PATIENT PERSPECTIVE OF BOWEL URGENCY AND BOWEL URGENCY-RELATED ACCIDENTS IN CROHN’S DISEASE
Abstract OBJECTIVE This study aimed to explore the Crohn’s disease (CD) patient experience of Bowel Urgency (BU) and BU-related accidents to identify what is most relevant and important to patients. METHODS Patients in the US were eligible to participate in this qualitative study if they were ≥18 ye...
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Veröffentlicht in: | Inflammatory bowel diseases 2023-01, Vol.29 (Supplement_1), p.S68-S68 |
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creator | Jairath, Vipul Hunter, Theresa Moses, Richard Bleakman, Alison Potts Chatterton, Kaitlin Medrano, Paolo Walker, Marisa McLafferty, Megan Klooster, Brittany Delbecque, Laure |
description | Abstract
OBJECTIVE
This study aimed to explore the Crohn’s disease (CD) patient experience of Bowel Urgency (BU) and BU-related accidents to identify what is most relevant and important to patients.
METHODS
Patients in the US were eligible to participate in this qualitative study if they were ≥18 years of age, had a diagnosis of moderate to severe CD for ≥6 months and had experienced BU in the last 6 months. Interviews were conducted to explore the signs, symptoms, and impacts related to BU and BU-related accidents. Specifically, patients were asked to describe BU and BU-related accident experiences of CD in their own words. Transcripts were coded and analyzed in ATLAS.ti 9 using a systematic thematic analysis.
RESULTS
A total of 15 patients participated; majority were female (53%), white (53%), receiving biologic and/or conventional therapy (87%), and mean age of 50 yrs. A majority of patients (80%) experienced BU at least once in the last week and 20% had experienced ≥1 BU-related accident in the last month. The time-sensitive need to use or be near the bathroom, uncertainty of BU, and fear of experiencing an accident were reported as the most bothersome aspects of the BU experience.
Patients reported 16 signs and symptoms that co-occur with BU, with abdominal pain (87%), fatigue (87%), and abdominal cramping (53%) being most frequently reported (Table 1). Patients reported 36 BU-related impact concepts across 16 domains (Table 1). Impact domains most frequently reported were adaptive behaviors (93%), household chores (87%), and social activities (87%). Impact concepts most frequently reported were dietary changes (87%) and inability to participate in social activities (87%). Inability to participate in family activities, interrupted work activities, and inability to participate in social activities were reported as the most bothersome impacts to patients.
Table 1.
Saturation analysis of sign and symptom concepts and impact domains occurring with the experience of bowel urgency among patients with CD
All 15 patients reported ever experiencing BU-related accidents. Patients reported 12 signs and symptoms that co-occur with BU-related accidents, with abdominal pain (67%), fatigue (67%), and abdominal cramping (60%) being most frequently reported (Table 2). Patients reported 44 impacts of BU-related accidents across 16 domains (Table 2). Impact domains most frequently reported were adaptive behaviors (100%) and emotional functioning (87%). Impact concepts m |
doi_str_mv | 10.1093/ibd/izac247.129 |
format | Article |
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OBJECTIVE
This study aimed to explore the Crohn’s disease (CD) patient experience of Bowel Urgency (BU) and BU-related accidents to identify what is most relevant and important to patients.
METHODS
Patients in the US were eligible to participate in this qualitative study if they were ≥18 years of age, had a diagnosis of moderate to severe CD for ≥6 months and had experienced BU in the last 6 months. Interviews were conducted to explore the signs, symptoms, and impacts related to BU and BU-related accidents. Specifically, patients were asked to describe BU and BU-related accident experiences of CD in their own words. Transcripts were coded and analyzed in ATLAS.ti 9 using a systematic thematic analysis.
RESULTS
A total of 15 patients participated; majority were female (53%), white (53%), receiving biologic and/or conventional therapy (87%), and mean age of 50 yrs. A majority of patients (80%) experienced BU at least once in the last week and 20% had experienced ≥1 BU-related accident in the last month. The time-sensitive need to use or be near the bathroom, uncertainty of BU, and fear of experiencing an accident were reported as the most bothersome aspects of the BU experience.
Patients reported 16 signs and symptoms that co-occur with BU, with abdominal pain (87%), fatigue (87%), and abdominal cramping (53%) being most frequently reported (Table 1). Patients reported 36 BU-related impact concepts across 16 domains (Table 1). Impact domains most frequently reported were adaptive behaviors (93%), household chores (87%), and social activities (87%). Impact concepts most frequently reported were dietary changes (87%) and inability to participate in social activities (87%). Inability to participate in family activities, interrupted work activities, and inability to participate in social activities were reported as the most bothersome impacts to patients.
Table 1.
Saturation analysis of sign and symptom concepts and impact domains occurring with the experience of bowel urgency among patients with CD
All 15 patients reported ever experiencing BU-related accidents. Patients reported 12 signs and symptoms that co-occur with BU-related accidents, with abdominal pain (67%), fatigue (67%), and abdominal cramping (60%) being most frequently reported (Table 2). Patients reported 44 impacts of BU-related accidents across 16 domains (Table 2). Impact domains most frequently reported were adaptive behaviors (100%) and emotional functioning (87%). Impact concepts most frequently reported were dietary changes (80%) and embarrassment (60%).
Table 2.
Saturation analysis of sign and symptom concepts and impact domains occurring with the experience of bowel urgency-related accidents among patients with CD
CONCLUSION
This study revealed that the experience of BU and BU-related accidents is bothersome to patients with CD, impactful on their daily lives, and occurs despite the use of biologic and/or conventional therapy.</description><identifier>ISSN: 1078-0998</identifier><identifier>EISSN: 1536-4844</identifier><identifier>DOI: 10.1093/ibd/izac247.129</identifier><language>eng</language><publisher>US: Oxford University Press</publisher><ispartof>Inflammatory bowel diseases, 2023-01, Vol.29 (Supplement_1), p.S68-S68</ispartof><rights>2023 by the Crohn’s & Colitis Foundation and the AGA Institute. This article is being published jointly in Inflammatory Bowel Diseases and Gastroenterology . 2023</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>315,781,785,27926,27927</link.rule.ids></links><search><creatorcontrib>Jairath, Vipul</creatorcontrib><creatorcontrib>Hunter, Theresa</creatorcontrib><creatorcontrib>Moses, Richard</creatorcontrib><creatorcontrib>Bleakman, Alison Potts</creatorcontrib><creatorcontrib>Chatterton, Kaitlin</creatorcontrib><creatorcontrib>Medrano, Paolo</creatorcontrib><creatorcontrib>Walker, Marisa</creatorcontrib><creatorcontrib>McLafferty, Megan</creatorcontrib><creatorcontrib>Klooster, Brittany</creatorcontrib><creatorcontrib>Delbecque, Laure</creatorcontrib><title>PATIENT PERSPECTIVE OF BOWEL URGENCY AND BOWEL URGENCY-RELATED ACCIDENTS IN CROHN’S DISEASE</title><title>Inflammatory bowel diseases</title><description>Abstract
OBJECTIVE
This study aimed to explore the Crohn’s disease (CD) patient experience of Bowel Urgency (BU) and BU-related accidents to identify what is most relevant and important to patients.
METHODS
Patients in the US were eligible to participate in this qualitative study if they were ≥18 years of age, had a diagnosis of moderate to severe CD for ≥6 months and had experienced BU in the last 6 months. Interviews were conducted to explore the signs, symptoms, and impacts related to BU and BU-related accidents. Specifically, patients were asked to describe BU and BU-related accident experiences of CD in their own words. Transcripts were coded and analyzed in ATLAS.ti 9 using a systematic thematic analysis.
RESULTS
A total of 15 patients participated; majority were female (53%), white (53%), receiving biologic and/or conventional therapy (87%), and mean age of 50 yrs. A majority of patients (80%) experienced BU at least once in the last week and 20% had experienced ≥1 BU-related accident in the last month. The time-sensitive need to use or be near the bathroom, uncertainty of BU, and fear of experiencing an accident were reported as the most bothersome aspects of the BU experience.
Patients reported 16 signs and symptoms that co-occur with BU, with abdominal pain (87%), fatigue (87%), and abdominal cramping (53%) being most frequently reported (Table 1). Patients reported 36 BU-related impact concepts across 16 domains (Table 1). Impact domains most frequently reported were adaptive behaviors (93%), household chores (87%), and social activities (87%). Impact concepts most frequently reported were dietary changes (87%) and inability to participate in social activities (87%). Inability to participate in family activities, interrupted work activities, and inability to participate in social activities were reported as the most bothersome impacts to patients.
Table 1.
Saturation analysis of sign and symptom concepts and impact domains occurring with the experience of bowel urgency among patients with CD
All 15 patients reported ever experiencing BU-related accidents. Patients reported 12 signs and symptoms that co-occur with BU-related accidents, with abdominal pain (67%), fatigue (67%), and abdominal cramping (60%) being most frequently reported (Table 2). Patients reported 44 impacts of BU-related accidents across 16 domains (Table 2). Impact domains most frequently reported were adaptive behaviors (100%) and emotional functioning (87%). Impact concepts most frequently reported were dietary changes (80%) and embarrassment (60%).
Table 2.
Saturation analysis of sign and symptom concepts and impact domains occurring with the experience of bowel urgency-related accidents among patients with CD
CONCLUSION
This study revealed that the experience of BU and BU-related accidents is bothersome to patients with CD, impactful on their daily lives, and occurs despite the use of biologic and/or conventional therapy.</description><issn>1078-0998</issn><issn>1536-4844</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2023</creationdate><recordtype>article</recordtype><recordid>eNqFkLFOwzAQhi0EEqUws3pGSuNLHCceg-O2lqIkSlIQA4psN5GCQK0SMZSJ1-D1eBKC2oUJ3fCfTvf9w4fQLZAFEO67vdm6_Ye2Hg0X4PEzNIPAZw6NKD2fdhJGDuE8ukRX4_hCiDcNn6HnIq6VzGpcyLIqpKjVg8T5Et_njzLFm3IlM_GE4yz5e3FKmca1THAshEomvsIqw6LM19n351eFE1XJuJLX6KLTr2N7c8o52ixlLdZOmq-UiFPHAjDugOYGPGCEMR1uW9P6YHXbMUYZ6QgNTQjAAzCaWs0tWE6N0X5ImTZdG_janyP32GuH3TgObdfsh_5ND4cGSPNrp5nsNCc7zWRnIu6OxO59_-_zDz3YYPY</recordid><startdate>20230126</startdate><enddate>20230126</enddate><creator>Jairath, Vipul</creator><creator>Hunter, Theresa</creator><creator>Moses, Richard</creator><creator>Bleakman, Alison Potts</creator><creator>Chatterton, Kaitlin</creator><creator>Medrano, Paolo</creator><creator>Walker, Marisa</creator><creator>McLafferty, Megan</creator><creator>Klooster, Brittany</creator><creator>Delbecque, Laure</creator><general>Oxford University Press</general><scope>AAYXX</scope><scope>CITATION</scope></search><sort><creationdate>20230126</creationdate><title>PATIENT PERSPECTIVE OF BOWEL URGENCY AND BOWEL URGENCY-RELATED ACCIDENTS IN CROHN’S DISEASE</title><author>Jairath, Vipul ; Hunter, Theresa ; Moses, Richard ; Bleakman, Alison Potts ; Chatterton, Kaitlin ; Medrano, Paolo ; Walker, Marisa ; McLafferty, Megan ; Klooster, Brittany ; Delbecque, Laure</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c1169-1a9b1216066a7debe31caef66460f047b711951ba4ca9c1c94bba3746abfe53a3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2023</creationdate><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Jairath, Vipul</creatorcontrib><creatorcontrib>Hunter, Theresa</creatorcontrib><creatorcontrib>Moses, Richard</creatorcontrib><creatorcontrib>Bleakman, Alison Potts</creatorcontrib><creatorcontrib>Chatterton, Kaitlin</creatorcontrib><creatorcontrib>Medrano, Paolo</creatorcontrib><creatorcontrib>Walker, Marisa</creatorcontrib><creatorcontrib>McLafferty, Megan</creatorcontrib><creatorcontrib>Klooster, Brittany</creatorcontrib><creatorcontrib>Delbecque, Laure</creatorcontrib><collection>CrossRef</collection><jtitle>Inflammatory bowel diseases</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Jairath, Vipul</au><au>Hunter, Theresa</au><au>Moses, Richard</au><au>Bleakman, Alison Potts</au><au>Chatterton, Kaitlin</au><au>Medrano, Paolo</au><au>Walker, Marisa</au><au>McLafferty, Megan</au><au>Klooster, Brittany</au><au>Delbecque, Laure</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>PATIENT PERSPECTIVE OF BOWEL URGENCY AND BOWEL URGENCY-RELATED ACCIDENTS IN CROHN’S DISEASE</atitle><jtitle>Inflammatory bowel diseases</jtitle><date>2023-01-26</date><risdate>2023</risdate><volume>29</volume><issue>Supplement_1</issue><spage>S68</spage><epage>S68</epage><pages>S68-S68</pages><issn>1078-0998</issn><eissn>1536-4844</eissn><abstract>Abstract
OBJECTIVE
This study aimed to explore the Crohn’s disease (CD) patient experience of Bowel Urgency (BU) and BU-related accidents to identify what is most relevant and important to patients.
METHODS
Patients in the US were eligible to participate in this qualitative study if they were ≥18 years of age, had a diagnosis of moderate to severe CD for ≥6 months and had experienced BU in the last 6 months. Interviews were conducted to explore the signs, symptoms, and impacts related to BU and BU-related accidents. Specifically, patients were asked to describe BU and BU-related accident experiences of CD in their own words. Transcripts were coded and analyzed in ATLAS.ti 9 using a systematic thematic analysis.
RESULTS
A total of 15 patients participated; majority were female (53%), white (53%), receiving biologic and/or conventional therapy (87%), and mean age of 50 yrs. A majority of patients (80%) experienced BU at least once in the last week and 20% had experienced ≥1 BU-related accident in the last month. The time-sensitive need to use or be near the bathroom, uncertainty of BU, and fear of experiencing an accident were reported as the most bothersome aspects of the BU experience.
Patients reported 16 signs and symptoms that co-occur with BU, with abdominal pain (87%), fatigue (87%), and abdominal cramping (53%) being most frequently reported (Table 1). Patients reported 36 BU-related impact concepts across 16 domains (Table 1). Impact domains most frequently reported were adaptive behaviors (93%), household chores (87%), and social activities (87%). Impact concepts most frequently reported were dietary changes (87%) and inability to participate in social activities (87%). Inability to participate in family activities, interrupted work activities, and inability to participate in social activities were reported as the most bothersome impacts to patients.
Table 1.
Saturation analysis of sign and symptom concepts and impact domains occurring with the experience of bowel urgency among patients with CD
All 15 patients reported ever experiencing BU-related accidents. Patients reported 12 signs and symptoms that co-occur with BU-related accidents, with abdominal pain (67%), fatigue (67%), and abdominal cramping (60%) being most frequently reported (Table 2). Patients reported 44 impacts of BU-related accidents across 16 domains (Table 2). Impact domains most frequently reported were adaptive behaviors (100%) and emotional functioning (87%). Impact concepts most frequently reported were dietary changes (80%) and embarrassment (60%).
Table 2.
Saturation analysis of sign and symptom concepts and impact domains occurring with the experience of bowel urgency-related accidents among patients with CD
CONCLUSION
This study revealed that the experience of BU and BU-related accidents is bothersome to patients with CD, impactful on their daily lives, and occurs despite the use of biologic and/or conventional therapy.</abstract><cop>US</cop><pub>Oxford University Press</pub><doi>10.1093/ibd/izac247.129</doi><oa>free_for_read</oa></addata></record> |
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source | Oxford University Press Journals All Titles (1996-Current) |
title | PATIENT PERSPECTIVE OF BOWEL URGENCY AND BOWEL URGENCY-RELATED ACCIDENTS IN CROHN’S DISEASE |
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