Immediate, situational feedback is more effective than standard care alone, which, according to the Dutch IBS Guideline of General Practice (NHG, 2001), includes education, dietary advices and reassurance about the benign course of the disease.
ID
Bron
Verkorte titel
Aandoening
Irritable bowel syndrome
IBS
Self-management
Information and communication technology
ICT
Prikkelbare darmsyndroom
PDS
Informatie en communicatie technologie
Ondersteuning
Onderzoeksproduct en/of interventie
Uitkomstmaten
Primaire uitkomstmaten
IBS-severity, measured by
1. IBS Rome III criteria list
2. abdominal pain
3. secondary gastrointestinal complaints (diarrhea, constipation, flatulence, belching, abdominal rumbling and distension)
All administered at baseline and at 12 weeks; all except (1) also at 5 weeks
Achtergrond van het onderzoek
This study aims to establish the effectiveness of situational feedback to the self-management of IBS using a web-based intervention. The feedback focuses on opposing well-known features of inadequate self-management in IBS: catastrophic cognitions, somatic attributions and avoidance behaviour. It is hypothesized that this intervention improves cognitive and behavioural coping and complaint severity more than standard care (i.e., education, diet, reassurance) alone. Sixty IBS patients are recruited through their GP and randomized into the experimental or standard GP care group. For 5 weeks, experimental patients receive a palmtop computer which prompts them at 4 (random) instances a day to complete questions on complaint severity and cognitive and behavioural coping. Data are immediately transferred to a psychologist and serve to generate telemedicine feedback twice daily during week 2-4. All patients complete questionnaires at baseline, five weeks and three months.
Doel van het onderzoek
Immediate, situational feedback is more effective than standard care alone, which, according to the Dutch IBS Guideline of General Practice (NHG, 2001), includes education, dietary advices and reassurance about the benign course of the disease.
Onderzoeksproduct en/of interventie
Standard care (control condition) + 4 daily electronic diaries during 5 weeks following ABA design (experimental condition):
- 1 week baseline
- a psychologist on 4 daily diaries
- 1 week follow-up
Publiek
Postbus 1568
M. Morren
Utrecht 3500 BN
The Netherlands
+31 30-2729700
m.morren@nivel.nl
Wetenschappelijk
Postbus 1568
M. Morren
Utrecht 3500 BN
The Netherlands
+31 30-2729700
m.morren@nivel.nl
Belangrijkste voorwaarden om deel te mogen nemen (Inclusiecriteria)
1. IBS for at least three months;
2. Age between 18 and 65 years
Belangrijkste redenen om niet deel te kunnen nemen (Exclusiecriteria)
1. sufficient command of Dutch language
2. No visual handicap
3. Concomitant or previous psychotherapeutic treatment
Opzet
Deelname
Opgevolgd door onderstaande (mogelijk meer actuele) registratie
Geen registraties gevonden.
Andere (mogelijk minder actuele) registraties in dit register
Geen registraties gevonden.
In overige registers
| Register | ID |
|---|---|
| NTR-new | NL954 |
| NTR-old | NTR980 |
| Ander register | : |
| ISRCTN | ISRCTN09185998 |
Samenvatting resultaten
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-Dulmen AM van, Fennis JFM, Mokkink HGA, Bleijenberg G. The relationship between complaint-related cognitions in referred patients with irritable bowel syndrome and subsequent health care seeking behaviour in primary care. Fam Pract 1996a; 13: 12-17
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-Dulmen AM van, Fennis JFM, Mokkink HGA, Velden HGM van der, Bleijenberg G. Persisting improvement in complaint-related cognitions initiated during medical consultations in functional abdominal complaints. Psychol Med 1997; 27: 725-729
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-Kruise DA, Sorbi MJ, Bensing JM, van Dulmen AM, Spreeuwenberg PMM. Electronic guidance of behavior relevant to migraine: a pilot in low-back pain. In: Couturier EGM, Sorbi MJ (eds). Headache and Migraine. Anglo Dutch Migraine Association, Utrecht, 2004
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