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Published on: February 27, 2014
Effect of TELEmedicine for Inflammatory Bowel Disease on Patient Activation and Self-Efficacy
Zaid Bilgrami1, Ameer Abutaleb1, Kenechukwu Chudy-Onwugaje1
1University of Maryland School of Medicine, 685 West Baltimore Street, Suite 8-00, Baltimore, MD, 21201, USA.
Introduction:
Limitations in inflammatory bowel disease (IBD) care necessitate greater patient activation and self-efficacy, measures associated with positive health outcomes.
Methods:
We assessed change in patient activation and general self-efficacy from baseline to 12 months through our TELEmedicine for IBD trial, a multicenter, randomized controlled trial consisting of a web-based monitoring system that interacts with participants via text messaging. A total of 222 adults with IBD who had experienced an IBD flare within 2 years prior to the trial were randomized into either a control arm that received standard care (SC) or an intervention arm that completed self-testing through the TELE-IBD system every other week (EOW) or weekly (W).
Results:
Changes in self-efficacy scores were not significantly different between control and experimental groups. Patient activation scores were significantly different between standard care and the TELE-IBD EOW group only (p = 0.03).
Conclusions:
Use of remote monitoring did not improve self-efficacy or patient activation compared to routine care.
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