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. 2016 Mar;48(2):118-27.
doi: 10.1111/jnu.12189. Epub 2016 Jan 12.

A Systematic Review of Self-Management Interventions for Inflammatory Bowel Disease

Samantha Conley  1 , Nancy Redeker  2
Affiliations

A Systematic Review of Self-Management Interventions for Inflammatory Bowel Disease

Samantha Conley et al. J Nurs Scholarsh. 2016 Mar.

Erratum in

  • ERRATA.
    [No authors listed] [No authors listed] J Nurs Scholarsh. 2017 Nov;49(6):697. doi: 10.1111/jnu.12310. J Nurs Scholarsh. 2017. PMID: 29068178 No abstract available.

Abstract

Purpose: To conduct a systematic review of self-management interventions for adults with inflammatory bowel disease (IBD) to (a) describe self-management skills in the interventions and (b) describe the effects of the interventions on the health-related outcomes measured.

Design: Systematic review of self-management interventions for adults with IBD using the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines.

Methods: The search was conducted using Medline, Cumulative Index to Nursing and Allied Health Literature (CINAHL), Embase, and Proquest databases. Search terms were inflammatory bowel disease OR Crohn* disease OR ulcerative colitis AND self-management. We also used additional limits (adults ≥ 18 years of age and published in English). The self-management skills were organized according to Lorig and Holman's five self-management skills.

Findings: Six reports met the inclusion criteria. One intervention contained all five of the self-management skills. Most interventions contained two skills. Four studies demonstrated positive effects of self-management on disease activity. Two interventions revealed positive effects on disease-specific health-related quality of life (HRQOL), and one intervention revealed positive effects on generic HRQOL. One study showed positive effects of symptoms.

Conclusions: The interventions reviewed varied in the approaches, theoretical perspectives, self-management skills, and outcomes measured. Additional research is needed to understand which are the active components of self-management.

Clinical relevance: Support for self-management skills is an important component of nursing care for people with IBD.

Keywords: Inflammatory bowel disease; quality of life; self-management; symptom management; systematic review.

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Figures

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Figure 1
Flow of information through literature search.
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