
Middle Aged
Patient Compliance
Questionnaires
Self Care*
Vegetables
Grant Support
ID/Acronym/Agency:
P30 NR004001/NR/NINR NIH HHS; P30 NR004001-15/NR/NINR NIH HHS; P30 NR04001/NR/NINR NIH HHS; R01 NR004142/NR/NINR NIH HHS; R01 NR004142/NR/NINR NIH HHS; R01 NR004142-07/NR/NINR NIH HHS; R01 NR004142-13/NR/NINR NIH HHS; R01 NR004142-14/NR/NINR NIH HHS
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