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Cognitive Behavioral Therapy-Based Comprehensive Self-Management Program Improves Presenteeism in Persons with Irritable Bowel Syndrome: A Secondary Data Analysis.
Yang, Pei-Lin; Matthews, Sarah W; Burr, Robert L; Cain, Kevin C; Barney, Pamela G; Zia, Jasmine K; Heitkemper, Margaret H; Kamp, Kendra J.
Afiliación
  • Yang PL; School of Nursing, National Defense Medical Center, Taipei 114, Taiwan.
  • Matthews SW; Department of Child, Family, and Population Health Nursing, School of Nursing, University of Washington, Seattle, WA 98195, USA.
  • Burr RL; Department of Biobehavioral Nursing and Health Informatics, School of Nursing, University of Washington, Seattle, WA 98195, USA.
  • Cain KC; Office of Nursing Research, School of Nursing, University of Washington, Seattle, WA 98195, USA.
  • Barney PG; Department of Biostatistics, University of Washington, Seattle, WA 98195, USA.
  • Zia JK; Department of Biobehavioral Nursing and Health Informatics, School of Nursing, University of Washington, Seattle, WA 98195, USA.
  • Heitkemper MH; Department of Gastroenterology, Swedish Medical Center, Seattle, WA 98104, USA.
  • Kamp KJ; Department of Biobehavioral Nursing and Health Informatics, School of Nursing, University of Washington, Seattle, WA 98195, USA.
Int J Environ Res Public Health ; 19(5)2022 03 04.
Article en En | MEDLINE | ID: mdl-35270695
Individuals with irritable bowel syndrome (IBS) are more likely to miss work (absenteeism), have reduced work effectiveness (presenteeism) and experience activity impairment. This study compared the effect of a comprehensive self-management (CSM) intervention program (incorporating cognitive behavioral therapy, diet education and relaxation) versus usual care on work- and activity-impairments in adults with IBS. This secondary data analysis used daily diaries and Work Productivity and Activity Impairment in Irritable Bowel Syndrome (WPAI-IBS) questionnaire data collected at baseline, 3, 6 and 12 months post-randomization from 160 adults with IBS. Mixed-effects modeling was used to compare the effect of CSM versus usual care on work- and activity-related outcomes. The effect of CSM was shown to be superior to usual care in improving WPAI-IBS and diary-measured presenteeism, overall work productivity loss and activity impairment with sustained effects up to 12 months post-randomization (all p < 0.05). Moreover, the CSM intervention was found to be particularly beneficial for IBS patients with greater baseline work and activity impairments (all p < 0.05). The CSM intervention may bring benefits to individuals and society through improving symptoms and reducing presenteeism associated with IBS.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Terapia Cognitivo-Conductual / Síndrome del Colon Irritable / Automanejo Tipo de estudio: Clinical_trials Aspecto: Patient_preference Límite: Adult / Humans Idioma: En Revista: Int J Environ Res Public Health Año: 2022 Tipo del documento: Article País de afiliación: Taiwán Pais de publicación: Suiza
Texto completo
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Terapia Cognitivo-Conductual / Síndrome del Colon Irritable / Automanejo Tipo de estudio: Clinical_trials Aspecto: Patient_preference Límite: Adult / Humans Idioma: En Revista: Int J Environ Res Public Health Año: 2022 Tipo del documento: Article País de afiliación: Taiwán Pais de publicación: Suiza