Web-based interventions for ulcerative colitis and Crohn's disease: systematic review and future directions

Abstract

Behavioral intervention technologies (BITs), the application of psychological and behavioral interventions through the use of technology, provide the opportunity for clinicians to deliver care through a means that overcomes a number of treatment barriers. Web-based interventions are a subset of BITs developing as promising alternatives to face-to-face delivery of treatments and monitoring for patients with ulcerative colitis (UC) and Crohn’s disease (CD). A systematic review of literature resulted in five empirical studies of web-based interventions for UC and CD. Additionally, an informal search of a popular search engine yielded limited, currently available, web-based interventions for patients with UC and CD. Despite being an ideal population for the development and dissemination of online interventions, patients with UC and CD have far less treatment options compared to other behavioral health concerns. However, given the growing body of research involving web-based interventions for other conditions, researchers and clinicians targeting UC and CD management and treatment have the benefit of being able to utilize the BIT model, an existing conceptual framework for the development of web-based interventions for both conditions. The BIT model is presented and applied to the treatment of UC and CD, as well as a technology development program, Purple, and usability guidelines to guide clinical researchers in the future development, evaluation, and dissemination of BITs for patients with UC and CD.

A review of design characteristics of cognitive behavioral therapy-informed behavioral intervention technologies for youth with depression and anxiety

“… 42 , 44 Six of the 10 treatment studies targeted anxiety disorders: BiP OCD, SmartCAT, DARE Program, BRAVE for Teenagers Online, Cool Teens, and iCBT for Social Anxiety Disorder. 38 , 42 , 43 , 45 , 50 , 51 Targets of anxiety included: Generalized Anxiety Disorder, Social Phobia, Separation Anxiety Disorder, Specific Phobia, Obsessive Compulsive Disorder, and Social Anxiety Disorder. Three of the treatment studies aimed to treat depression only: Stressbusters, The Journey, and SPARX; 45 , 49 , 53 one intervention, Think, Feel, Do, targeted both depression and anxiety.…”

“…The BIT model defines BITs in terms of the “why,” “how,” “what,” and “when,” to support the translation of clinical aims and behavioral strategies into BIT technologies. 36 This model is useful both for the design and definition of BITs, 37 , 38 as well as for literature reviews. 39 The BIT model has two broad levels: a theoretical action level, which represents the intentions of the developer or researcher, and an instantiation level, which represents the technological implementation.…”

A Clinical Trail of Translation of Evidence Based Interventions to Mobile Tablets and Illness Specific Internet Sites

“…Patient or family member depression can interfere with IV care because depression is characterized by the inability to: (1) concentrate during IV procedure training; (2) maintain IVhomeCare skills; or (3) make problem-solving decisions [55]. Patients and family members who are experiencing depressive symptoms have more difficulty adhering to aseptic techniques, resulting in a higher likelihood of unintentional touch contamination during IV catheter care [56].…”

Psychological Considerations and Interventions in Inflammatory Bowel Disease Patient Care

“…Four studies on web-based interventions exist for IBD 76 . The existing literature is promising, suggesting improved outcomes in IBD with use of these interventions 77, 78 .…”