Self-management in patients with inflammatory bowel disease: strategies, outcomes, and integration into clinical care
Jill M Plevinsky,1 Rachel N Greenley,1 Laurie N Fishman2 1Department of Psychology, Rosalind Franklin University of Medicine and Science, North Chicago, IL, 2Department of Gastroenterology, Boston Children’s Hospital, Harvard Medical School, Boston, MA, USA Abstract: Self-management, inclu...
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| Format: | Article |
| Language: | English |
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Dove Medical Press
2016-08-01
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| Series: | Clinical and Experimental Gastroenterology |
| Subjects: | |
| Online Access: | https://www.dovepress.com/self-management-in-patients-with-inflammatory-bowel-disease-strategies-peer-reviewed-article-CEG |
| _version_ | 1818566831642771456 |
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| author | Plevinsky JM Greenley RN Fishman LN |
| author_facet | Plevinsky JM Greenley RN Fishman LN |
| author_sort | Plevinsky JM |
| collection | DOAJ |
| description | Jill M Plevinsky,1 Rachel N Greenley,1 Laurie N Fishman2 1Department of Psychology, Rosalind Franklin University of Medicine and Science, North Chicago, IL, 2Department of Gastroenterology, Boston Children’s Hospital, Harvard Medical School, Boston, MA, USA Abstract: Self-management, including medication adherence, is associated with improved health and outcomes for patients with inflammatory bowel disease. The concept of self-management is complex, but can be divided into those aspects that involve the individual patient, those that involve the provider–patient relationship, and those that encompass the social environment. At the individual level, enhancing problem-solving skills and self-efficacy have both been shown to improve self-management tasks, particularly adherence to treatment. However, it is critical to consider these domains from a lifespan perspective because these processes by which self-management can be improved are distinct for children, adolescents, young adults, and adults. A particular emphasis is placed on strategies to improve self-management of older adolescents and young adults as they transition from pediatric to adult providers. The review concludes with recommendations for providers, including rationale and techniques for assessing and promoting patient self-efficacy, encouraging the development of problem-solving skills, improving the patient–provider relationship, and enhancing social support. Providers are encouraged to utilize elements of problem-solving skills training, engage in collaborative relationships with their patients, and offer their patients recommendations for how to increase the quality of their social support networks as ways of increasing overall self-management. Keywords: adherence, self-efficacy, communication, social support, Crohn’s disease, ulcerative colitis |
| first_indexed | 2024-12-14T01:58:39Z |
| format | Article |
| id | doaj.art-91ffe757ecd04c9c951a34f9e3f97622 |
| institution | Directory Open Access Journal |
| issn | 1178-7023 |
| language | English |
| last_indexed | 2024-12-14T01:58:39Z |
| publishDate | 2016-08-01 |
| publisher | Dove Medical Press |
| record_format | Article |
| series | Clinical and Experimental Gastroenterology |
| spelling | doaj.art-91ffe757ecd04c9c951a34f9e3f976222022-12-21T23:21:06ZengDove Medical PressClinical and Experimental Gastroenterology1178-70232016-08-01Volume 925926728543Self-management in patients with inflammatory bowel disease: strategies, outcomes, and integration into clinical carePlevinsky JMGreenley RNFishman LNJill M Plevinsky,1 Rachel N Greenley,1 Laurie N Fishman2 1Department of Psychology, Rosalind Franklin University of Medicine and Science, North Chicago, IL, 2Department of Gastroenterology, Boston Children’s Hospital, Harvard Medical School, Boston, MA, USA Abstract: Self-management, including medication adherence, is associated with improved health and outcomes for patients with inflammatory bowel disease. The concept of self-management is complex, but can be divided into those aspects that involve the individual patient, those that involve the provider–patient relationship, and those that encompass the social environment. At the individual level, enhancing problem-solving skills and self-efficacy have both been shown to improve self-management tasks, particularly adherence to treatment. However, it is critical to consider these domains from a lifespan perspective because these processes by which self-management can be improved are distinct for children, adolescents, young adults, and adults. A particular emphasis is placed on strategies to improve self-management of older adolescents and young adults as they transition from pediatric to adult providers. The review concludes with recommendations for providers, including rationale and techniques for assessing and promoting patient self-efficacy, encouraging the development of problem-solving skills, improving the patient–provider relationship, and enhancing social support. Providers are encouraged to utilize elements of problem-solving skills training, engage in collaborative relationships with their patients, and offer their patients recommendations for how to increase the quality of their social support networks as ways of increasing overall self-management. Keywords: adherence, self-efficacy, communication, social support, Crohn’s disease, ulcerative colitishttps://www.dovepress.com/self-management-in-patients-with-inflammatory-bowel-disease-strategies-peer-reviewed-article-CEGadherenceself efficacycommunicationsocial supportCrohns diseaseulcerative colitis |
| spellingShingle | Plevinsky JM Greenley RN Fishman LN Self-management in patients with inflammatory bowel disease: strategies, outcomes, and integration into clinical care Clinical and Experimental Gastroenterology adherence self efficacy communication social support Crohns disease ulcerative colitis |
| title | Self-management in patients with inflammatory bowel disease: strategies, outcomes, and integration into clinical care |
| title_full | Self-management in patients with inflammatory bowel disease: strategies, outcomes, and integration into clinical care |
| title_fullStr | Self-management in patients with inflammatory bowel disease: strategies, outcomes, and integration into clinical care |
| title_full_unstemmed | Self-management in patients with inflammatory bowel disease: strategies, outcomes, and integration into clinical care |
| title_short | Self-management in patients with inflammatory bowel disease: strategies, outcomes, and integration into clinical care |
| title_sort | self management in patients with inflammatory bowel disease strategies outcomes and integration into clinical care |
| topic | adherence self efficacy communication social support Crohns disease ulcerative colitis |
| url | https://www.dovepress.com/self-management-in-patients-with-inflammatory-bowel-disease-strategies-peer-reviewed-article-CEG |
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