The contribution of clinical and psychosocial factors to fatigue in 182 patients with inflammatory bowel disease: a cross‐sectional study

Artom, Micol; Czuber‐Dochan, Wladyslawa; Sturt, Jackie; Murrells, Trevor; Norton, Christine

doi:10.1111/apt.13870

Cited by 42 publications

(56 citation statements)

References 101 publications

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“…The IBD-F Brazil achieved a Cronbach's alpha coefficient of 0.95 and 0.98 for its Section I and for Section II, respectively. These findings were similar to the study of Czuber-Dochan et al (11) of the original English version of the questionnaire. The high internal consistency indicates that all items from IBD-F adequately measure the fatigue construct.…”

Section: Discussionsupporting

confidence: 92%

“…There was a negative correlation between the IBD-F Brazil and the FACIT-F indicating good content validity. Similar findings were observed between the original English version of IBD-F and instruments used to assess fatigue in a general context (11) . The absence of correlation between the IBD-F Brazil and the HADS scale can be explained by the absence of items assessing physical function in the latter, which can considerably contribute to the increase of anxiety and depression among patients with IBD (29) .…”

Section: Discussionsupporting

confidence: 77%

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The Inflammatory Bowel Disease-Fatigue Patient Self-Assessment Scale: Translation, Cross-Cultural Adaptation and Psychometric Properties of the Brazilian Version (Ibd-F Brazil)

Lage

Oliveira

Batalha

et al. 2020

Arq. Gastroenterol.

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BACKGROUND: Fatigue is a common symptom in patients with inflammatory bowel diseases (IBD). A translated and culturally adapted, instrument with robust psychometric for measuring fatigue in Brazilian patients with IBD is needed. OBJECTIVE: To translate and cross-culturally adapt the inflammatory Bowel Disease Fatigue Scale (IBD-F) into Brazilian-Portuguese and to test its measurement properties in Brazilian patients with IBD. METHODS: Data from 123 patients with IBD were collected. In addition to IBD-F, the Functional Assessment of Chronic Illness Therapy-Fatigue (FACIT-F) was used. The measurement properties tested were: internal consistency, reproducibility (reliability and agreement), construct validity, internal and external responsiveness, and ceiling and floor effects. RESULTS: The Brazilian-Portuguese version of the IBD-F showed excellent internal consistency (Cronbach’s alpha of 0.95), excellent reproducibility (ICC=0.97) and a minimal detectable change of 6.0 points. The construct validity was demonstrated with a good correlation between the IBD-F and FACIT-F (r=- 0.46). Effect sizes used for measuring internal responsiveness were moderate among those with Crohn’s (0.66) disease and low in patients with ulcerative colitis (0.24). The Brazilian-Portuguese version of the IBD-F presented with high external responsiveness for Crohn’s disease (0.84) and with low external responsiveness for ulcerative colitis (0.33). The area under the curve considered for responsiveness was 0.84. Twenty-five percent of floor effects and no ceiling effect were recorded. CONCLUSION: The Brazilian-Portuguese version of IBD-F has adequate measurement properties and its use can be recommended in clinical practice and research.

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Section: Discussionsupporting

confidence: 92%

Section: Discussionsupporting

confidence: 77%

The Inflammatory Bowel Disease-Fatigue Patient Self-Assessment Scale: Translation, Cross-Cultural Adaptation and Psychometric Properties of the Brazilian Version (Ibd-F Brazil)

Lage

Oliveira

Batalha

et al. 2020

Arq. Gastroenterol.

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“…2 This may increase the validity of the study. Fifth, suppose that there is an association among certain ethnic groups, what would be the next question?…”

Section: Acknowledgementmentioning

confidence: 99%

Letter: causes of fatigue in inflammatory bowel disease remain uncertain – authors’ reply

Artom

Czuber‐Dochan

Norton

2017

Aliment Pharmacol Ther

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“…Across conditions, fatigue is closely related to relapse and more active disease [81, 82] and similar physical and psychosocial factors appear to be causing and exacerbating fatigue [80]. Additionally, the findings from our recent study [83] indicate that the ways patients perceive, interpret and react to fatigue symptoms in IBD is largely comparable to patients with MS specifically [84]. Patients who have more negative perceptions of fatigue, higher levels of all-or-nothing and avoidance behaviours have significantly greater fatigue scores compared to those with less negative cognitions and behaviours in relation to their fatigue.…”

Section: Introductionmentioning

confidence: 98%

Cognitive behavioural therapy for the management of inflammatory bowel disease-fatigue with a nested qualitative element: study protocol for a randomised controlled trial

Artom

Czuber‐Dochan

Sturt

et al. 2017

Trials

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BackgroundFatigue is one of the most prevalent and burdensome symptoms for patients with inflammatory bowel disease (IBD). Although fatigue increases during periods of inflammation, for some patients it persists when disease is in remission. Compared to other long-term conditions where fatigue has been extensively researched, optimal management of fatigue in patients with IBD is unknown and fatigue has rarely been the primary outcome in intervention studies. To date, interventions for the management of IBD-fatigue are sparse, have short-term effects and have not been implemented within the existing health system. There is a need to integrate current best evidence across different conditions, patient experience and clinical expertise in order to develop interventions for IBD-fatigue management that are feasible and effective. Modifying an existing intervention for patients with multiple sclerosis, this study aims to assess the feasibility and initial estimates of efficacy of a cognitive behavioural therapy (CBT) intervention for the management of fatigue in patients with IBD.MethodsThe study will be a two-arm pilot randomised controlled trial. Patients will be recruited from one outpatient IBD clinic and randomised individually to either: Group 1 (CBT manual for the management of fatigue, one 60-min session and seven 30-min telephone/Skype sessions with a therapist over an eight-week period); or Group 2 (fatigue information sheet to use without therapist help). Self-reported IBD-fatigue (Inflammatory Bowel Disease-Fatigue Scale) and IBD-quality of life (United Kingdom Inflammatory Bowel Disease Questionnaire) and self-reported disease activity will be collected at baseline, three, six and 12 months post randomisation. Illness perceptions, daytime sleepiness, anxiety and depression explanatory variables will be collected only at three months post randomisation. Clinical and sociodemographic data will be retrieved from the patients’ medical notes. A nested qualitative study will evaluate patient and therapist experience, and healthcare professionals’ perceptions of the intervention.DiscussionThe study will provide evidence of the feasibility and initial estimates of efficacy of a CBT intervention for the management of fatigue in patients with IBD. Quantitative and qualitative findings from the study will contribute to the development and implementation of a large-scale randomised controlled trial assessing the efficacy of CBT interventions for IBD-fatigue.Trial registrationISRCTN Registry, ISRCTN17917944. Registered on 2 September 2016.Electronic supplementary materialThe online version of this article (doi:10.1186/s13063-017-1926-3) contains supplementary material, which is available to authorized users.

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The contribution of clinical and psychosocial factors to fatigue in 182 patients with inflammatory bowel disease: a cross‐sectional study

Abstract: Apart from disease activity, emotional and behavioural factors and patients' negative fatigue perceptions may be key factors to be addressed. Further exploration of these factors in longitudinal and intervention studies may help to develop effective models of fatigue management.

Cited by 42 publications

References 101 publications

The Inflammatory Bowel Disease-Fatigue Patient Self-Assessment Scale: Translation, Cross-Cultural Adaptation and Psychometric Properties of the Brazilian Version (Ibd-F Brazil)

The Inflammatory Bowel Disease-Fatigue Patient Self-Assessment Scale: Translation, Cross-Cultural Adaptation and Psychometric Properties of the Brazilian Version (Ibd-F Brazil)

Letter: causes of fatigue in inflammatory bowel disease remain uncertain – authors’ reply

Cognitive behavioural therapy for the management of inflammatory bowel disease-fatigue with a nested qualitative element: study protocol for a randomised controlled trial

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