Evidence map›Paper›PMID 42470576›Full record

ArticleDigestive diseases and sciences2026

Feasibility, Acceptability, and Preliminary Effects of a Nurse-Delivered Self-Management Program for Individuals with Inflammatory Bowel Disease: A Pilot Randomized Controlled Trial.

Kendra Kamp, Linda Yoo, Tanvi Kale, Xiaoyu Zhang, Caeli Malloy, Ihsan Kahveci, Rachael Cordova, Isabela Hernandez, Chi Shan Tsai, Tiffany D Pan and 5 more

Abstract read
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In one paragraph

Article in Digestive diseases and sciences, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

15 authors.

Kendra KampDepartment of Biobehavioral Nursing and Health Informatics, University of Washington, 1959 NE Pacific St, Seattle, WA, 98195, USA. kamp@uw.edu.
Linda YooDepartment of Biobehavioral Nursing and Health Informatics, University of Washington, 1959 NE Pacific St, Seattle, WA, 98195, USA.
Tanvi KaleDepartment of Biobehavioral Nursing and Health Informatics, University of Washington, 1959 NE Pacific St, Seattle, WA, 98195, USA.
Xiaoyu ZhangDepartment of Biobehavioral Nursing and Health Informatics, University of Washington, 1959 NE Pacific St, Seattle, WA, 98195, USA.
Caeli MalloyDepartment of Biobehavioral Nursing and Health Informatics, University of Washington, 1959 NE Pacific St, Seattle, WA, 98195, USA.
Ihsan KahveciCenter for Studies in Demography and Ecology, University of Washington, Seattle, WA, USA.
Rachael CordovaSurgical Oncology & Colorectal Surgery, Valley Health, Winchester, VA, USA.
Isabela HernandezMiller School of Medicine, University of Miami, Coral Gables, FL, USA.
Chi Shan TsaiSchool of Nursing, University of Washington, Seattle, WA, USA.
Tiffany D PanCenter for Studies in Demography and Ecology, University of Washington, Seattle, WA, USA.
Kindra Clark-SnustadDivision of Gastroenterology, University of Washington, Seattle, WA, USA.
Scott LeeDivision of Gastroenterology, University of Washington, Seattle, WA, USA.
Rona L LevySchool of Social Work, University of Washington, Seattle, WA, USA.
Laurie KeeferDivision of Gastroenterology, Icahn School of Medicine at Mount Sinai, Seattle, WA, USA.
Margaret HeitkemperDepartment of Biobehavioral Nursing and Health Informatics, University of Washington, 1959 NE Pacific St, Seattle, WA, 98195, USA.

Funding

Institute of Translational Health SciencesUL1TR002319 · UNIVERSITY OF WASHINGTON · 2025 to 2025
$10.2M
Scientific/Technical CoreP2CHD042828 · UNIVERSITY OF WASHINGTON · 2025 to 2025
$572k
NCATS NIH HHS UL1 TR002319NICHD NIH HHS P2C HD042828NINR NIH HHS K23 NR020044NINR NIH HHS T32016913
6 · The paper itself

Abstract

purposeIndividuals with inflammatory bowel disease experience persistent symptoms and disease challenges which may not be solved with medical management. Self-management interventions may support patients, but their feasibility, acceptability, and preliminary effectiveness should be evaluated prior to large-scale testing.

methodsWe conducted a pilot randomized controlled trial with 2:1 allocation of a nurse-delivered, self-management program to usual care. Adults with a healthcare provider diagnosis of ulcerative colitis or Crohn's disease, aged 18-75 years, currently reporting at least two symptoms were recruited. The self-management program included eight online modules plus weekly phone check-ins with a registered nurse. Feasibility and acceptability were measured using surveys and interviews. Secondary outcomes included patient activation, self-regulation, self-efficacy, functional impairment, quality of life, symptoms, and fecal calprotectin. Linear mixed models estimated the differences in change scores between groups from baseline to 3- and 6-month follow-up.

resultsFifty-five participants were randomized (n = 36 self-management, n = 19 usual care). Participants were on average 39.0 years old (range: 20-73), 76.4% women, and 80% Crohn's disease. The self-management program demonstrated high satisfaction (91.1/100), feasibility (4.34/5), and acceptability (4.28/5). Compared with usual care, the self-management program produced the largest improvement in functional impairment (mean change - 15.1 [95% CI - 23.3, - 6.8], with additional improvements in patient activation (10.3 [2.8, 17.9]), self-regulation (4.1 [1.1, 7.1]), and quality of life (4.6 [0.3, 8.9]). Symptom severity and fecal calprotectin were largely unchanged. Qualitative feedback emphasized the value of regular nurse check-ins, accountability, and applicability of the program beyond disease-specific concerns.

conclusionsA nurse-delivered self-management program was feasible, acceptable, and led to meaningful changes in key intervention targets for inflammatory bowel disease management. High engagement supports potential for future testing in a fully powered trial and eventual integration into routine care.

Indexed as

Inflammatory bowel diseaseNurse ledSelf-managementSymptoms

Identifiers

PMID42470576

What Socratic holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.