scholarly journals A Web-Based Telemanagement System for Improving Disease Activity and Quality of Life in Patients With Complex Inflammatory Bowel Disease: Pilot Randomized Controlled Trial

10.2196/11602 ◽  
2018 ◽  
Vol 20 (11) ◽  
pp. e11602 ◽  
Author(s):  
Javier Del Hoyo ◽  
Pilar Nos ◽  
Raquel Faubel ◽  
Diana Muñoz ◽  
David Domínguez ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Inflammatory Bowel Disease ◽  
Randomized Controlled Trial ◽  
Bowel Disease ◽  
Controlled Trial ◽  
Web Based ◽  
Randomized Controlled ◽  
Inflammatory Bowel ◽  
Pilot Randomized Controlled Trial

scholarly journals Randomized controlled trial: a pilot study of a psychoeducational intervention for fatigue in patients with quiescent inflammatory bowel disease

2019 ◽  
Vol 10 ◽  
pp. 204062231983843 ◽  
Author(s):  
Anthony O’Connor ◽  
Raguprakash Ratnakumaran ◽  
Lisa Warren ◽  
Debbie Pullen ◽  
Anna Errington ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Inflammatory Bowel Disease ◽  
Randomized Controlled Trial ◽  
Bowel Disease ◽  
Controlled Trial ◽  
Intervention Group ◽  
Randomized Controlled ◽  
Fatigue Severity ◽  
Inflammatory Bowel

Introduction: Fatigue is a frequent, debilitating symptom of inflammatory bowel disease (IBD). Despite this, studies report dissatisfaction among IBD patients regarding how little attention is given to fatigue-related issues during consultations. We performed a pilot randomized controlled trial (RCT) to assess whether a brief, structured, multidisciplinary psychological support program improved fatigue, mood and quality of life indices in patients with quiescent IBD. Methods: The intervention consisted of three small-group psychoeducational sessions over 6 months. Primary outcomes were effect on fatigue severity and impact scores. Secondary outcomes included effect on depression, anxiety, somatization scores, generic and disease-specific quality of life. Results: Twenty-three patients were enrolled, 10 in the intervention arm and 13 controls. Mean fatigue severity and impact scores improved for patients in the intervention group (by 14.5–13.1 and 49.7–45.8, respectively), and worsened in controls (by 11.5–12.6 and 33.5–35 respectively). Mean Short Form 36 (SF-36) scores for role limitations due to physical health decreased from 44.4 to 38.9 in the intervention group, but increased from 44.2 to 51.9 among controls. Energy scores in the intervention group improved from 17.8 to 26.6, but only from 31.4 to 31.7 among controls. Short IBD questionnaire scores improved in both groups, from 46.2 to 45.2 in controls compared with 44.4–40 in the intervention group. Discussion: In this small pilot RCT, positive effects were demonstrated on fatigue, energy levels and other quality of life outcomes. Larger, adequately powered studies with longer follow up are required. ClincialTrials.gov identifier: NCT02709434.

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