Self-management education for rehabilitation inpatients suffering from inflammatory bowel disease: A cluster-randomized controlled trial.

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  • Author(s): Reusch, A.. Department of Medical Psychology and Psychotherapy, Medical Sociology and Rehabilitation Sciences, University of Wurzburg, Wurzburg, Germany, Reusch, A.. Department of Medical Psychology and Psychotherapy, Medical Sociology and Rehabilitation Sciences, University of Wurzburg, Wurzburg, Germany, ; Weiland, R.. Department of Medical Psychology and Psychotherapy, Medical Sociology and Rehabilitation Sciences, University of Wurzburg, Wurzburg, Germany; Gerlich, C.. Department of Medical Psychology and Psychotherapy, Medical Sociology and Rehabilitation Sciences, University of Wurzburg, Wurzburg, Germany; Dreger, K.. Department of Medical Psychology and Psychotherapy, Medical Sociology and Rehabilitation Sciences, University of Wurzburg, Wurzburg, Germany; Derra, C.. Rehabilitation Centre Bad Mergentheim, Clinic Taubertal, Bad Mergentheim, Germany; Mainos, D.. Rehabilitation Centre Bad Mergentheim, Clinic Taubertal, Bad Mergentheim, Germany; Tuschhoff, T.. Rehabilitation Centre Bad Mergentheim, Clinic Taubertal, Bad Mergentheim, Germany; Berding, A.. Department of Medical Psychology and Psychotherapy, Medical Sociology and Rehabilitation Sciences, University of Wurzburg, Wurzburg, Germany; Witte, C.; Kaltz, B.; Faller, H.. Department of Medical Psychology and Psychotherapy, Medical Sociology and Rehabilitation Sciences, University of Wurzburg, Wurzburg, Germany
  • Source:
    Health Education Research, Vol 31(6), Dec, 2016. pp. 782-791.
  • Publisher:
    United Kingdom : Oxford University Press
  • Language:
    English
  • Document Type:
    Journal Article
  • Publication Type:
    Journal; Peer Reviewed Journal
  • Additional Information
    • Address:
      Reusch, A., Department of Medical Psychology and Psychotherapy, Medical Sociology and Rehabilitation Sciences, University of Wurzburg, Klinikstr. 3, D-97070, Wurzburg, Germany, a.reusch@uni-wuerzburg.de
    • Source:
      Health Educ Res
    • Physical Description:
      10
    • ISSN:
      0268-1153 (Print)
      1465-3648 (Electronic)
    • Keywords:
      rehabilitation inpatients, self-management education, inflammatory bowel disease
    • Abstract:
      Although inflammatory bowel disease (IBD) affects patients’ psychological well-being, previous educational programs have failed to demonstrate effects on psychosocial outcomes and quality of life. Therefore, we developed a group-based psychoeducational program that combined provision of both medical information and psychological self-management skills, delivered in an interactive manner, and evaluated it in a large, cluster-randomized trial. We assigned 540 rehabilitation inpatients suffering from IBD (mean age 43 years, 66% female) to either the new intervention or a control group comprising the same overall intensity and the same medical information, but only general psychosocial information. The primary outcome was patient-reported IBD-related concerns. Secondary outcomes included disease knowledge, coping, self-management skills, fear of progression, anxiety, depression and quality of life. Assessments took place at baseline, end of rehabilitation and after 3 and 12 months. The psychoeducational self-management program did not prove superior to the control group regarding primary and secondary outcomes. However, positive changes over time occurred in both groups regarding most outcomes. The superior effectiveness of the newly developed psychoeducational program could not be demonstrated. Since the intervention and control groups may have been too similar, this trial may have been too conservative to produce between- group effects. (PsycINFO Database Record (c) 2018 APA, all rights reserved)
    • Subject Terms:
    • PsycINFO Classification:
      Inpatient & Hospital Services (3379)
    • Population:
      Human
      Male
      Female
      Inpatient
    • Location:
      Germany
    • Age Group:
      Adulthood (18 yrs & older)
    • Tests & Measures:
      Patient Health Questionnaire-General
      Health Education Impact Questionnaire   DOI: 10.1037/t22139-000
      Fear of Progression Questionnaire   DOI: 10.1037/t62206-000
      12-Item Short Form Health Survey   DOI: 10.1037/t07021-000
    • Grant Sponsorship:
      Sponsor: Federal Ministry of Education and Research, Germany
      Grant Number: 01 GX 1001
      Recipients: No recipient indicated
    • Methodology:
      Empirical Study; Quantitative Study
    • Physical Description:
      Electronic
    • Publication Date:
      First Posted: Sep 20, 2016; Accepted: Sep 2, 2016; First Submitted: May 13, 2016
    • Publication Date:
      20171012
    • Publication Date:
      20180111
    • Copyright:
      Published by Oxford University Press. All rights reserved.. The Author. 2016
    • Accession Number:
      27651394
    • Accession Number:
      2017-27637-009
  • Citations
    • ABNT:
      REUSCH, A. et al. Self-management education for rehabilitation inpatients suffering from inflammatory bowel disease: A cluster-randomized controlled trial. Health Education Research, [s. l.], v. 31, n. 6, p. 782–791, 2016. Disponível em: http://search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=psyh&AN=2017-27637-009. Acesso em: 31 out. 2020.
    • AMA:
      Reusch A, Weiland R, Gerlich C, et al. Self-management education for rehabilitation inpatients suffering from inflammatory bowel disease: A cluster-randomized controlled trial. Health Education Research. 2016;31(6):782-791. Accessed October 31, 2020. http://search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=psyh&AN=2017-27637-009
    • APA:
      Reusch, A., Weiland, R., Gerlich, C., Dreger, K., Derra, C., Mainos, D., Tuschhoff, T., Berding, A., Witte, C., Kaltz, B., & Faller, H. (2016). Self-management education for rehabilitation inpatients suffering from inflammatory bowel disease: A cluster-randomized controlled trial. Health Education Research, 31(6), 782–791.
    • Chicago/Turabian: Author-Date:
      Reusch, A., R. Weiland, C. Gerlich, K. Dreger, C. Derra, D. Mainos, T. Tuschhoff, et al. 2016. “Self-Management Education for Rehabilitation Inpatients Suffering from Inflammatory Bowel Disease: A Cluster-Randomized Controlled Trial.” Health Education Research 31 (6): 782–91. http://search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=psyh&AN=2017-27637-009.
    • Harvard:
      Reusch, A. et al. (2016) ‘Self-management education for rehabilitation inpatients suffering from inflammatory bowel disease: A cluster-randomized controlled trial’, Health Education Research, 31(6), pp. 782–791. Available at: http://search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=psyh&AN=2017-27637-009 (Accessed: 31 October 2020).
    • Harvard: Australian:
      Reusch, A, Weiland, R, Gerlich, C, Dreger, K, Derra, C, Mainos, D, Tuschhoff, T, Berding, A, Witte, C, Kaltz, B & Faller, H 2016, ‘Self-management education for rehabilitation inpatients suffering from inflammatory bowel disease: A cluster-randomized controlled trial’, Health Education Research, vol. 31, no. 6, pp. 782–791, viewed 31 October 2020, .
    • MLA:
      Reusch, A., et al. “Self-Management Education for Rehabilitation Inpatients Suffering from Inflammatory Bowel Disease: A Cluster-Randomized Controlled Trial.” Health Education Research, vol. 31, no. 6, Dec. 2016, pp. 782–791. EBSCOhost, search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=psyh&AN=2017-27637-009.
    • Chicago/Turabian: Humanities:
      Reusch, A., R. Weiland, C. Gerlich, K. Dreger, C. Derra, D. Mainos, T. Tuschhoff, et al. “Self-Management Education for Rehabilitation Inpatients Suffering from Inflammatory Bowel Disease: A Cluster-Randomized Controlled Trial.” Health Education Research 31, no. 6 (December 2016): 782–91. http://search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=psyh&AN=2017-27637-009.
    • Vancouver/ICMJE:
      Reusch A, Weiland R, Gerlich C, Dreger K, Derra C, Mainos D, et al. Self-management education for rehabilitation inpatients suffering from inflammatory bowel disease: A cluster-randomized controlled trial. Health Education Research [Internet]. 2016 Dec [cited 2020 Oct 31];31(6):782–91. Available from: http://search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=psyh&AN=2017-27637-009