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A critical review of self-management and educational interventions in inflammatory bowel disease.

Barlow, C, Cooke, D, Mulligan, K, Beck, E and Newman, S (2010) A critical review of self-management and educational interventions in inflammatory bowel disease. Gastroenterol Nurs, 33 (1). pp. 11-18.

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Abstract

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.

Item Type: Article
Authors :
NameEmailORCID
Barlow, CUNSPECIFIEDUNSPECIFIED
Cooke, Dd.cooke@surrey.ac.ukUNSPECIFIED
Mulligan, KUNSPECIFIEDUNSPECIFIED
Beck, EUNSPECIFIEDUNSPECIFIED
Newman, SUNSPECIFIEDUNSPECIFIED
Date : January 2010
Identification Number : 10.1097/SGA.0b013e3181ca03cc
Uncontrolled Keywords : Adaptation, Psychological, Health Status, Humans, Inflammatory Bowel Diseases, Nurse's Role, Outcome Assessment (Health Care), Patient Education as Topic, Quality of Life, Randomized Controlled Trials as Topic, Research Design, Self Care
Depositing User : Symplectic Elements
Date Deposited : 17 May 2017 09:46
Last Modified : 17 May 2017 14:44
URI: http://epubs.surrey.ac.uk/id/eprint/825062

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