Evidence map›Paper›PMID 42271261›Full record

Trial reportBMC gastroenterology2026

Outcomes for a digital prescription mobile application for adults with irritable bowel syndrome: an uncontrolled trial.

Mohsin F Butt, Maiss Reghefaoui, Debbie Bush, Abdulsalam Aliyu, Ana-Maria Darie, Aleesha Mohanan, Alice Sibelli, Timothy R Card, Maura Corsetti

Registry-linked trialAbstract readClinical Trial
In one paragraph

Trial report in BMC gastroenterology, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT07008404 (A Pilot Study to Assess the Feasibility of an Online Cognitive Behavioural Therapy Application), which is not on this map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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.

NCT07008404 naterminatednot on this map

A Pilot Study to Assess the Feasibility of an Online Cognitive Behavioural Therapy Application (Mahana IBS™, Mahana Therapeutics) in the Management of Irritable Bowel Syndrome

TypeinterventionalSponsorNottingham University Hospitals NHS TrustRan2024 to 2025Enrolled20ConditionsIrritable Bowel Syndrome (IBS)Armsonline cognitive behavioral therapy
3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Review
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

9 authors.

Mohsin F Butt *NIHR Nottingham Biomedical Research Centre, Nottingham University Hospitals NHS Trust and the University of Nottingham, Nottingham, United Kingdom. mohsin.butt@nhs.net.ORCID http://orcid.org/0000-0003-0859-6470
Maiss Reghefaoui *NIHR Nottingham Biomedical Research Centre, Nottingham University Hospitals NHS Trust and the University of Nottingham, Nottingham, United Kingdom. maiss.reghefaoui@nhs.net.ORCID http://orcid.org/0009-0003-6303-5905
Debbie BushNIHR Nottingham Biomedical Research Centre, Nottingham University Hospitals NHS Trust and the University of Nottingham, Nottingham, United Kingdom.ORCID http://orcid.org/0009-0004-2392-2144
Abdulsalam AliyuNIHR Nottingham Biomedical Research Centre, Nottingham University Hospitals NHS Trust and the University of Nottingham, Nottingham, United Kingdom.ORCID http://orcid.org/0000-0002-7326-0917
Ana-Maria DarieNIHR Nottingham Biomedical Research Centre, Nottingham University Hospitals NHS Trust and the University of Nottingham, Nottingham, United Kingdom.ORCID http://orcid.org/0000-0001-7896-5134
Aleesha MohananNIHR Nottingham Biomedical Research Centre, Nottingham University Hospitals NHS Trust and the University of Nottingham, Nottingham, United Kingdom.ORCID http://orcid.org/0000-0002-4570-8593
Alice SibelliNIHR Nottingham Biomedical Research Centre, Nottingham University Hospitals NHS Trust and the University of Nottingham, Nottingham, United Kingdom.ORCID http://orcid.org/0000-0001-6531-6055
Timothy R CardNIHR Nottingham Biomedical Research Centre, Nottingham University Hospitals NHS Trust and the University of Nottingham, Nottingham, United Kingdom.ORCID http://orcid.org/0000-0003-2555-2250
Maura CorsettiNIHR Nottingham Biomedical Research Centre, Nottingham University Hospitals NHS Trust and the University of Nottingham, Nottingham, United Kingdom.ORCID http://orcid.org/0000-0003-2957-4684

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundBehavioral therapies are effective in the management of irritable bowel syndrome (IBS). Mahana™ IBS is a mobile phone application designed to deliver 10 sessions (10-12 weeks) of gut-directed cognitive behavioral therapy (CBT) to adults with IBS.

objectivesTo evaluate patient compliance with the Mahana™ mobile phone CBT application and the change in gastrointestinal and psychological symptoms in a real-world UK setting.

methodsThis single-center prospective study recruited adults with Rome IV IBS from a tertiary care outpatient setting. At baseline and 12-week follow-up, patients completed questionnaires assessing gastrointestinal symptoms (IBS symptom severity scale [IBS-SSS]), depression (patient health questionnaire-9 [PHQ-9]), and anxiety (generalized anxiety disorder-7 [GAD-7]).

resultsThirty patients (20/30 female, mean [SD] age 44.57 [14.70]) consented to treatment and completed pre-intervention questionnaires, among whom 20 (66.7%) provided follow-up questionnaire data. Among the 20 individuals with two-point data, there was a statistically significant reduction in the IBS-SSS (P<0.001), GAD-7 (P=0.02), and PHQ-9 (P=0.04) scores. Fourteen (70%) patients reported a clinically significant improvement (≥50 point reduction) in the IBS-SSS; these individuals tended to be older (P=0.04) and male (P=0.04). Patients with IBS-diarrhea reported the greatest improvement in the IBS-SSS versus those with IBS-constipation and IBS-mixed subtypes. The baseline IBS-SSS (P=0.35), GAD-7 (P=0.19) and PHQ-9 (P=0.19) scores were not significantly different between persons who completed the entire CBT intervention versus those who did not.

conclusionThis study provides preliminary evidence that the Mahana™ IBS CBT application is associated with a statistically significant improvement in gastrointestinal and psychological symptoms in a real-world UK clinical setting.

trial registrationThis trial was registered on ClinicalTrials.gov (trial registration number: NCT07008404) on 6 June 2025.

Indexed as

Cognitive Behavioral TherapyIrritable Bowel SyndromeMobile ApplicationsAdultAnxietyDepressionFemaleHumansMaleMiddle AgedPatient ComplianceProspective StudiesSeverity of Illness IndexSurveys and QuestionnairesTreatment OutcomeUnited KingdomAbdominal painDigital prescriptionDigital therapeuticsHealth outcomesPsychological therapy

Identifiers

PMID42271261
PMCPMC13321547

What OpenQuestion holds

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LicenceCC BY
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Registered trials

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.