The impact of telemonitoring on the psychological well-being of patients with inflammatory bowel disease: a prospective randomized controlled study
Notice bibliographique
Résumé
Background: Inflammatory bowel diseases (IBDs) are becoming increasingly prevalent worldwide. They affect not only physical, but also psychological well-being and are associated with anxiety and depression, which worsen the disease progression and reduce patients' quality of life. Fear of their disease or limited access to consistent medical care may also make a negative contribution. Telemonitoring seems to be a promising solution of this problem, as it has been shown to be effective in management of non-communicable chronic diseases. Remote monitoring provides access to educational resources and medical support regardless of a geographic distance between the patient and the doctor. It may be also considered a potential tool to support psychological well-being of IBD patients. Aim: To evaluate the impact of telemonitoring on changes over time in psychological well-being of IBD patients compared to standard care and follow-up. Methods: This was an interventional prospective randomized controlled study. The study patients were consecutively enrolled from April 2023 to April 2024 in the Department of Gastroenterology, University Clinical Hospital No. 1 (Sechenov University). The patients meeting the inclusion criteria (age over 18 years, with confirmed diagnosis of IBD, having signed a written informed consent to participate in the study) were randomized in a 1:1 ratio to either telemonitoring or standard care groups. At baseline and after 6 months of the follow-up they were assessed for the disease activity parameters (Simple Clinical Colitis Activity Index / Harvey Bradshaw Index, SCCAI / HBI questionnaire), depression and anxiety (Hospital Anxiety and Depression Scale, HADS), alexithymia (26-item Toronto Alexithymia Scale-26, TAS-26), and visceral sensitivity (Visceral Sensitivity Index, VSI) levels. The telemedicine intervention was done through a custom web platform with monthly audio check-ups to track the patients’ condition. The analysis of the questionnaires was based solely on the data from the available patients, and no missing data was imputed. Results: One hundred and sixteen (116) patients were initially enrolled into the study; 48 of them were excluded (due to pregnancy, 4; withdrawal of consent, 44), resulting in a final sample of 68 patients (30 women) with a median age of 30.5 years. There were 32 patients in the telemonitoring group and 36 in the standard care group. At baseline, 57.4% (n = 39) of the participants were in clinical remission, 47% (n = 32) exhibited anxiety or depression symptoms, 92.4% (n = 61) had visceral hypersensitivity, and 58.7% (n = 37) were alexithymic. There were no significant between-group differences at baseline. At 6 months of the follow-up, the telemonitoring group showed lower HADS and VSI scores compared to the standard care group (anxiety 5.5 vs 8, p = 0.025; depression 4 vs 6, p = 0.04; visceral sensitivity: 21.5 vs 30, p = 0.013, respectively). No significant differences between the groups were found for alexithymia or disease activity scores. Conclusion: Telemonitoring facilitates an improvement of psychological well-being in IBD patients compared to conventional face-to-face follow-up. The integration of telemonitoring into the current standards of care could enhance medical care for IBD patients, especially those with anxiety and depression symptoms or visceral hypersensitivity.
Récupéré en direct depuis OpenAlex et désinversé. Les résumés ne sont pas conservés dans cette base de données : les index inversés représentent 8,6 Go des 9,3 Go de texte de la base, et le serveur dispose de 13 Go libres.
Comment cette classification a été obtenuedéplier
Prédiction distillée sur la base complète
Imitation des enseignantsNi prévalence calibrée, ni vérité terrain. Validation humaine à venir. Apprise à partir de 10 348 étiquettes directes de Codex et de 10 348 étiquettes directes de Gemma. Le mode candidate est l'union des têtes enseignantes seuillées; le consensus est leur intersection. Ces sorties portent le statut machine_predicted_unvalidated et ne sont ni des étiquettes humaines ni des étiquettes directes de modèles de pointe.
Scores Codex et Gemma par catégorie
| Catégorie | Codex | Gemma |
|---|---|---|
| Métarecherche | 0,007 | 0,019 |
| Méta-épidémiologie (sens strict) | 0,001 | 0,000 |
| Méta-épidémiologie (sens large) | 0,003 | 0,001 |
| Bibliométrie | 0,000 | 0,000 |
| Études des sciences et des technologies | 0,000 | 0,004 |
| Communication savante | 0,000 | 0,000 |
| Science ouverte | 0,001 | 0,000 |
| Intégrité de la recherche | 0,000 | 0,001 |
| Charge utile insuffisante (le modèle a refusé de juger) | 0,000 | 0,000 |
Scores machine (provisoires)
Les deux têtes enseignantes du modèle étudiant, lues sur ce travail. Un score ordonne la base pour la relecture; il n'affirme jamais une catégorie, et le statut de validation accompagne chaque rangée tel quel.
Scores de référence d'un modèle non mature (critères de maturité non atteints, 7 itérations). Un score ordonne; il n'affirme jamais une catégorie.
score_only:v0-immature-baseline · tel quel depuis la passe de notation : score_only signifie que le nombre peut ordonner les travaux, et qu'aucune étiquette de catégorie n'en découleClassification
machine, non validéePrédiction automatique; un appel candidat d’une seule tête enseignante, pas un consensus.
Le détail, modèle par modèle et score par score, se trouve en fin de page sous « Comment cette classification a été obtenue ».