Using eHealth strategies in delivering dietary and other therapies in patients with irritable bowel syndrome and inflammatory bowel disease

被引:23
作者
Ankersen, Dorit Vedel [1 ]
Carlsen, Katrine [2 ]
Marker, Dorte [1 ]
Munkholm, Pia [1 ]
Burisch, Johan [1 ]
机构
[1] North Zealand Univ Hosp, Dept Gastroenterol, Frederikssundvej 30, DK-3600 Frederikssund, Denmark
[2] Hvidovre Univ Hosp, Dept Pediat, Hvidovre, Denmark
关键词
diet; inflammatory bowel disease and irritable bowel syndrome; patient compliance; telemedicine; QUALITY-OF-LIFE; ULCERATIVE-COLITIS; ACTIVITY INDEX; VALIDATION;
D O I
10.1111/jgh.13691
中图分类号
R57 [消化系及腹部疾病];
学科分类号
摘要
Health-care systems around the world are facing increasing costs. Non-adherent, chronically ill patients are one such expense incurred by health-care providers. Web-based home-monitoring of patients-or eHealth-has been shown to increase adherence to medical therapy, facilitate contact between patients and health-care professionals, and reduce time to remission for patients with inflammatory bowel disease (IBD). Web-based treatment is a supportive tool for the health-care provider in an out-patient clinic. eHealth web-programs, such as the Constant Care application, visualize disease activity in a traffic light system and empower patients to screen for disease activity, enabling them to respond appropriately to their symptoms. The eHealth screening procedure for monitoring both pediatric and adult IBD patients is based on a self-obtained symptom score, together with a fecal biomarker for inflammation (fecal calprotectin) that the patients can measure independently using their smart phone, providing both patient and physician with an immediate disease status that they can react to instantaneously. Likewise, web applications for IBD patients, web applications for irritable bowel syndrome (IBS) patients and also IBD patients with co-existing IBS, have proven valuable for monitoring and treating IBS symptoms with a diet low in fermentable oligo-, di-, monosaccharides and polyols (low-FODMAP diet). With careful disease monitoring via the web application and increased patient adherence, eHealth might be capable of improving the natural disease course of IBD and IBS.
引用
收藏
页码:27 / 31
页数:5
相关论文
共 22 条
[1]  
Burisch J, 2015, TELEMANAGEMENT INFLA, DOI DOI 10.1007/978-3-319-22285-1
[2]   The epidemiology of inflammatory bowel disease [J].
Burisch, Johan ;
Munkholm, Pia .
SCANDINAVIAN JOURNAL OF GASTROENTEROLOGY, 2015, 50 (08) :942-951
[3]  
Carlsen K, 2016, J PEDIAT GASTROENTER, V62
[4]  
Carlsen K, 2016, CROHNS DIS ULCERATIV
[5]   Severity in Irritable Bowel Syndrome: A Rome Foundation Working Team Report [J].
Drossman, Douglas A. ;
Chang, L. ;
Bellamy, N. ;
Gallo-Torres, H. E. ;
Lembo, A. ;
Mearin, F. ;
Norton, N. J. ;
Whorwell, P. .
AMERICAN JOURNAL OF GASTROENTEROLOGY, 2011, 106 (10) :1749-1759
[6]   E-health empowers patients with ulcerative colitis: a randomised controlled trial of the web-guided 'Constant-care' approach [J].
Elkjaer, Margarita ;
Shuhaibar, Mary ;
Burisch, Johan ;
Bailey, Yvonne ;
Scherfig, Hanne ;
Laugesen, Birgit ;
Avnstrom, Soren ;
Langholz, Ebbe ;
O'Morain, Colm ;
Lynge, Elsebeth ;
Munkholm, Pia .
GUT, 2010, 59 (12) :1652-1661
[7]   Development of a quality-of-life index for pediatric inflammatory bowel disease: Dealing with differences related to age and IBD type [J].
Griffiths, AM ;
Nicholas, D ;
Smith, C ;
Munk, M ;
Stephens, D ;
Durno, C ;
Sherman, PM .
JOURNAL OF PEDIATRIC GASTROENTEROLOGY AND NUTRITION, 1999, 28 (04) :S46-S52
[8]  
Halmos EP, 2014, GUT, V64, P1
[9]  
HARVEY RF, 1980, LANCET, V1, P514
[10]   Irritable bowel syndrome in adults in primary care: summary of updated NICE guidance [J].
Hookway, Cheryl ;
Buckner, Sara ;
Crosland, Paul ;
Longson, Damien .
BMJ-BRITISH MEDICAL JOURNAL, 2015, 350