Evidence map›Paper›PMID 30053840›Full record

Trial reportBMC gastroenterology2018

Health education program improves QOL in students with irritable bowel syndrome after the Wenchuan earthquake: a five-year multi-center study.

Shi-Cheng Zheng, Hui Gong, Yi-Ping Wang, Qiang Zhang, Li-Li Wang, Xue-Fen Liao, Dai-Wen He, Jing Wu

Open access · goldAbstract readMulticenter StudyRandomized Controlled Trial
In one paragraph

Trial report in BMC gastroenterology, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
0.3field-weighted citation impact, top 39% 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

2 citing papers in PubMed, 2 citations in OpenAlex.

  1. Effects of Earthquake Fear and Post-Traumatic Stress Disorder on Patients with Irritable Bowel Syndrome after a Major Earthquake in Türkiye: A Multicenter Study.The Turkish journal of gastroenterology : the official journal of Turkish Society of Gastroenterology · 2026
    Article
  2. 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

8 authors at 4 institutions in 1 country.

Shi-Cheng ZhengDepartment of Gastroenterology, The First People's Hospital of Longquanyi District, Chengdu & West China Longquan Hospital Sichuan University, Sichuan Province, Chengdu, 610100, China. zsc333-007@163.com.
Hui GongDepartment of Gastroenterology, The First People's Hospital of Longquanyi District, Chengdu & West China Longquan Hospital Sichuan University, Sichuan Province, Chengdu, 610100, China.
Yi-Ping WangDepartment of Gastroenterology, West China Hospital, Sichuan University, Sichuan Province, Chengdu, 610041, China.
Qiang ZhangWest China School of Public Health, Sichuan University, Chengdu, 610041, Sichuan Province, China.
Li-Li WangQingchuan Middle School, Qingchuan County, 628100, Sichuan Province, China.
Xue-Fen LiaoWenchuan First Middle School, Wenchuan County, 638100, Sichuan Province, China.
Dai-Wen HeTongji Middle School, Pengzhou City, 611900, Sichuan Province, China.
Jing WuLongquan District of Chengdu Maternity and Child Health Care Hospital, Sichuan Province, Chengdu, 610100, China.
West China Hospital of Sichuan University · CNMaternal and Child Health Hospital of Sichuan Province · CNSichuan University · CNTongji University · CN

Funding

the Science Research Project of the Sichuan Provincial Department of Health,China 090103
6 · The paper itself

Abstract

backgroundStress is a common contributing factor for irritable bowel syndrome (IBS). This study was to evaluate the efficacy of the centralized health education program in improving the quality of life (QOL) of middle school students with IBS who experienced the Wenchuan earthquake on May 12, 2008.

methodsA multi-center, randomized and open evaluation study design was adopted. A total of 584 students who met the Rome III criteria for IBS in four middle schools were identified. Of these students, 29 were excluded for various reasons, and the remaining 555 students were randomly assigned to either the health education group (n = 277) or the control group (n = 278, received no health education). De-identified data were collected via the IBS quality of life (IBS-QOL) questionnaire and abdominal pain was assessed during the 5-year follow-up survey.

resultsThe IBS-QOL mean total score was comparable at baseline between no-education group and education group no matter in quake-unaffected areas or quake-affected areas (52.27 vs 51.43, t = 1.15, P > 0.05; 51.02 vs 50.64, t = 1.98, P > 0.05). During the 5-year study period, 84 students opted out during follow-up. After 5 years, a significant difference of the IBS-QOL mean total score was observed between the no-education group and education group in quake-unaffected areas (80.53 vs 93.67, t = - 55.45, P < 0.01), which was also observed in quake-affected areas (64.23 vs 93.80, t = - 188.10, P < 0.01). In addition, there was a reciprocal action between factor 1(health education or not) and factor 2(affected by the earthquake or not) regarding IBS-QOL for dysphoria(Q1), interference with activity(Q2), food avoidance(Q5) and relationships(Q8)(P < 0.001) at year 1, 3 and 5. In all students, abdominal pain scores gradually reduced from baseline in each subgroup over 5 years (P < 0.001).The improvement was greater in the education group than in the control group no matter in quake-unaffected area and in quake-affected areas(P < 0.001). There was a reciprocal action between factor 1(health education or not) and factor 2(duration of follow-up) regarding the mean abdominal pain symptom score irrespective of quake-unaffected or quake-affected areas (P = 0.029 and P < 0.001).

conclusionThe health education program improved quality of life and abdominal pain in middle school IBS students in Wenchuan quake-affected areas.

Indexed as

EarthquakesHealth EducationQuality of LifeStress, PsychologicalAbdominal PainAdolescentChinaFemaleFollow-Up StudiesHumansIrritable Bowel SyndromeMaleEarthquakeHealth educationIrritable bowel syndromeMiddle school studentsQuality of lifeThe centralized health education program

Identifiers

PMID30053840
PMCPMC6062936
OpenAlexW2883624543

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.