Patient Health Communication Mediating Effects between Gastrointestinal Symptoms and Gastrointestinal Worry in Pediatric Inflammatory Bowel Disease

James W. Varni; Robert J. Shulman; Mariella M. Self; Shehzad A. Saeed; Ashish S. Patel; Samuel Nurko; Deborah A. Neigut; Miguel Saps; George M. Zacur; Chelsea V. Dark; Cristiane B. Bendo; John F. Pohl

doi:10.1097/MIB.0000000000001077

Patient Health Communication Mediating Effects between Gastrointestinal Symptoms and Gastrointestinal Worry in Pediatric Inflammatory Bowel Disease

James W. Varni, Robert J. Shulman, Mariella M. Self, Shehzad A. Saeed, Ashish S. Patel, Samuel Nurko, Deborah A. Neigut, Miguel Saps, George M. Zacur, Chelsea V. Dark, Cristiane B. Bendo, John F. Pohl

Research output: Contribution to journal › Article › peer-review

19 Scopus citations

Abstract

Background: To investigate the effects of patient health communication regarding their inflammatory bowel disease (IBD) to their health care providers and significant others in their daily life as a mediator in the relationship between gastrointestinal symptoms and gastrointestinal worry in pediatric patients. Methods: The Pediatric Quality of Life Inventory Gastrointestinal Symptoms, Gastrointestinal Worry, and Communication Scales, and Pediatric Quality of Life Inventory 4.0 Generic Core Scales were completed in a 9-site study by 252 pediatric patients with IBD. Gastrointestinal Symptoms Scales measuring stomach pain, constipation, or diarrhea and patient communication were tested for bivariate and multivariate linear associations with Gastrointestinal Worry Scales specific to patient worry about stomach pain or bowel movements. Mediational analyses were conducted to test the hypothesized mediating effects of patient health communication as an intervening variable in the relationship between gastrointestinal symptoms and gastrointestinal worry. Results: The predictive effects of gastrointestinal symptoms on gastrointestinal worry were mediated in part by patient health communication with health care providers/significant others in their daily life. In predictive models using multiple regression analyses, the full conceptual model of demographic variables, gastrointestinal symptoms (stomach pain, constipation, or diarrhea), and patient communication significantly accounted for 46, 43, and 54 percent of the variance in gastrointestinal worry (all Ps < 0.001), respectively, reflecting large effect sizes. Conclusions: Patient health communication explains in part the effects of gastrointestinal symptoms on gastrointestinal worry in pediatric patients with IBD. Supporting patient disease-specific communication to their health care providers and significant others may improve health-related quality of life for pediatric patients with IBD.

Original language	English (US)
Pages (from-to)	704-711
Number of pages	8
Journal	Inflammatory bowel diseases
Volume	23
Issue number	5
DOIs	https://doi.org/10.1097/MIB.0000000000001077
State	Published - May 1 2017

Keywords

Crohn's disease
PedsQL
gastrointestinal symptoms
inflammatory bowel disease
patient communication
ulcerative colitis
worry

ASJC Scopus subject areas

Immunology and Allergy
Gastroenterology

Access to Document

10.1097/MIB.0000000000001077

Cite this

Varni, J. W., Shulman, R. J., Self, M. M., Saeed, S. A., Patel, A. S., Nurko, S., Neigut, D. A., Saps, M., Zacur, G. M., Dark, C. V., Bendo, C. B., & Pohl, J. F. (2017). Patient Health Communication Mediating Effects between Gastrointestinal Symptoms and Gastrointestinal Worry in Pediatric Inflammatory Bowel Disease. Inflammatory bowel diseases, 23(5), 704-711. https://doi.org/10.1097/MIB.0000000000001077

Varni, JW, Shulman, RJ, Self, MM, Saeed, SA, Patel, AS, Nurko, S, Neigut, DA, Saps, M, Zacur, GM, Dark, CV, Bendo, CB & Pohl, JF 2017, 'Patient Health Communication Mediating Effects between Gastrointestinal Symptoms and Gastrointestinal Worry in Pediatric Inflammatory Bowel Disease', Inflammatory bowel diseases, vol. 23, no. 5, pp. 704-711. https://doi.org/10.1097/MIB.0000000000001077

@article{b048d60da0c348088c062de33c3176b9,

title = "Patient Health Communication Mediating Effects between Gastrointestinal Symptoms and Gastrointestinal Worry in Pediatric Inflammatory Bowel Disease",

abstract = "Background: To investigate the effects of patient health communication regarding their inflammatory bowel disease (IBD) to their health care providers and significant others in their daily life as a mediator in the relationship between gastrointestinal symptoms and gastrointestinal worry in pediatric patients. Methods: The Pediatric Quality of Life Inventory Gastrointestinal Symptoms, Gastrointestinal Worry, and Communication Scales, and Pediatric Quality of Life Inventory 4.0 Generic Core Scales were completed in a 9-site study by 252 pediatric patients with IBD. Gastrointestinal Symptoms Scales measuring stomach pain, constipation, or diarrhea and patient communication were tested for bivariate and multivariate linear associations with Gastrointestinal Worry Scales specific to patient worry about stomach pain or bowel movements. Mediational analyses were conducted to test the hypothesized mediating effects of patient health communication as an intervening variable in the relationship between gastrointestinal symptoms and gastrointestinal worry. Results: The predictive effects of gastrointestinal symptoms on gastrointestinal worry were mediated in part by patient health communication with health care providers/significant others in their daily life. In predictive models using multiple regression analyses, the full conceptual model of demographic variables, gastrointestinal symptoms (stomach pain, constipation, or diarrhea), and patient communication significantly accounted for 46, 43, and 54 percent of the variance in gastrointestinal worry (all Ps < 0.001), respectively, reflecting large effect sizes. Conclusions: Patient health communication explains in part the effects of gastrointestinal symptoms on gastrointestinal worry in pediatric patients with IBD. Supporting patient disease-specific communication to their health care providers and significant others may improve health-related quality of life for pediatric patients with IBD.",

keywords = "Crohn's disease, PedsQL, gastrointestinal symptoms, inflammatory bowel disease, patient communication, ulcerative colitis, worry",

author = "Varni, {James W.} and Shulman, {Robert J.} and Self, {Mariella M.} and Saeed, {Shehzad A.} and Patel, {Ashish S.} and Samuel Nurko and Neigut, {Deborah A.} and Miguel Saps and Zacur, {George M.} and Dark, {Chelsea V.} and Bendo, {Cristiane B.} and Pohl, {John F.}",

note = "Publisher Copyright: Copyright {\textcopyright} 2017 Crohn's & Colitis Foundation.",

year = "2017",

month = may,

day = "1",

doi = "10.1097/MIB.0000000000001077",

language = "English (US)",

volume = "23",

pages = "704--711",

journal = "Inflammatory bowel diseases",

issn = "1078-0998",

publisher = "John Wiley and Sons Inc.",

number = "5",

}

TY - JOUR

T1 - Patient Health Communication Mediating Effects between Gastrointestinal Symptoms and Gastrointestinal Worry in Pediatric Inflammatory Bowel Disease

AU - Varni, James W.

AU - Shulman, Robert J.

AU - Self, Mariella M.

AU - Saeed, Shehzad A.

AU - Patel, Ashish S.

AU - Nurko, Samuel

AU - Neigut, Deborah A.

AU - Saps, Miguel

AU - Zacur, George M.

AU - Dark, Chelsea V.

AU - Bendo, Cristiane B.

AU - Pohl, John F.

PY - 2017/5/1

Y1 - 2017/5/1

N2 - Background: To investigate the effects of patient health communication regarding their inflammatory bowel disease (IBD) to their health care providers and significant others in their daily life as a mediator in the relationship between gastrointestinal symptoms and gastrointestinal worry in pediatric patients. Methods: The Pediatric Quality of Life Inventory Gastrointestinal Symptoms, Gastrointestinal Worry, and Communication Scales, and Pediatric Quality of Life Inventory 4.0 Generic Core Scales were completed in a 9-site study by 252 pediatric patients with IBD. Gastrointestinal Symptoms Scales measuring stomach pain, constipation, or diarrhea and patient communication were tested for bivariate and multivariate linear associations with Gastrointestinal Worry Scales specific to patient worry about stomach pain or bowel movements. Mediational analyses were conducted to test the hypothesized mediating effects of patient health communication as an intervening variable in the relationship between gastrointestinal symptoms and gastrointestinal worry. Results: The predictive effects of gastrointestinal symptoms on gastrointestinal worry were mediated in part by patient health communication with health care providers/significant others in their daily life. In predictive models using multiple regression analyses, the full conceptual model of demographic variables, gastrointestinal symptoms (stomach pain, constipation, or diarrhea), and patient communication significantly accounted for 46, 43, and 54 percent of the variance in gastrointestinal worry (all Ps < 0.001), respectively, reflecting large effect sizes. Conclusions: Patient health communication explains in part the effects of gastrointestinal symptoms on gastrointestinal worry in pediatric patients with IBD. Supporting patient disease-specific communication to their health care providers and significant others may improve health-related quality of life for pediatric patients with IBD.

AB - Background: To investigate the effects of patient health communication regarding their inflammatory bowel disease (IBD) to their health care providers and significant others in their daily life as a mediator in the relationship between gastrointestinal symptoms and gastrointestinal worry in pediatric patients. Methods: The Pediatric Quality of Life Inventory Gastrointestinal Symptoms, Gastrointestinal Worry, and Communication Scales, and Pediatric Quality of Life Inventory 4.0 Generic Core Scales were completed in a 9-site study by 252 pediatric patients with IBD. Gastrointestinal Symptoms Scales measuring stomach pain, constipation, or diarrhea and patient communication were tested for bivariate and multivariate linear associations with Gastrointestinal Worry Scales specific to patient worry about stomach pain or bowel movements. Mediational analyses were conducted to test the hypothesized mediating effects of patient health communication as an intervening variable in the relationship between gastrointestinal symptoms and gastrointestinal worry. Results: The predictive effects of gastrointestinal symptoms on gastrointestinal worry were mediated in part by patient health communication with health care providers/significant others in their daily life. In predictive models using multiple regression analyses, the full conceptual model of demographic variables, gastrointestinal symptoms (stomach pain, constipation, or diarrhea), and patient communication significantly accounted for 46, 43, and 54 percent of the variance in gastrointestinal worry (all Ps < 0.001), respectively, reflecting large effect sizes. Conclusions: Patient health communication explains in part the effects of gastrointestinal symptoms on gastrointestinal worry in pediatric patients with IBD. Supporting patient disease-specific communication to their health care providers and significant others may improve health-related quality of life for pediatric patients with IBD.

KW - Crohn's disease

KW - PedsQL

KW - gastrointestinal symptoms

KW - inflammatory bowel disease

KW - patient communication

KW - ulcerative colitis

KW - worry

UR - http://www.scopus.com/inward/record.url?scp=85019964801&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=85019964801&partnerID=8YFLogxK

U2 - 10.1097/MIB.0000000000001077

DO - 10.1097/MIB.0000000000001077

M3 - Article

C2 - 28394807

AN - SCOPUS:85019964801

SN - 1078-0998

VL - 23

SP - 704

EP - 711

JO - Inflammatory bowel diseases

JF - Inflammatory bowel diseases

IS - 5

ER -

Patient Health Communication Mediating Effects between Gastrointestinal Symptoms and Gastrointestinal Worry in Pediatric Inflammatory Bowel Disease

Abstract

Keywords

ASJC Scopus subject areas

Access to Document

Other files and links

Fingerprint

Cite this