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Inflammatory Bowel Disease-related Behaviours [IBD-Bx] Questionnaire: Development, Validation and Prospective
Marta Walentynowicz1,2, Iris van de Pavert3, Liselotte Fierens4
1Centre for the Psychology of Learning and Experimental Psychopathology, KU Leuven, Leuven, Belgium.
Journal of Crohn'S & Colitis
|October 8, 2021
Summary
A new questionnaire, the IBD-Bx, identifies behaviors in inflammatory bowel disease [IBD] patients that impact fatigue. Certain behaviors, like avoiding food and seeking toilets, predict increased fatigue over time.
Area of Science:
- Gastroenterology and Hepatology
- Behavioral Medicine
- Psychosomatic Medicine
Background:
- Disease-related behaviors influencing symptom burden in inflammatory bowel disease [IBD] are understudied.
- Fatigue is a common and debilitating symptom in IBD patients.
- Understanding modifiable behaviors is crucial for managing IBD.
Purpose of the Study:
- To develop and validate a questionnaire for assessing IBD-related behaviors.
- To identify specific behaviors that prospectively correlate with fatigue in IBD.
Main Methods:
- Generated 72 items based on literature and expert/patient input.
- Administered items to 495 IBD patients, assessing behaviors, disease activity, and fatigue.
- Validated the questionnaire (IBD-Bx) using follow-up data from 92 patients.
Main Results:
- A 25-item questionnaire (IBD-Bx) with seven components was developed, demonstrating good validity and reliability.
- Most behavioral components were cross-sectionally associated with fatigue.
- Avoiding food/activities and toilet access behaviors predicted future fatigue.
Conclusions:
- The IBD-Bx is a valid and reliable tool for assessing IBD-related behaviors.
- Specific behaviors identified by the IBD-Bx can predict future fatigue in IBD patients.
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