A web-based survey on self-management for patients with inflammatory bowel disease in Japan

Self-management (SMN) is a recognized component of care for chronic conditions, yet its importance in the context of inflammatory bowel disease (IBD) is unclear. This study evaluates the status of SMN and its relationship with quality of life (QOL) in Japanese patients with IBD. A web-based survey w...

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Bibliographic Details
Published in:PloS one 2023-07, Vol.18 (7), p.e0287618-e0287618
Main Authors: Nagahori, Masakazu, Imai, Takahito, Nakashoji, Mikiko, Tairaka, Ai, Fernandez, Jovelle L
Format: Article
Language:English
Subjects:
Adult
Biology and Life Sciences
Care and treatment
Chronic conditions
Chronic illnesses
Colitis, Ulcerative - complications
Colitis, Ulcerative - therapy
Contingency
Crohn Disease - complications
Crohn Disease - therapy
Crohn's disease
Crohns disease
Diagnosis
Diet
Financial management
Humans
Inflammatory bowel disease
Inflammatory bowel diseases
Inflammatory Bowel Diseases - complications
Inflammatory Bowel Diseases - therapy
Internet
Intestine
Japan
Lifestyles
Medical personnel
Medicine and Health Sciences
Nutrition research
Patients
Pharmaceutical industry
Polls & surveys
Quality of Life
Questionnaires
Research and Analysis Methods
Self-Management
Stress management
Support services
Surveys
Ulcerative colitis
Young Adult
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Summary:Self-management (SMN) is a recognized component of care for chronic conditions, yet its importance in the context of inflammatory bowel disease (IBD) is unclear. This study evaluates the status of SMN and its relationship with quality of life (QOL) in Japanese patients with IBD. A web-based survey was conducted among adult (≥20 years old) Japanese patients with ulcerative colitis (UC) or Crohn's disease (CD). Registered members of an online IBD information platform completed a 45-item survey covering demographics, diet, treatment, physical condition, stress management, financial concerns, support services, and QOL. SMN was operationally defined by dietary and lifestyle behaviours, and contingency analysis was used to test for associated factors. Individual-level contributions to SMN were identified with logistic regression. There were 372 responses to the survey (211 with UC, 161 with CD). Approximately 60% of participants practiced SMN and these patients were 4-24% more likely to report positive QOL than those who did not. SMN was more common in patients with CD than those with UC. SMN practice was also associated with IBD-related hospitalisation/surgery and consultation with others about IBD (e.g. physicians, nurses, patients). The results of this study suggest an association between the practice of SMN and positive QOL in patients with IBD in Japan.
ISSN:1932-6203
1932-6203
DOI:10.1371/journal.pone.0287618