Can an online expressive writing program support people with inflammatory bowel disease? A feasibility randomised controlled trial

Skvarc, David; Evans, Subhadra; Cheah, Suiyin; Cranney, Madeleine; German, Bonnie; Orr, Rebecca; Emerson, Catherine; Olive, Lisa; Beswick, Lauren; Massuger, Wayne; Raven, Leanne; Mikocka‐Walus, Antonina

doi:10.1016/j.ctcp.2022.101616

Cited by 2 publications

(3 citation statements)

References 48 publications

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“…Retention of the intervention group was better than the 77% reported for a feasibility trial looking at CBT 24 but poorer than the 100% reported in an online writing intervention. 36 Although these comparisons are worth making, it is important to note that the present trial had significantly more participants than the 2 mentioned previously, so caution should be taken when drawing any conclusions based on comparing these retention rates.…”

Section: Discussionmentioning

confidence: 74%

“…This recruitment rate is in line with what we would expect from this population, especially when compared with similar trials conducted with people diagnosed with IBD. 24 , 36 Following recruitment, retention of those who were recruited and randomized was high in both groups, with over 80% completing the program in the experimental condition, and over 90% of the active control participants completing the program. Retention specifically for the self-directed modules was also high, with 80% completing all the self-directed modules and only 4% not engaging at all with the self-directed modules.…”

Section: Discussionmentioning

confidence: 99%

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Feasibility, Acceptability, and Preliminary Efficacy of Acceptance Commitment Therapy for Adults Living With Inflammatory Bowel Disease and Distress

Romano

Chesterman

Fuller‐Tyszkiewicz

et al. 2023

Inflammatory Bowel Diseases

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Background The bidirectional relationship between inflammatory bowel disease (IBD) flare-ups and depression/anxiety symptoms has prompted investigations into psychotherapy to improve health-related quality of life (HRQoL) by targeting depression and anxiety. Acceptance commitment therapy (ACT) is effective in improving symptoms of depression and anxiety in people with chronic diseases, yet minimal research has examined ACT’s effectiveness for IBD. This study examines the feasibility, acceptability, and preliminary efficacy of the ACTforIBD program, an online program codesigned with consumers to deliver ACT to those with IBD. Methods Adults with IBD and symptoms of mild-moderate distress were randomized to ACTforIBD or an active control (psychoeducation) condition. Participants completed 8 weekly, 1-hour sessions, 4 of which were therapist facilitated. Feasibility was based on recruitment and retention and acceptability was derived from postprogram satisfaction measures. Preliminary efficacy was determined by group differences in rate of change in study outcomes from baseline to postprogram. Results Of 62 participants (89% women, 11% men; mean age 33 years), 55 completed the program (ACTforIBD: n = 26 [83.9%]; active control: n = 29 [93.5%]). Adherence and acceptability were high in the ACTforIBD group, with 80% of participants completing all self-directed modules and 78% of participants expressing satisfaction with the program. Significant and marginally significant group × time interactions were found for anxiety symptoms (b = -1.89; 95% confidence interval, -3.38 to -0.42) and psychological HRQoL (b = -0.04; 95% confidence interval, -0.07 to 0.01), showing decreased anxiety and increased psychological HRQoL in the intervention group. Conclusions ACTforIBD is feasible, acceptable, and improved anxiety symptoms, and psychological HRQoL. This highlights the need for a full-scale randomized controlled trial to further examine the program’s efficacy.

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Section: Discussionmentioning

confidence: 74%

Section: Discussionmentioning

confidence: 99%

Feasibility, Acceptability, and Preliminary Efficacy of Acceptance Commitment Therapy for Adults Living With Inflammatory Bowel Disease and Distress

Romano

Chesterman

Fuller‐Tyszkiewicz

et al. 2023

Inflammatory Bowel Diseases

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“…With IBS (irritable bowel syndrome, a condition involving abdominal pain and changes in bowel movements) patients, one study indicates an improvement in disease severity and cognition in longer-duration patients, (Halpert et al, 2010) and another (RCT) study shows increased pain efficacy and reduced healthcare utilization (Laird and Stanton 2021). With IBD patients, a study utilizing "WriteforIBD," an online writing program again based on Pennebaker's work, indicates improvements in mental health and quality of life (Skvarc et al, 2022). Another study in the trial phase will be looking at the impact of Write for IBD-on-IBD patients with COVID-related stress (Mikocka-Walus et al, 2020).…”

Section: Introductionmentioning

confidence: 99%

Expressive narrative writing therapy with inflammatory bowel disease patients

Gerson

2024

Human Systems: Therapy, Culture and Attachments

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This article describes a new, structured short-term psychotherapy approach to working with IBD (inflammatory bowel disease) patients, based up on the integration of expressive writing therapy and narrative therapy. After reviewing the theoretical background and empirical literature on expressive writing and narrative therapy, a rationale for their integration, in particular with the IBD patient population, is made. A detailed description of the approach along with case materials follows.

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Can an online expressive writing program support people with inflammatory bowel disease? A feasibility randomised controlled trial

Cited by 2 publications

References 48 publications

Feasibility, Acceptability, and Preliminary Efficacy of Acceptance Commitment Therapy for Adults Living With Inflammatory Bowel Disease and Distress

Feasibility, Acceptability, and Preliminary Efficacy of Acceptance Commitment Therapy for Adults Living With Inflammatory Bowel Disease and Distress

Expressive narrative writing therapy with inflammatory bowel disease patients

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