1 / 11

2013 Advances in Inflammatory Bowel Diseases Hollywood, Florida December 12, 2013

Nurse-Led Investigation of the Relationship Between Dietary Fiber and Crohn's Disease Symptoms. 2013 Advances in Inflammatory Bowel Diseases Hollywood, Florida December 12, 2013 Carol S. Brotherton, PhD, MSN, RN George Mason University, Fairfax, Virginia. Disclosures. Nothing to Disclose.

lixue
Download Presentation

2013 Advances in Inflammatory Bowel Diseases Hollywood, Florida December 12, 2013

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript

  1. Nurse-Led Investigation of the Relationship Between Dietary Fiber and Crohn's Disease Symptoms 2013 Advances in Inflammatory Bowel Diseases Hollywood, Florida December 12, 2013 Carol S. Brotherton, PhD, MSN, RN George Mason University, Fairfax, Virginia

  2. Disclosures Nothing to Disclose

  3. My background… Family and community experiences (beginning in 1977) Some people with Crohn’s disease can control their symptoms through therapeutic use of dietary fiber Clinical nursing in gastroenterology/outpatient surgery settings (1992 - 2007) • Benefits of dietary fiber are not taught in conventional Crohn’s disease care • Patients can be taught about the benefits of fiber and observe improvements similar to that of individuals in the community NIH-funded researcher (2008 – present) Research program focused on lifestyle factors that affect CD symptoms

  4. Contraindications… • Recent surgery • Obstructive strictures • Open fistulas • Short bowel syndrome • Wheat allergy/gluten intolerance/celiac disease

  5. What I taught… • Epidemiology evidence • Fiber effects in the GI tract • Fiber heterogeneity • Anecdotal evidence • Label reading

  6. What we did… • Design: 4-week, 2-group, single-blind, randomized, controlled • Purpose: to investigate the effects of fiber-related dietary instructions specifying wheat bran consumption on GI symptoms and HQoL in individuals diagnosed with CD Independent Variable Dependent Variables

  7. What we found… No group differences at baseline

  8. What we found… Partial Harvey Bradshaw Index (pHBI) Lower Scores=Diminished Symptoms Groups Bran treatment Control Repeated Measures ANOVA P = 0.008

  9. What we found… Inflammatory Bowel Disease Questionnaire (IBDQ) Higher Scores=Better Quality of Life Groups Bran treatment Control Repeated Measures ANOVA P = 0.028

  10. Conclusions… Limitations • Small sample size • Limited generalizability • Limited power for objective measures Implications Disconnect between research and practice Patients with Crohn’s disease may benefit from receiving information from nurses about the effects of dietary fiber in the gastrointestinal tract Future Research • Test intervention in a larger, more diverse sample • Choose outcomes and measures that are not affected by biologic drugs (effect of fiber on microbiota?)

  11. Thank you! Questions? Email: cbrothe2@gmu.edu

More Related