Promising Results in Self-Management Program for Irritable Bowel Patients

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One year after program, majority of patients stuck with behavioral changes
One year after program, majority of patients stuck with behavioral changes

HealthDay News — Comprehensive self-management (CSM) strategies are sustainable for patients with irritable bowel syndrome (IBS), according to a study published in the February issue of Clinical Gastroenterology and Hepatology.

Jasmine K. Zia, MD, from the University of Washington in Seattle, and colleagues categorized CSM strategies from a previous clinical trial as diet (composition, trigger foods, meal size or timing, and eating behaviors), relaxation (specific relaxation strategies and lifestyle behaviors), and alternative thoughts (identifying thought distortions, challenging underlying beliefs, and other strategies).

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The researchers continued to follow 81 adults with IBS (87% female; mean age 45 years) after the previous intervention trial. At the last CSM session of the trial, 95% of the patients selected the subthemes of specific relaxation strategies, 90% selected diet composition, and 90% identified thought distortions for continued use. At 12 months after the CSM program, 94% of the participants (76 of 81) were still using at least 6 strategies and adherence was greater than 79% for all subthemes of CMS strategies.

"We developed a CSM program to reduce symptoms and increase quality of life in patients with IBS that produced sustainable behavioral changes in almost all patients (94%) after one year of follow-up," the authors write.

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