The DOI matches its Crossref record; 10 of the 10 references it cites were found in a registry or an index.
Systematic Review: Integrated Models of Care for Managing Irritable Bowel Syndrome
Abstract
Background: Multidisciplinary integrated models of care show promise for improving symptoms and quality of life (QoL) in adults with irritable bowel syndrome (IBS). Aims: To describe and evaluate the characteristics of integrated models of care for IBS and identify how digital health is being used in these models of care. Methods: Four databases were searched to March 2024 for studies that included adults with IBS who participated in multidisciplinary integrated models of care that delivered non‐pharmacological therapies. The template for intervention description and replication (TIDieR) checklist was used to appraise study quality and extract model of care characteristics, which were mapped against the Project INTEGRATE framework to establish topics. Results: Sixteen studies (6 randomized controlled trials, 2 quasi‐experimental, 8 cohort studies) reported 14 integrated models of care including 2165 patients of which 918 were IBS patients. Integrated models of care led to improved IBS symptoms (n = 11/13 models of care) and QoL (n = 6/9 models of care). Studies showed moderate compliance with the TIDieR checklist. Five topics were established: clinicians involved, therapies provided, location and mode of delivery, coordinating clinical partnerships, and sharing visions and values of integrated care. Most commonly, a gastroenterologist coordinated care with a psychologist, dietitian, and/or nurse in tertiary care. Psychological, dietary, and physical therapies were provided by n = 11, n = 8, and n = 3 integrated models of care, respectively. Six models of care provided joint consultations or group sessions. Four models of care used digital health such as telephone coaching or online modules. Conclusions: Integrated models of care for IBS exhibited diverse characteristics including the clinicians involved, the therapies provided and the mode of delivery of each therapy. There is a need to evaluate the use of digital health and the delivery of integrated models of care in primary care settings.
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“In recent decades, many patients turn to integrated or complementary approaches to relieve IBS symptoms, including lifestyle modifications, gut-directed hypnotherapy, probiotics, gluten-free diets or diets low in fermentable oligosaccharides, disaccharides, monosaccharides and polyols (FODMAP), and several herbal products [9,10,11,12].”
From Natural Remedies for Irritable Bowel Syndrome: A Comprehensive Review of Herbal-Based Therapies (2025) · cites this paper as [10]
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Hoffmann, T. C., Glasziou, P. P., Boutron, I., Milne, R., Perera, R., Moher, D., Altman, D. G., Barbour, V., Macdonald, H., Johnston, M., et al. (2014) · BMJ · doi:10.1136/bmj.g1687 · Cited by 10,548
FRANCIS, C. Y., MORRIS, J., & WHORWELL, P. J. (1997) · Alimentary Pharmacology & Therapeutics · doi:10.1046/j.1365-2036.1997.142318000.x · Cited by 1,708
ACG Clinical Guideline: Management of Irritable Bowel Syndrome
Lacy, B. E., Pimentel, M., Brenner, D. M., Chey, W. D., Keefer, L. A., Long, M. D., & Moshiree, B. (2021) · American Journal of Gastroenterology · doi:10.14309/ajg.0000000000001036 · Cited by 893
Patrick, D. L., Drossman, D. A., Frederick, I. O., Dicesare, J., & Puder, K. L. (1998) · Digestive Diseases and Sciences · doi:10.1023/a:1018831127942 · Cited by 761 · cited 3×
“A range of pharmacological, psychological, dietary, and physical therapies are recommended for the management of IBS in clinical guidelines internationally [6, 8–10].”
British Society of Gastroenterology guidelines on the management of irritable bowel syndrome
Vasant, D. H., Paine, P. A., Black, C. J., Houghton, L. A., Everitt, H. A., Corsetti, M., Agrawal, A., Aziz, I., Farmer, A. D., Eugenicos, M. P., et al. (2021) · Gut · doi:10.1136/gutjnl-2021-324598 · Cited by 592
Work Productivity and Activity Impairment in Irritable Bowel Syndrome (IBS): A Multifaceted Problem
Frändemark, Å., Törnblom, H., Jakobsson, S., & Simrén, M. (2018) · American Journal of Gastroenterology · doi:10.1038/s41395-018-0262-x · Cited by 209
Behavioral and Diet Therapies in Integrated Care for Patients With Irritable Bowel Syndrome
Chey, W. D., Keefer, L., Whelan, K., & Gibson, P. R. (2021) · Gastroenterology · doi:10.1053/j.gastro.2020.06.099 · Cited by 154 · cited 1×
“Some integrated models of care offered patients both psychological and dietary therapy, which is considered the minimum for gold standard integrated care [46] and may be particularly relevant given that IBS often co-occurs with mental health conditions [47, 48].”
Basnayake, C., Kamm, M. A., Stanley, A., Wilson-O'Brien, A., Burrell, K., Lees-Trinca, I., Khera, A., Kantidakis, J., Wong, O., Fox, K., et al. (2020) · The Lancet Gastroenterology & Hepatology · doi:10.1016/s2468-1253(20)30215-6 · Cited by 128
Stigma and irritable bowel syndrome: a taboo subject?
Hearn, M., Whorwell, P. J., & Vasant, D. H. (2020) · The Lancet Gastroenterology & Hepatology · doi:10.1016/s2468-1253(19)30348-6 · Cited by 88
Irritable bowel syndrome treatment: Cognitive behavioral therapy versus medical treatment
Mahvi-Shirazi, M., Fathi-Ashtiani, A., Rasoolzade-Tabatabaei, S.-K., & Amini, M. (2012) · Archives of Medical Science · doi:10.5114/aoms.2012.27292 · Cited by 40 · cited 7×
“Three integrated models of care did not report on processes for coordinating care or communicating data between clinicians [36, 41, 42].”
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Cited by
Natural Remedies for Irritable Bowel Syndrome: A Comprehensive Review of Herbal-Based Therapies
Abalo, R., Gallego-Barceló, P., & Gabbia, D. (2025) · International Journal of Molecular Sciences · doi:10.3390/ijms26199345 · Cited by 5
Metadata
- Authors
- Warner, M. M., Soliman, O. M., Crichton, M., Marshall, S., Staudacher, H. M., & Kelly, J. T.
- Affiliations
- Faculty of Medicine, Centre for Health Services Research, Centre for Online Health The University of Queensland Woolloongabba Queensland Australia
- School of Psychology, Faculty of Health Deakin University Burwood Victoria Australia
- Faculty of Health, School of Nursing, Centre for Healthcare Transformation, Cancer and Palliative Care Outcomes Centre Queensland University of Technology Kelvin Grove Queensland Australia
- Institute for Mental and Physical Health and Clinical Translation, Food & Mood Centre Deakin University Burwood Victoria Australia
- ORCID
- Venue
- Neurogastroenterology & Motility
- Publisher
- Wiley
- Published
- 2025-01-03
- Volume
- 37
- Issue
- 2
- ISSN
- 1350-1925
- 1365-2982
- Cited by
- 9
- References
- 10
- Language
- en
- Funders
- Australian Government
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