Cognitive Behavioral Therapy-Based Comprehensive Self-Management Program Improves Presenteeism in Persons with Irritable Bowel Syndrome: A Secondary Data Analysis

Individuals with irritable bowel syndrome (IBS) are more likely to miss work (absenteeism), have reduced work effectiveness (presenteeism) and experience activity impairment. This study compared the effect of a comprehensive self-management (CSM) intervention program (incorporating cognitive behavio...

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Bibliographic Details
Published in:International journal of environmental research and public health 2022-03, Vol.19 (5), p.3003
Main Authors: Yang, Pei-Lin, Matthews, Sarah W, Burr, Robert L, Cain, Kevin C, Barney, Pamela G, Zia, Jasmine K, Heitkemper, Margaret H, Kamp, Kendra J
Format: Article
Language:English
Subjects:
Abdomen
Absenteeism
Adult
Adults
Behavior modification
Cognitive Behavioral Therapy
Constipation
Data Analysis
Data collection
Diaries
Dietary fiber
Homework
Humans
Impairment
Intervention
Intestine
Irritable bowel syndrome
Irritable Bowel Syndrome - complications
Pain
Presenteeism
Productivity
Quality of Life
Questionnaires
Randomization
Self-Management
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Summary:Individuals with irritable bowel syndrome (IBS) are more likely to miss work (absenteeism), have reduced work effectiveness (presenteeism) and experience activity impairment. This study compared the effect of a comprehensive self-management (CSM) intervention program (incorporating cognitive behavioral therapy, diet education and relaxation) versus usual care on work- and activity-impairments in adults with IBS. This secondary data analysis used daily diaries and Work Productivity and Activity Impairment in Irritable Bowel Syndrome (WPAI-IBS) questionnaire data collected at baseline, 3, 6 and 12 months post-randomization from 160 adults with IBS. Mixed-effects modeling was used to compare the effect of CSM versus usual care on work- and activity-related outcomes. The effect of CSM was shown to be superior to usual care in improving WPAI-IBS and diary-measured presenteeism, overall work productivity loss and activity impairment with sustained effects up to 12 months post-randomization (all p < 0.05). Moreover, the CSM intervention was found to be particularly beneficial for IBS patients with greater baseline work and activity impairments (all p < 0.05). The CSM intervention may bring benefits to individuals and society through improving symptoms and reducing presenteeism associated with IBS.
ISSN:1660-4601
1661-7827
1660-4601
DOI:10.3390/ijerph19053003