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:: Volume 10, Issue 1 (Spring 2022) ::
Iran J Health Educ Health Promot 2022, 10(1): 93-108 Back to browse issues page
The effect of educational empowerment interventions on IBD patients in worldwide: A systematic review of randomized clinical trials
Fatemeh Zare , Ali Ramezankhani , Mohtasham Ghaffari , Soudabeh Yarmohammadi *
Abstract:   (1033 Views)
Background and Objective: Inflammatory bowel disease (IBD) is a recursive chronic disease with no definitive cure. This study was conducted to explore the effectiveness of interventions that aimed to empower patients to improve the consequences of IBD. 

Materials and Methods: In a systematic review, we searched PubMed, Web of Science, Scopus, and Embase databases, from 2000 to May 2021, using "self-care OR empower", "self-efficacy OR self-management", "self-control OR self-confidence OR self-determination", "inflammatory bowel disease OR IBD OR Crohn disease OR ulcerative colitis" as keywords. Two reviewers separately performed the search, screening of the studies. 

Results: In total, 13 papers were finally included in the study. Most of the interventions aimed to increase patients’ awareness of the effects of the disease and how to prevent its recurrence, foster self-management, self-care, and stress management skills. The majority of interventions were made through consultation, lecture, textual educational material, telephone calls, and computer-based communication. The most prevalent positive effects of the interventions were reduced anxiety, fewer problems with the disease, fewer visits to the hospital, and increase the quality of life. 

Conclusion: the educational interventions based on empowerment can be effective in improving the adverse effects of IBD. These interventions can positively affect patients’ clinical and psychological health and can also increase the quality of life. The most prevalent strategies used were self-management skills and anxiety/stress management strategies. Keywords: Empowerment, Educational Intervention, Inflammatory Bowel Disease
Keywords: Empowerment, Educational Intervention, Inflammatory Bowel Disease, Health Education, Health Promotion
Full-Text [PDF 982 kb]   (473 Downloads)    
Type of Study: Review | Subject: Health Education & Health Promotion
Received: 2021/09/19 | Accepted: 2021/12/2
1. Chapman TP, Frias Gomes C, Louis E, Colombel JF, Satsangi JJAp, therapeutics. withdrawal of 5‐aminosalicylates in inflammatory bowel disease. Alimentary Pharmacoligy and Therapeutics. 2020;52(1):73-84. [DOI:10.1111/apt.15771] [PMID]
2. Zhao Y, Yang Y, Zhang J, Wang R, Cheng B, Kalambhe D, et al. Lactoferrin-mediated macrophage targeting delivery and patchouli alcohol-based therapeutic strategy for inflammatory bowel diseases. Acta Pharmaceutica Sinica B. 2020;10(10):1966-76. [DOI:10.1016/j.apsb.2020.07.019] [PMID] [PMCID]
3. Hazel K, O'Connor AJTaicd. Emerging treatments for inflammatory bowel disease. The Lancet. 2020;11:2040622319899297. [DOI:10.1177/2040622319899297] [PMID] [PMCID]
4. Alatab S, Sepanlou SG, Ikuta K, Vahedi H, Bisignano C, Safiri S, et al. The global, regional, and national burden of inflammatory bowel disease in 195 countries and territories, 1990-2017: a systematic analysis for the Global Burden of Disease Study 2017. The Lancet. 2020;5(1):17-30.
5. Molodecky NA, Soon S, Rabi DM, Ghali WA, Ferris M, Chernoff G, et al. Increasing incidence and prevalence of the inflammatory bowel diseases with time, based on systematic review. Gastroenterology. 2012;142(1):46-54. e42. [DOI:10.1053/j.gastro.2011.10.001] [PMID]
6. Safarpour AR, Hosseini SV, Mehrabani DJIjoms. Epidemiology of inflammatory bowel diseases in iran and Asia; a mini review. Iranian Journal Of Medical Sciences. 2013;38(2 Suppl):140.
7. Olfatifar M, Zali MR, Pourhoseingholi MA, Balaii H, Ghavami SB, Ivanchuk M, et al. The emerging epidemic of inflammatory bowel disease in Asia and Iran by 2035: A modeling study. BMC Gastroenterology. 2021;21(1):1-8. [DOI:10.1186/s12876-021-01745-1] [PMID] [PMCID]
8. Burisch J, Munkholm PJSjog. The epidemiology of inflammatory bowel disease. Scandinavian journal of gastroenterology. 2015;50(8):942-51. [DOI:10.3109/00365521.2015.1014407] [PMID]
9. Rocchi A, Benchimol EI, Bernstein CN, Bitton A, Feagan B, Panaccione R, et al. Inflammatory bowel disease: a Canadian burden of illness review. Canadian Journal of Gastroenterology and Hepatology. 2012;26(11):811-7. [DOI:10.1155/2012/984575] [PMID] [PMCID]
10. Aguas M, Del Hoyo J, Faubel R, Nos PJErog, hepatology. Use of telemedicine in inflammatory bowel disease: a real monitoring option? Expert Review of Gastroenterology & Hepatology. 2016;10(8):879-81. [DOI:10.1080/17474124.2016.1200464] [PMID]
11. Pan S-C, Tien K-L, Hung I-C, Lin Y-J, Yang Y-L, Yang M-C, et al. Patient empowerment in a hand hygiene program: differing points of view between patients/family members and health care workers in Asian culture. American Journal of Infection Control. 2013;41(11):979-83. [DOI:10.1016/j.ajic.2013.02.008] [PMID]
12. Kharaghani K, Habibpour ghatabi K, Barandeghi B. The Role of Tehranian Citizens' Participation in Realization «Tobacco-Free Tehran Programme». Iranian Journal of Health Education and Health Promotion. 2020;8(1):82-92. [DOI:10.29252/ijhehp.8.1.82]
13. Cooper JM, Collier J, James V, Hawkey CJJIjons. Beliefs about personal control and self-management in 30-40 year olds living with inflammatory bowel disease: a qualitative study. International journal of nursing studies. 2010;47(12):1500-9. [DOI:10.1016/j.ijnurstu.2010.05.008] [PMID]
14. Alami A, Tavakoly Sany SB, Tehrani H, Lael-Monfared E, Hosseini Z, Jafari A. The effect of educational intervention on iron and vitamin D consumption based on the theory of planned behaviour in Iranian adolescent girls: a quasi-experimental study. International Journal of Health Promotion and Education. 2019;57(6):316-31. [DOI:10.1080/14635240.2019.1632732]
15. Piaggio G, Elbourne DR, Pocock SJ, Evans SJ, Altman DG. Reporting of noninferiority and equivalence randomized trials: extension of the CONSORT 2010 statement. Jama 2012; 308(24): 2594-604. [DOI:10.1001/jama.2012.87802] [PMID]
16. Reusch A, Weiland R, Gerlich C, Dreger K, Derra C, Mainos D, et al. Self-management education for rehabilitation inpatients suffering from inflammatory bowel disease: a cluster-randomized controlled trial. Health Education Research. 2016;31(6):782-91. [DOI:10.1093/her/cyw042] [PMID]
17. Kennedy A, Nelson E, Reeves D, Richardson G, Roberts C, Robinson A, et al. A randomised controlled trial to assess the effectiveness and cost of a patient orientated self management approach to chronic inflammatory bowel disease. Gut. 2004;53(11):1639-45. [DOI:10.1136/gut.2003.034256] [PMID] [PMCID]
18. Robinson A, Thompson DG, Wilkin D, Roberts C, Lancet NGRGJT. Guided self-management and patient-directed follow-up of ulcerative colitis: a randomised trial. The Lanct. 2001;358(9286):976-81. [DOI:10.1016/S0140-6736(01)06105-0]
19. Berding A, Witte C, Gottschald M, Kaltz B, Weiland R, Gerlich C, et al. Beneficial effects of education on emotional distress, self-management, and coping in patients with inflammatory bowel disease: a prospective randomized controlled study. Inflammatory Intestinal Diseases. 2016;1(4):182-90. [DOI:10.1159/000452989] [PMID] [PMCID]
20. de Jong M, van der Meulen-de Jong A, Romberg-Camps M, Becx M, Markus T, Maljaars J, et al., editors. Telemedicine for inflammatory bowel disease patients with MyIBDcoach: description of the myIBDcoach trial. Journal of Crohns& Colitis; 2016: OXFORD UNIV PRESS GREAT CLARENDON ST, OXFORD OX2 6DP, ENGLAND.
21. Magharei M, Jaafari S, Mansouri P, Safarpour A, Taghavi SAJIjocbn, midwifery. Effects of self-management education on self-efficacy and quality of life in patients with ulcerative colitis: a randomized controlled clinical trial. International Journal of Community Based Nursing and Midwifery. 2019;7(1):32.
22. Keefer L, Doerfler B, Artz CJG. The Project Management Approach to Crohn's Disease (CD): Results of a Pilot Study 2011;5(140):S-785. [DOI:10.1016/S0016-5085(11)63256-3]
23. Langhorst J, Mueller T, Luedtke R, Franken U, Paul A, Michalsen A, et al. Effects of a comprehensive lifestyle modification program on quality-of-life in patients with ulcerative colitis: a twelve-month follow-up. Scandinavian Journal of Gastroenterology. 2007;42(6):734-45. [DOI:10.1080/00365520601101682] [PMID]
24. Elsenbruch S, Langhorst J, Popkirowa K, Müller T, Luedtke R, Franken U, et al. Effects of mind-body therapy on quality of life and neuroendocrine and cellular immune functions in patients with ulcerative colitis. Psychotherapy and Psychosomatics. 2005;74(5):277-87. [DOI:10.1159/000086318] [PMID]
25. Arruda JM, Bogetz AL, Vellanki S, Wren A, Yeh AMJCtim. Yoga as adjunct therapy for adolescents with inflammatory bowel disease: A pilot clinical trial. Complementary Therapies in Medicine. 2018;41:99-104. [DOI:10.1016/j.ctim.2018.09.007] [PMID]
26. Hueppe A, Langbrandtner J, Raspe HJIbd. Inviting patients with inflammatory bowel disease to active involvement in their own care: a randomized controlled trial. Inflamm Bowel Diseases 2014;20(6):1057-69. [DOI:10.1097/MIB.0000000000000044] [PMID]
27. Cramer H, Schäfer M, Schöls M, Köcke J, Elsenbruch S, Lauche R, et al. Randomised clinical trial: yoga vs written self‐care advice for ulcerative colitis. Alimentary Pharmacoligy and Therapeutics. 2017;45(11):1379-89. [DOI:10.1111/apt.14062] [PMID]
28. McCombie A, Gearry R, Andrews J, Mulder R, Mikocka-Walus AJIbd. Does computerized cognitive behavioral therapy help people with inflammatory bowel disease? A randomized controlled trial. Inflammatory Bowel Diseases. 2016;22(1):171-81. [DOI:10.1097/MIB.0000000000000567] [PMID]
29. Aguas Peris M, Del Hoyo J, Bebia P, Faubel R, Barrios A, Bastida G, et al. Telemedicine in inflammatory bowel disease: opportunities and approaches. Expert Review of Gastroenterology & Hepatology. 2015;21(2):392-9. [DOI:10.1097/MIB.0000000000000241] [PMID]
30. Beatty PW, Hagglund KJ, Neri MT, Dhont KR, Clark MJ, Hilton SAJAopm, et al. Access to health care services among people with chronic or disabling conditions: patterns and predictors. Archives of Physical Medicine and Rehabilitation. 2003;84(10):1417-25. [DOI:10.1016/S0003-9993(03)00268-5]
31. Anderson RM, Funnell MM, Nwankwo R, Gillard ML, Oh M, Fitzgerald JTJE, et al. Evaluating a problem-based empowerment program for African Americans with diabetes: results of a randomized controlled trial. Ethnicity & Disease. 2005;15(4):671.
32. Shojaeezadeh D, Tol A, Sharifirad G, Alhani FJRJoMS. Effect of education program based on empowerment model in promoting self-care among type 2 diabetic patients in Isfahan. Razi Journal of Medical Sciences. 2013;20(107).
33. Adolfsson ET, Walker-Engström M-L, Smide B, Wikblad KJDr, practice c. Patient education in type 2 diabetes-a randomized controlled 1-year follow-up study. Diabetes Research and Clinical Practice. 2007;76(3):341-50. [DOI:10.1016/j.diabres.2006.09.018] [PMID]
34. Samoocha D, Bruinvels DJ, Elbers NA, Anema JR, van der Beek AJJJomIr. Effectiveness of web-based interventions on patient empowerment: a systematic review and meta-analysis. Journal of Medical Internet Research. 2010;12(2):e1286. [DOI:10.2196/jmir.1286] [PMID] [PMCID]
35. Kuijpers W, Groen WG, Aaronson NK, van Harten WHJJomIr. A systematic review of web-based interventions for patient empowerment and physical activity in chronic diseases: relevance for cancer survivors. Journal of Medical Internet Research. 2013;15(2):e37. [DOI:10.2196/jmir.2281] [PMID] [PMCID]
36. Varekamp I, Verbeek JH, van Dijk FJJIaoo, health e. How can we help employees with chronic diseases to stay at work? A review of interventions aimed at job retention and based on an empowerment perspective. Database of Abstracts of Reviews of Effects. 2006;80(2):87-97. [DOI:10.1007/s00420-006-0112-9] [PMID]
37. Barlow J, Wright C, Sheasby J, Turner A, Hainsworth JJPe, counseling. Self-management approaches for people with chronic conditions: a review. Patient education and counseling. 2002;48(2):177-87. [DOI:10.1016/S0738-3991(02)00032-0]
38. Milne B, Joachim G, Niedhardt JJJoan. A stress management programme for inflammatory bowel disease patients. Journal of advanced nursing. 1986;11(5):561-7. [DOI:10.1111/j.1365-2648.1986.tb01288.x] [PMID]
39. Aguas M, Del Hoyo J, Faubel R, Nos PJErog, hepatology. Use of telemedicine in inflammatory bowel disease: a real monitoring option?. Expert Review of Gastroenterology & Hepatology. 2016;10(8):879-81. [DOI:10.1080/17474124.2016.1200464] [PMID]
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Zare F, Ramezankhani A, Ghaffari M, Yarmohammadi S. The effect of educational empowerment interventions on IBD patients in worldwide: A systematic review of randomized clinical trials. Iran J Health Educ Health Promot. 2022; 10 (1) :93-108
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Volume 10, Issue 1 (Spring 2022) Back to browse issues page
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