A critical review of self-management and educational interventions in inflammatory bowel disease
Abstract
The purpose of this study was to examine self-management and educational interventions developed to support people with inflammatory bowel disease (IBD) and to identify which type of intervention seems to be most effective. The search was deliberately overinclusive to capture studies that evaluated educational and self-management interventions. The following databases were searched: MEDLINE, Embase, CINAHL, PsycINFO, the National Research Register, and Cochrane. Twenty-three studies were included. Thirteen of these were randomized controlled trials. The content of the interventions reviewed varied widely. As expected, it is the three studies that have explicitly labeled themselves as self-management interventions that have incorporated the greatest number of self-management techniques. Two of these studies reported the greatest number of improved outcomes in relation to symptom reporting, psychological well-being, and healthcare resource use. There is clearly a role for information in IBD, but this review supports research in other conditions that shows that education cannot be assumed to lead to improvements in health and well-being. Much of the research in this area focuses on education rather than self-management. Where self-management techniques have been applied, the findings tend to be more promising. Gastroenterology nurses (or in the United Kingdom, IBD specialist nurses) may be best placed to facilitate self-management in this group.
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Education as a standalone intervention is not sufficient to improve self-management in IBD.
“supporting the view that education as a standalone intervention is not sufficient to improve self-management in IBD 4 .”
From A Systematic review of self-management interventions for children and adolescents with inflammatory bowel disease (2019) · cites this paper as [4]
Self-management interventions have been found to be effective for adults with IBD.
“Self-management interventions have been found to be effective for adults with IBD 4 and also for CA with other chronic diseases 16 such as asthma 17, 18 and diabetes 19 .”
From A Systematic review of self-management interventions for children and adolescents with inflammatory bowel disease (2019) · cites this paper as [4]
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Self-citation
- Authors
- Barlow, C., Cooke, D., Mulligan, K., Beck, E., & Newman, S.
- Affiliations
- University College London (GB)
- Corresponding author
- Cooke, Debbie
- Venue
- Gastroenterology Nursing
- Published
- 2010-01
- Volume
- 33
- Issue
- 1
- Pages
- 11-18
- ISSN
- 1042-895X (ISSN-L)
- OpenAlex
- W2057303156
- Cited by
- 81
- References
- 38
- Citations by year
- 2025: 4 · 2024: 2 · 2023: 6 · 2022: 5 · 2021: 3 · 2020: 3 · 2019: 6 · 2018: 3 · 2017: 5 · 2016: 11 · 2015: 10 · 2014: 6 · 2013: 7 · 2012: 3
- FWCI
- 3.06
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Gastroenterology Nursing (publishedVersion)
- PubMed (publishedVersion)
- Open Research (University of Surrey) (submittedVersion)
- UCL Discovery (University College London) (submittedVersion)
- Surrey Research Insight Open Access (The University of Surrey) (submittedVersion)
- Research Portal (King's College London) (submittedVersion)
- Topics
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Genetics › Inflammatory Bowel Disease
- Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Diabetes Management and Education
- Health Sciences › Health Professions › Pharmacy › Nursing care and research
- Keywords
- inflammatory bowel disease, self-management, patient education, educational intervention, symptom reporting, psychological well-being, health care utilization, nurse-led intervention
- MeSH terms
- Adaptation, Psychological, Health Status, Humans, Patient Education as Topic, Quality of Life, Research Design, Self Care, Inflammatory Bowel Diseases, Randomized Controlled Trials as Topic, Outcome Assessment, Health Care, Nurse's Role
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