Evidence map›Paper›PMID 19099570›Full record

Trial reportBMC complementary and alternative medicine2008

Treatments for irritable bowel syndrome: patients' attitudes and acceptability.

Lynsey R Harris, Lesley Roberts

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in BMC complementary and alternative medicine, 2008. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
22citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

22 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Trial
  3. A Comprehensive Self-Management Irritable Bowel Syndrome Program Produces Sustainable Changes in Behavior After 1 Year.Clinical gastroenterology and hepatology : the official clinical practice journal of the American Gastroenterological Association · 2016
    Trial
  4. Trial
  5. Iyengar yoga for adolescents and young adults with irritable bowel syndrome.Journal of pediatric gastroenterology and nutrition · 2014
    Trial
  6. Trial
  7. Does a self-management program change dietary intake in adults with irritable bowel syndrome?Gastroenterology nursing : the official journal of the Society of Gastroenterology Nurses and Associates
    Trial
  8. Trial
  9. Article
  10. Article
  11. Article
  12. Effectiveness of Non-Pharmacological Interventions for Irritable Bowel Syndrome: A Systematic Review.Evidence-based complementary and alternative medicine : eCAM · 2021
    Review
  13. Yoga as a Therapy for Irritable Bowel Syndrome.Digestive diseases and sciences · 2020
    Review
  14. Article
  15. TummyTrials: A Feasibility Study of Using Self-Experimentation to Detect Individualized Food Triggers.Proceedings of the SIGCHI conference on human factors in computing systems. CHI Conference · 2017
    Article
  16. Article
  17. Review
  18. Article
  19. Review
  20. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

2 authors.

Lynsey R HarrisPrimary Care Clinical Sciences, University of Birmingham, Edgbaston, Birmingham, B15 2TT, UK. lrharris@doctors.org.uk
Lesley Roberts

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundIrritable Bowel Syndrome, a highly prevalent chronic disorder, places significant burden on the health service and the individual. Symptomatic distress and reduced quality of life are compounded by few efficacious treatments available. As researchers continue to demonstrate the clinical efficacy of alternative therapies, it would be useful to gain a patient-perspective of treatment acceptability and identify patient's attitudes towards those modalities considered not acceptable.

methodsSix hundred and forty-five participants identified from an earlier IBS-prevalence study received a postal questionnaire to evaluate preferences and acceptability of nine forms of treatment. Proportions accepting each form of treatment were calculated and thematic analysis of qualitative data undertaken.

resultsA total of 256 (39.7%) of 645 potential respondents completed the questionnaire (mean age 55.9 years, 73% female). Tablets were most acceptable (84%), followed by lifestyle changes (diet (82%), yoga (77%)). Acupuncture (59%) and suppositories (57%) were less acceptable. When explaining lack of acceptability, patient views fell into four broad categories: dislike treatment modality, do not perceive benefit, general barriers and insufficient knowledge. Scepticism, lack of scientific rationale and fear of CAM were mentioned, although others expressed a dislike of conventional medical treatments. Past experiences, age and health concerns, and need for proof of efficacy were reported.

conclusionMost patients were willing to accept various forms of treatment. However, the reservations expressed by this patient-population must be recognised with particular focus directed towards allaying fears and misconceptions, seeking further evidence base for certain therapies and incorporating physician support and advice.

Indexed as

Health Knowledge, Attitudes, PracticeCohort StudiesComplementary TherapiesFemaleHumansIrritable Bowel SyndromeMaleMiddle AgedPatient Acceptance of Health CarePatient SatisfactionSurveys and Questionnaires

Identifiers

PMID19099570
PMCPMC2633319

What OpenQuestion holds

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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.