Examination of the Efficacy of a Chronic Disease Self-Managementramme (Cdsmp) for Patients With Inflammatory Bowel Disease (Ibd): A Pilot Study

Abstract

Introduction The need for a psychosocial intervention for patients with IBD was recognised by multidisciplinary healthcare professionals working at a large Irish teaching hospital. CDSMP, developed by Stanford University, was identified as a leading model of psychosocial intervention. Run over 6 weeks in 2.5 hour weekly sessions and delivered by two people, one of whom must have a chronic illness, the CDSMP focuses on action planning and goal setting, using brainstorming exercises to help develop self management techniques. Aims/Background To pilot the use of a CDSMP in patients with IBD. Method A repeated measures design with wait list control (n=44) was utilised. Mood and general health related quality of life (HRQoL) were assessed using the Hospital Anxiety and Depression scale (HADS) and Rand 36-Item Health Survey (SF-36). The Short Inflammatory Bowel Disease Questionnaire (SIBDQ) was used to measure physical, social, and emotional status in patients with IBD. Qualitative descriptions of problems caused by chronic disease were noted the beginning and end of the six week intervention. Results 44 patients participated in the pilot study, 11 male (25%) and 33 female (75%). Significant improvement in mood was achieved in treatment group with paired sample t-tests indicated significant reduction in levels of depression on the HADS (p=0.05). At baseline, 14% of the treatment group displayed mild depression. Post-intervention no clinical levels of depression were evident in the treatment group compared to 17% of waitlist control who displayed mild to severe levels of depression. Significant improvement was noted in the SF-36 on the factor of emotional well-being (p=0.04). There was also an improvement in the qualitative descriptions of problems related to chronic disease. Of note, 14% of the treatment group were experiencing relapses in their condition at the end of the CDSMP. Conclusion The results of this study indicate that CDSMP appears to be an effective psychosocial intervention for patients with IBD. Implementation of a CDSMP in hospital and community settings in Ireland for this patient group should be considered.

Peer support for carers and patients with inflammatory bowel disease: a systematic review

“…Girls and mothers were then separated to allow each group to ask questions independently to the guest speaker, group leaders, and each other. This was followed by discussion between mothers and daughters Local community centre/group-based, 10 months NA HRQoL Before-and-after study Arenas 2018 (CA) [ 44 ] ) Adolescents with IBD (Disease duration not reported) (13–17) 8 Multidisciplinary programme delivered by 2 paediatric psychologists and a paediatric dietitian, and focused on emotional issues and nutritional aspects NR/group-based, 6 weekly sessions NA Anxiety Before-and-after study Group-based interventions: Self-management programme McDonnell 2014 + Forry 2013 [ 38 , 47 , 48 ] People with IBD with no active flare (Disease duration not reported) NR 53 Self-management programme aimed at enhancing participant self-efficacy through the use of weekly action planning and feedback, modelling of behaviours, group problem-solving and a range of cognitive strategies. Opportunity to meet others with the same condition as themselves.…”