Evidence map›Paper›PMID 19690523›Full record

Trial reportThe American journal of gastroenterology2009

Comprehensive self-management for irritable bowel syndrome: randomized trial of in-person vs. combined in-person and telephone sessions.

Monica E Jarrett, Kevin C Cain, Robert L Burr, Vicky L Hertig, Sheldon N Rosen, Margaret M Heitkemper

Abstract readComparative StudyRandomized Controlled Trial
PubMed Full text at PMC Publisher
In one paragraph

Trial report in The American journal of gastroenterology, 2009. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 44 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
44citing papers in PubMed, 2 pooled it
3.4field-weighted citation impact, top 8% of its field
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

44 citing papers in PubMed, 2 syntheses or guidelines pooled it, 90 citations in OpenAlex.

  1. Pooled it
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  9. 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
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  13. 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
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  18. Stress reduction and psychological therapy for IBS: a scoping review.Frontiers in gastroenterology (Lausanne, Switzerland) · 2024
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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

6 authors at 2 institutions in 1 country.

Monica E JarrettDepartment of Biobehavioral Nursing and Health Systems, University of Washington, Seattle, Washington 98125 - 7266, USA. jarrett@u.washington.edu
Kevin C Cain
Robert L Burr
Vicky L Hertig
Sheldon N Rosen
Margaret M Heitkemper
Neurobehavioral Systems · USUniversity of Washington · US

Funding

NURSING MANAGEMENT OF IBS--IMPROVING OUTCOMESR01NR004142 · NINR · UNIVERSITY OF WASHINGTON · PI HEITKEMPER, MARGARET MCLEAN · 1996 to 2011
$5.5M
Partnership CoreP30NR004001 · NINR · UNIVERSITY OF WASHINGTON · PI HEITKEMPER, MARGARET MCLEAN · 1994 to 2008
$3.7M
NINR NIH HHS P30 NR004001NINR NIH HHS P30 NR04001NINR NIH HHS R01 NR004142
6 · The paper itself

Abstract

objectivesPsychological and behavioral therapies are being increasingly used for symptom management in patients with irritable bowel syndrome (IBS). The aims of this study were to compare two delivery modes for a comprehensive self-management (CSM) intervention, primarily by telephone vs. entirely in person, and to compare each with usual care (UC).

methodsAdults with IBS were recruited through community advertisement. Subjects (N=188) were randomly assigned to three groups: one in which all nine weekly CSM sessions were delivered in person, one in which six of the nine sessions were conducted over telephone, and one in which subjects received UC. Primary outcome measures were a gastrointestinal (GI) symptom score based on six symptoms from a daily diary and disease-specific quality of life (QOL). These and other outcomes were assessed at baseline and at 3, 6, and 12 months after randomization. Mixed model analyses tested for differences between the three groups in each outcome variable at the three follow-up occasions, controlling for the baseline level of each outcome.

resultsBoth GI symptom score and QOL showed significantly greater improvement in the two CSM groups than in the UC group (P<0.001), with the magnitude of this difference being quite similar for the three follow-up time points. The two CSM groups experienced a very similar degree of improvement, and there were no statistically significant differences between the two.

conclusionsA CSM program is efficacious whether delivered primarily by telephone or totally in person, and there is no evidence that replacing six of the in-person sessions by telephone sessions reduces the efficacy of the intervention.

Indexed as

Cognitive Behavioral TherapyCounselingQuality of LifeTelephoneAdultAnalysis of VarianceChi-Square DistributionFemaleFollow-Up StudiesHumansIrritable Bowel SyndromeMaleMiddle AgedSelf CareStress, PsychologicalSurveys and Questionnaires

Identifiers

PMID19690523
PMCPMC2804069
OpenAlexW1978372360

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

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.