Self-management in patients with inflammatory bowel disease: strategies, outcomes, and integration into clinical care
Open accessAbstract
Self-management, including medication adherence, is associated with improved health and outcomes for patients with inflammatory bowel disease. The concept of self-management is complex, but can be divided into those aspects that involve the individual patient, those that involve the provider-patient relationship, and those that encompass the social environment. At the individual level, enhancing problem-solving skills and self-efficacy have both been shown to improve self-management tasks, particularly adherence to treatment. However, it is critical to consider these domains from a lifespan perspective because these processes by which self-management can be improved are distinct for children, adolescents, young adults, and adults. A particular emphasis is placed on strategies to improve self-management of older adolescents and young adults as they transition from pediatric to adult providers. The review concludes with recommendations for providers, including rationale and techniques for assessing and promoting patient self-efficacy, encouraging the development of problem-solving skills, improving the patient-provider relationship, and enhancing social support. Providers are encouraged to utilize elements of problem-solving skills training, engage in collaborative relationships with their patients, and offer their patients recommendations for how to increase the quality of their social support networks as ways of increasing overall self-management.
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In collaboration with healthcare professionals, self-management is likely to improve treatment adherence.
“In collaboration with healthcare professionals it is likely to improve treatment adherence 13 and disease outcomes 1,14 .”
From A Systematic review of self-management interventions for children and adolescents with inflammatory bowel disease (2019) · cites this paper as [13]
Psychological well-being is an important aspect of managing IBD.
“Psychological well-being is an important aspect of managing IBD 13, 37 .”
From A Systematic review of self-management interventions for children and adolescents with inflammatory bowel disease (2019) · cites this paper as [13]
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- Authors
- Plevinsky, J., Greenley, R., & Fishman, L.
- Affiliations
- Rosalind Franklin University of Medicine and Science (US)
- Boston Children's Hospital (US)
- Corresponding author
- Plevinsky, Jill
- Venue
- Clinical and Experimental Gastroenterology
- Publisher
- Informa UK Limited
- Published
- 2016-08
- Volume
- Volume 9
- Pages
- 259-267
- ISSN
- 1178-7023 (ISSN-L)
- PMC
- PMC5003515
- OpenAlex
- W2511886024
- Cited by
- 99
- References
- 90
- Citations by year
- 2026: 13 · 2025: 11 · 2024: 11 · 2023: 13 · 2022: 4 · 2021: 9 · 2020: 11 · 2019: 11 · 2018: 9 · 2017: 5 · 2012: 2
- FWCI
- 1.11
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Licence
- Locations
- Clinical and Experimental Gastroenterology (publishedVersion, cc-by-nc)
- PubMed Central (publishedVersion, cc-by-nc)
- PubMed (publishedVersion)
- Digital Access to Scholarship at Harvard (DASH) (Harvard University) (submittedVersion, cc-by)
- Dove Medical Press (Taylor and Francis Group) (submittedVersion, cc-by-nc)
- Topics
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Genetics › Inflammatory Bowel Disease
- Health Sciences › Health Professions › Speech and Hearing › Adolescent and Pediatric Healthcare
- Health Sciences › Medicine › Family Practice › Medication Adherence and Compliance
- Keywords
- self-management, inflammatory bowel disease, medication adherence, self-efficacy, problem-solving skills, patient-provider relationship, social support, transition from pediatric to adult care, adolescents and young adults, lifespan development, quality of life
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