Optimizing management of Crohn's disease within a project management framework: results of a pilot study.
Optimizing management of Crohn's disease within a project management framework: results of a pilot study.
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DOI：
10.1002/ibd.21679
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发表时间：
2012-02
影响因子：
4.9
通讯作者：
Artz, Caroline
中科院分区：
文献类型：
--
作者：
Keefer, Laurie;Doerfler, Bethany;Artz, Caroline
Psychotherapy for CD has focused on patients w/psychological distress. Another approach to optimize management of CD is to target patients who do not exhibit psychological distress but engage in behaviors that undermine treatment efficacy/increase risk for flare. We sought to determine the feasibility/acceptability and estimate the effects of a program framed around Project Management (PM) principles on CD outcomes. Twenty-eightadults w/quiescent CD w/o history of psychiatric disorder were randomized to Project Management(N = 16) or treatment as usual (TAU;N=12). Baseline and follow-up measures were IBDQ, Medication Adherence Scale (MAS), Perceived Stress Questionnaire (PSQ) and IBD Self-Efficacy Scale (IBD-SES). There were significant group X time effects favoring PM on IBDQ-Total Score [F(1) = 15.2, p = .001], IBDQ-Bowel [F(1) = 6.5, p = .02] and IBDQ-Systemic [F(1) = 9.3, p = .007] but not IBDQ-Emotional [F(1) = 1.9, p = ns] or IBDQ-Social [F(1) = 2.4, p = ns]. There was a significant interaction effect favoring PM w/ respect to PSQ [F(1) = 8.4, p = .01] and IBD SES [F(1) = 12.2, p = .003]. There was no immediate change in MAS [F(1) = 4.3, p = ns]. Moderate effect sizes (d > .30) were observed for IBDQ total score (d =.45), IBDQ bowel health (d =.45) and systemic health (d = .37). Effect sizes for PSQ (d = .13) and IBDSES (d = .17) were smaller. Behavioral programs that appeal to patients who may not seek psychotherapy for negative health behaviors may improve quality of life and potentially disease course and outcomes.
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影响因子：
1.7
作者：
Farrell, Kathleen;Wicks, Mona N;Martin, Judy C
通讯作者：
Martin, Judy C
DOI：
10.1097/00005176-199904001-00003
发表时间：
1999-04-01
影响因子：
2.9
作者：
Irvine, EJ
通讯作者：
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影响因子：
3.2
作者：
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通讯作者：
van der Woude, C. Janneke
影响因子：
4.9
作者：
Bernstein, Charles N.;Fried, Michael;Watermeyer, Gillian
通讯作者：
Watermeyer, Gillian
影响因子：
9.8
作者：
Bitton, A;Sewitch, MJ;Shah, S
通讯作者：
Shah, S