title: Learning to live with irritabel bowel syndrome. The influence of a group-based patient education programme on peoples' ability to manage illness in everyday life.
abstract: BACKGROUND
  Living with chronic irritable bowel syndrome sets limitations in peoples' everyday lives. This is due to bad health and the difficulty to find strategies that will manage their problem. In encounters with health care providers, these people feel that they are not getting the appropriate support to manage their illness-related troubles, and they perceive themselves to be insufficiently informed about the disease.
  
  
  OBJECTIVE
  To evaluate the influence of a group-based patient education programme about irritable bowel syndrome, on people's ability to manage their illness in everyday life.
  
  
  METHODS
  The study used an evaluative research design. Fifty-one individuals with irritable bowel syndrome completed the ways of coping questionnaire, and the irritable bowel syndrome severity scoring system, before and after participating in a multidisciplinary group-based patient education programme.
  
  
  RESULTS
  In the participants' self assessments, statistical significances (p > 0.05) were found for the mean frequency of efforts used on the coping strategies distancing and escape-avoidance. Distancing was used more often after the education programme, while escape-avoidance, was used more seldom. The proportional use of the strategy self-controlling (relative score) was enhanced after the education programme. The participants' overall severity of symptoms was significantly reduced after the education programme. The individuals with a clinically noteworthy improvement in symptom severity (decrease ≤ 50) had greater changes in relative score values than those that showed a lesser improvement in symptom severity.
  
  
  CONCLUSIONS
  Coping patterns were changed and symptoms were scored significantly less severe among the participants who participated in the education programme. Controlled studies following individuals over a longer period are suggested to establish the validity and sustainability of these changes, and qualitative interview studies would provide additional understanding about the significance of the separate parts of the education programme, and about the meaning of the programme to peoples' everyday lives as a whole.
authors.affiliation: Ersta Hospital, Stockholm, Sweden. cecilia.hakanson@erstadiakoni.se
authors.forename: Cecilia
authors.initials: C
authors.lastname: Håkanson
authors.forename: Eva
authors.initials: E
authors.lastname: Sahlberg-Blom
authors.forename: Britt-Marie
authors.initials: BM
authors.lastname: Ternestedt
authors.forename: Henry
authors.initials: H
authors.lastname: Nyhlin
mesh_terms: D019468:Disease Management; D006126:Group Processes; D006801:Humans; D043183:Irritable Bowel Syndrome / Q000503:physiopathology / Q000628:therapy*; D010353:Patient Education as Topic / Q000458:organization & administration*; D012648:Self Care