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2006•BMJ Evidence-Based MedicineRequires access

A self help guidebook reduced primary care consultations in irritable bowel syndrome

Sander Veldhuyzen van Zanten

Open publisher page 1 citations

Abstract

Robinson A, Lee V, Kennedy A, et al. A randomised controlled trial of self-help interventions in patients with a primary care diagnosis of irritable bowel syndrome. Gut 2006;55:643–8. [OpenUrl][1][Abstract/FREE Full Text][2] Q In patients with irritable bowel syndrome (IBS), does a self help intervention in the form of a guidebook or group meetings reduce consultation rates and symptom severity? Clinical impact ratings GP/FP/Primary care ★★★★★★☆ IM/Ambulatory care ★★★★★☆☆ Gastroenterology ★★★★★☆☆ ### ![Graphic][3] Design: randomised controlled trial. ### ![Graphic][4] Allocation: concealed.* ### ![Graphic][5] Blinding: unblinded.* ### ![Graphic][6] Follow up period: 1 year. ### ![Graphic][7] Setting: 54 general practices in the UK. ### ![Graphic][8] Patients: 420 patients ⩾18 years of age (mean age 40 y, 89% women) who had IBS diagnosed by a general practitioner or specialist and had consulted their general practitioner with gastrointestinal symptoms at least once in the past year. Patients unable to read or understand English were excluded. ### ![Graphic][9] Intervention: self help guidebook† containing information on lifestyle, diet, and drug and alternative treatments with current evidence and patients’ experiences (n = 141); guidebook plus an invitation to participate in a 2 hour self help group meeting with 8–12 patients facilitated by the … [1]: {openurl}?query=rft.jtitle%253DGut%26rft_id%253Dinfo%253Adoi%252F10.1136%252Fgut.2004.062901%26rft_id%253Dinfo%253Apmid%252F16099784%26rft.genre%253Darticle%26rft_val_fmt%253Dinfo%253Aofi%252Ffmt%253Akev%253Amtx%253Ajournal%26ctx_ver%253DZ39.88-2004%26url_ver%253DZ39.88-2004%26url_ctx_fmt%253Dinfo%253Aofi%252Ffmt%253Akev%253Amtx%253Actx [2]: /lookup/ijlink?linkType=ABST&journalCode=gutjnl&resid=55/5/643&atom=%2Febmed%2F11%2F6%2F179.atom [3]: /embed/inline-graphic-1.gif [4]: /embed/inline-graphic-2.gif [5]: /embed/inline-graphic-3.gif [6]: /embed/inline-graphic-4.gif [7]: /embed/inline-graphic-5.gif [8]: /embed/inline-graphic-6.gif [9]: /embed/inline-graphic-7.gif

About this research paper

What this paper is about

Robinson A, Lee V, Kennedy A, et al. A randomised controlled trial of self-help interventions in patients with a primary care diagnosis of irritable bowel syndrome. Gut 2006;55:643–8. [OpenUrl][1][Abstract/FREE Full Text][2] Q In patients with irritable bowel syndrome (IBS), does a self help intervention in the form of a guidebook or group meetings reduce consultation rates and symptom severity? Clinical impact ratings GP/FP/Primary care ★★★★★★☆ IM/Ambulatory care ★★★★★☆☆ Gastroenterology ★★★★★☆☆ ### ![Graphic][3] Design: randomised controlled trial. ### ![Graphic][4] Allocation: concealed.* ### ![Graphic][5] Blinding: unblinded.* ### ![Graphic][6] Follow up period: 1 year. ### ![Graphic][7] Setting: 54 general practices in the UK. ### ![Graphic][8] Patients: 420 patients ⩾18 years of age (mean age 40 y, 89% women) who had IBS diagnosed by a general practitioner or specialist and had consulted their general practitioner with gastrointestinal symptoms at least once in the past year. Patients unable to read or understand English were excluded. ### ![Graphic][9] Intervention: self help guidebook† containing information on lifestyle, diet, and drug and alternative treatments with current evidence and patients’ experiences (n = 141); guidebook plus an invitation to participate in a 2 hour self help group meeting with 8–12 patients facilitated by the … [1]: {openurl}?query=rft.jtitle%253DGut%26rft_id%253Dinfo%253Adoi%252F10.1136%252Fgut.2004.062901%26rft_id%253Dinfo%253Apmid%252F16099784%26rft.genre%253Darticle%26rft_val_fmt%253Dinfo%253Aofi%252Ffmt%253Akev%253Amtx%253Ajournal%26ctx_ver%253DZ39.88-2004%26url_ver%253DZ39.88-2004%26url_ctx_fmt%253Dinfo%253Aofi%252Ffmt%253Akev%253Amtx%253Actx [2]: /lookup/ijlink?linkType=ABST&journalCode=gutjnl&resid=55/5/643&atom=%2Febmed%2F11%2F6%2F179.atom [3]: /embed/inline-graphic-1.gif [4]: /embed/inline-graphic-2.gif [5]: /embed/inline-graphic-3.gif [6]: /embed/inline-graphic-4.gif [7]: /embed/inline-graphic-5.gif [8]: /embed/inline-graphic-6.gif [9]: /embed/inline-graphic-7.gif

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Available abstract

Robinson A, Lee V, Kennedy A, et al. A randomised controlled trial of self-help interventions in patients with a primary care diagnosis of irritable bowel syndrome. Gut 2006;55:643–8. [OpenUrl][1][Abstract/FREE Full Text][2] Q In patients with irritable bowel syndrome (IBS), does a self help intervention in the form of a guidebook or group meetings reduce consultation rates and symptom severity? Clinical impact ratings GP/FP/Primary care ★★★★★★☆ IM/Ambulatory care ★★★★★☆☆ Gastroenterology ★★★★★☆☆ ### ![Graphic][3] Design: randomised controlled trial. ### ![Graphic][4] Allocation: concealed.* ### ![Graphic][5] Blinding: unblinded.* ### ![Graphic][6] Follow up period: 1 year. ### ![Graphic][7] Setting: 54 general practices in the UK. ### ![Graphic][8] Patients: 420 patients ⩾18 years of age (mean age 40 y, 89% women) who had IBS diagnosed by a general practitioner or specialist and had consulted their general practitioner with gastrointestinal symptoms at least once in the past year. Patients unable to read or understand English were excluded. ### ![Graphic][9] Intervention: self help guidebook† containing information on lifestyle, diet, and drug and alternative treatments with current evidence and patients’ experiences (n = 141); guidebook plus an invitation to participate in a 2 hour self help group meeting with 8–12 patients facilitated by the … [1]: {openurl}?query=rft.jtitle%253DGut%26rft_id%253Dinfo%253Adoi%252F10.1136%252Fgut.2004.062901%26rft_id%253Dinfo%253Apmid%252F16099784%26rft.genre%253Darticle%26rft_val_fmt%253Dinfo%253Aofi%252Ffmt%253Akev%253Amtx%253Ajournal%26ctx_ver%253DZ39.88-2004%26url_ver%253DZ39.88-2004%26url_ctx_fmt%253Dinfo%253Aofi%252Ffmt%253Akev%253Amtx%253Actx [2]: /lookup/ijlink?linkType=ABST&journalCode=gutjnl&resid=55/5/643&atom=%2Febmed%2F11%2F6%2F179.atom [3]: /embed/inline-graphic-1.gif [4]: /embed/inline-graphic-2.gif [5]: /embed/inline-graphic-3.gif [6]: /embed/inline-graphic-4.gif [7]: /embed/inline-graphic-5.gif [8]: /embed/inline-graphic-6.gif [9]: /embed/inline-graphic-7.gif

Key concepts: Irritable bowel syndrome, Primary care, Medicine, Physical therapy, Internal medicine, Gastroenterology, Intensive care medicine, Psychology

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