Self-management education for rehabilitation inpatients suffering from inflammatory bowel disease: a clusterrandomized controlled trial.

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  • Additional Information
    • Affiliation:
      Department of Medical Psychology and Psychotherapy, Medical Sociology and Rehabilitation Sciences, University of Würzburg, Klinikstr. 3, Würzburg, D 97070, Germany
      Rehabilitation Centre Bad Mergentheim, Clinic Taubertal, Bad Mergentheim, 97980, Germany
      German Crohn's and Colitis Association (Deutsche Morbus Crohn/Colitis ulcerosa Vereinigung, DCCV e.V.), Berlin, 10179, Germany
    • Subject Terms:
      Self Care ; Rehabilitation ; Inflammatory Bowel Diseases -- Germany ; Patient Education
    • Subject Terms:
      Human; Funding Source; Randomized Controlled Trials; Cluster Sample; Female; Male; Adult; Middle Age; Germany; Questionnaires; P-Value; T-Tests; Data Analysis Software; Focus Groups
    • 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.
    • Journal Subset:
      Europe; Health Promotion/Education; Peer Reviewed; UK & Ireland
    • Special Interest:
      Evidence-Based Practice
    • Instrumentation:
      Short Form 12 Health Survey (SF-12)
      Patient Health Questionnaire
      PS-CEDE
      Fear of Progression Questionnaire Short Form
    • ISSN:
      0268-1153
    • MEDLINE Info:
      NLM UID: 8608459
    • Grant Information:
      Funded by German Federal Ministry of Education andResearch (Grant No. 01 GX 1001).
    • Publication Date:
      20161212
    • Publication Date:
      20190516
    • DOI:
      10.1093/her/cyw042
    • Accession Number:
      120073713
  • Citations
    • ABNT:
      REUSCH, A. et al. Self-management education for rehabilitation inpatients suffering from inflammatory bowel disease: a clusterrandomized controlled trial. Health Education Research, [s. l.], v. 31, n. 6, p. 782–791, 2016. DOI 10.1093/her/cyw042. Disponível em: http://search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=rzh&AN=120073713. Acesso em: 29 out. 2020.
    • AMA:
      Reusch A, Weiland R, Gerlich C, et al. Self-management education for rehabilitation inpatients suffering from inflammatory bowel disease: a clusterrandomized controlled trial. Health Education Research. 2016;31(6):782-791. doi:10.1093/her/cyw042
    • 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 clusterrandomized controlled trial. Health Education Research, 31(6), 782–791. https://doi.org/10.1093/her/cyw042
    • 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 Clusterrandomized Controlled Trial.” Health Education Research 31 (6): 782–91. doi:10.1093/her/cyw042.
    • Harvard:
      Reusch, A. et al. (2016) ‘Self-management education for rehabilitation inpatients suffering from inflammatory bowel disease: a clusterrandomized controlled trial’, Health Education Research, 31(6), pp. 782–791. doi: 10.1093/her/cyw042.
    • 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 clusterrandomized controlled trial’, Health Education Research, vol. 31, no. 6, pp. 782–791, viewed 29 October 2020, .
    • MLA:
      Reusch, A., et al. “Self-Management Education for Rehabilitation Inpatients Suffering from Inflammatory Bowel Disease: A Clusterrandomized Controlled Trial.” Health Education Research, vol. 31, no. 6, Dec. 2016, pp. 782–791. EBSCOhost, doi:10.1093/her/cyw042.
    • 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 Clusterrandomized Controlled Trial.” Health Education Research 31, no. 6 (December 2016): 782–91. doi:10.1093/her/cyw042.
    • 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 clusterrandomized controlled trial. Health Education Research [Internet]. 2016 Dec [cited 2020 Oct 29];31(6):782–91. Available from: http://search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=rzh&AN=120073713