Interventions to Improve Adherence to Preventive Care in Inflammatory Bowel Disease : A Systematic Review

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BACKGROUND: Preventive health measures reduce treatment and disease-related complications including infections, osteoporosis, and malignancies in patients with inflammatory bowel disease (IBD). Although guidelines and quality measures for IBD care highlight the importance of preventive care, their uptake remains variable. This systematic review evaluates interventions aimed at improving the rates of provision and uptake of preventive health measures, including vaccinations, bone density assessment, skin cancer screening, cervical cancer screening, and smoking cessation counseling.

METHODS: We searched PubMed, MEDLINE, EMBASE, and CENTRAL for full text articles published until March 2021. Studies were included if they evaluated interventions to improve the provision or uptake of 1 or more preventive health measures in adult IBD patients and if they reported pre- and postintervention outcomes.

RESULTS: In all, 4655 studies were screened, and a total of 17 studies were included, including 1 randomized controlled trial, 1 cluster-controlled trial, and 15 prospective interventional studies. A variety of interventions were effective in improving the rates of adherence to preventive health measures. The most common interventions targeted gastroenterologists, including education, electronic medical records tools, and audit feedback. Other interventions targeted patients, such as education, questionnaires, and offering vaccine administration at clinic visits. Few interventions involved IBD nurses or primary care physicians.

CONCLUSIONS: A range of interventions-targeted at gastroenterologists, patients, or both-were effective in improving the provision and uptake of preventive care. Future studies should involve randomized controlled trials evaluating multifaceted interventions that target barriers to adherence and involve IBD nurses and primary care physicians.

Medienart:

E-Artikel

Erscheinungsjahr:

2022

Erschienen:

2022

Enthalten in:

Zur Gesamtaufnahme - volume:28

Enthalten in:

Inflammatory bowel diseases - 28(2022), 8 vom: 01. Aug., Seite 1177-1188

Sprache:

Englisch

Beteiligte Personen:

Yu, Natalie [VerfasserIn]
Basnayake, Chamara [VerfasserIn]
Connell, William [VerfasserIn]
Ding, Nik Sheng [VerfasserIn]
Wright, Emily [VerfasserIn]
Stanley, Annalise [VerfasserIn]
Fry, Stephanie [VerfasserIn]
Wilson-O'Brien, Amy [VerfasserIn]
Niewiadomski, Ola [VerfasserIn]
Lust, Mark [VerfasserIn]
Schulberg, Julien [VerfasserIn]
Kamm, Michael A [VerfasserIn]

Links:

Volltext

Themen:

Health maintenance
Inflammatory bowel disease
Interventions
Journal Article
Preventive care
Systematic Review

Anmerkungen:

Date Completed 02.08.2022

Date Revised 21.10.2022

published: Print

Citation Status MEDLINE

doi:

10.1093/ibd/izab247

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM331590328