Evidence map›Paper›PMID 41349039›Full record

Trial reportJournal of medical Internet research2025

Effectiveness of a Remote Intervention Program for Self-Management Behaviors in Adolescents and Young Adults With Inflammatory Bowel Disease Based on the Self-Determination Theory: Randomized Controlled Trial Across 2 Centers.

Yangfan Zhu, Yueyue Chen, Jinjiu Hu, Xin Wan, Hong Guo, Xiaoqin Zhou, Delin Wang, Xin Zhang, Xianlan Zheng, Hao Wang

Abstract readRandomized Controlled TrialMulticenter Study
In one paragraph

Trial report in Journal of medical Internet research, 2025. 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
–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

2 citing papers in PubMed.

  1. 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

10 authors.

Yangfan Zhu *Department of Gastroenterology, Chongqing General Hospital, Chongqing, China.ORCID https://orcid.org/0009-0008-2408-8496
Yueyue Chen *Mental Health Education and Counseling Center, Chongqing Institute of Foreign Studies, Chongqing, China.ORCID https://orcid.org/0009-0005-5538-9951
Jinjiu HuDepartment of Nursing, Children's Hospital of Chongqing Medical University, Chongqing, Yuzhong District, China.ORCID https://orcid.org/0009-0002-0595-0518
Xin WanDepartment of Nursing, Children's Hospital of Chongqing Medical University, Chongqing, Yuzhong District, China.ORCID https://orcid.org/0009-0004-3072-8649
Hong GuoDepartment of Gastroenterology, Chongqing General Hospital, Chongqing, China.ORCID https://orcid.org/0000-0001-6843-4997
Xiaoqin ZhouDepartment of Gastroenterology, Children's Hospital of Chongqing Medical University, Chongqing, Yuzhong District, China.ORCID https://orcid.org/0000-0002-8750-7714
Delin WangDepartment of Gastroenterology, Chongqing General Hospital, Chongqing, China.ORCID https://orcid.org/0009-0000-0403-7618
Xin ZhangDepartment of Big Data Center for Children's Medical Care, Children's Hospital of Chongqing Medical University, Chongqing, Yuzhong District, China.ORCID https://orcid.org/0000-0003-2617-807X
Xianlan ZhengDepartment of Nursing, Children's Hospital of Chongqing Medical University, Chongqing, Yuzhong District, China.ORCID https://orcid.org/0009-0002-2224-4922
Hao WangDepartment of Gastroenterology, Chongqing General Hospital, Chongqing, China.ORCID https://orcid.org/0009-0003-1933-9178

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe prevalence of inflammatory bowel disease (IBD) has been on the rise, with adolescents and young adults experiencing the highest incidence rates. For these young patients, self-management behaviors are critical to maintaining disease remission and improving quality of life and yet their current self-management status remains suboptimal.

objectiveThis study aimed to evaluate the impact of a remote and multicomponent intervention program (integrating health education, solution-focused intervention, peer support, and mindfulness training) on the self-management behaviors and related mental health outcomes in young adults and adolescents with IBD.

methodsFrom July 2024 to January 2025, we conducted a 2-arm, single-blind randomized controlled trial. Adolescents and young adults with IBD (aged 13-24 years) were recruited from gastroenterology wards of 2 tertiary hospitals in Chongqing, China, and randomized 1:1 to the intervention (extra multicomponent program) or control (routine care) group. Outcomes (self-management behaviors, perceived social support, basic psychological needs, anxiety, depression, and disease activity) were assessed postintervention (T1) and 12 weeks later (T2). Intention-to-treat analysis was used: normally distributed data via mixed-design analysis of variance, and nonnormal data via rank sum and Friedman tests.

resultsA total of 74 participants (mean age 18.95, SD 2.96 years; 53/74, 72% males) were enrolled (37 per group) with no baseline differences. Compared with the control group, the intervention group showed significantly higher self-management scores at both T1 (mean difference -16.676, 95% CI -24.370 to -8.982; P<.001, η

conclusionsThis study extended the application of self-determination theory to adolescents and young adults with IBD, offering a novel theoretical basis for self-management practice in this population. It was shown that this multicomponent intervention was a valuable addition to standard care in enhancing self-management behaviors and related mental health outcomes while lowering disease activity. In addition, its alignment of intrinsic behavioral motivation with nurse-driven clinical settings boosted clinical operability of the intervention.

trial registrationChinese Clinical Trial Registry ChiCTR2400086703; https://www.chictr.org.cn/showproj.html?proj=235313.

Indexed as

Inflammatory Bowel DiseasesPersonal AutonomySelf-ManagementAdolescentChinaFemaleHumansMaleQuality of LifeSingle-Blind MethodSocial SupportYoung Adultadolescentanxietydepressioninflammatory bowel diseaseself-managementsocial supportyoung adult

Identifiers

PMID41349039
PMCPMC12717511

What OpenQuestion holds

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Registered trials

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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.