Self-Management Through Social Support Among Emerging Adults With Inflammatory Bowel Disease.
Kendra J Kamp, Zhehui Luo, Amanda Holmstrom and 2 others
PMID 31265438WHAT IT FOUND
Emerging adults with IBD who received more informational support were more likely to report medication adherence.
Biological medication, recent diagnosis, more symptoms, and feeling less in-between were associated with adherence; support did not predict diet changes.
Key findings
01Medication adherence was associated with biological medication use, shorter time since diagnosis, greater symptom prevalence, and feeling less in-between adolescence and adulthood.
02High received informational social support was associated with greater medication adherence, while emotional, tangible, and total received support were not.
03Diet modification was not associated with contextual factors or received social support, and perceived availability of social support did not moderate support effects.
STILL TO COME
How it was doneWhat they foundWhat it means for RNs
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What it does not show
Small sample, with no a priori sample size analysis; post-hoc power could only detect medium to large effects. Medication adherence was self-reported and may be overreported. Participants only needed to be prescribed medication, not actually taking it, and more adherent people may have been more likely to complete the survey. The sample had well-managed disease, with most not having surgery and limited symptom severity and interference. The sample was predominantly educated single females, limiting generalizability. Online survey completion was incomplete for 21 participants, possibly excluding people with lower social support.
Declared interests
No author conflict-of-interest statement is included in the supplied text. The article is listed as supported by NIH extramural and non-U.S. government research funding.
The easy way to misread this
Do not conclude that providing informational support will improve medication adherence or diet. The study measured existing associations in a cross-sectional online survey, and no associations were found for diet modification.