J Korean Biol Nurs Sci.  2020 May;22(2):148-156. 10.7586/jkbns.2020.22.2.148.

The Effects of a Motivation-Enhanced Self-Management Program for Female College Students with Irritable Bowel Syndrome

• Back JY
• Jun SE

• KMID: 2502599
• DOI: http://doi.org/10.7586/jkbns.2020.22.2.148

Abstract

Purpose
The purpose of this study was to develop a motivation-enhanced self-management (MESM) intervention for irritable bowel syndrome (IBS) and to evaluate its effects on female college students with IBS.
Methods
The program was constructed to reflect the conceptual framework of the self-determination theory including autonomous motivation enhancement strategy through the satisfaction of psychological needs. The experimental group (n=24) participated in the all eight weekly MESM sessions, and the control group (n=25) received one hour education of IBS. Primary outcome measures were the IBS symptom severity scale (IBS-SSS) and the IBS specific quality of life (IBS-QOL), and assessed at the baseline and at eight and 16 weeks after the allocation. Others were autonomous motivation, self-determined behavior, and psychological distress assessed at the baseline and at eight weeks.
Results
The experimental group showed improvement in the IBS-SSS (p<.001) at 16 weeks compared to the control group. They showed markedly more improvement in the IBS QOL (p=.008), but the magnitude of this difference decreased at 16 weeks. The experimental group showed improvements in autonomous motivation (p=.035), self-determined behavior (p=.023), and psychological distress (p=.044) compared to the control group.
Conclusion
Study results suggest that the MESM intervention for female college students may effectively improve the IBS-SSS and the QOL.

Keyword

Irritable bowel syndrome; Motivation; Self-management; Quality of life