M1247 Physicians' Attitudes Towards the Use of Patients' Expressive Writings About Irritable Bowel...
1
different spontaneous response in patients than controls (Table) and similarly a greater reactivity was observed in terms of their prompted reactions. Even non-IBS painful and neutral images resulted in an exaggerated and frequently significant different response in patients than controls. Images of bloating induced the greatest differences between the two groups. Conclusions: IBS patients appear to exhibit visual hypersensitivity. It is also possible that assessing the response to a particular image might give insights into which symptom most troubles a patient as well as enabling the selection of more homogenous populations for research purposes. Spontaneous negative responses to images *IBS image M1247 Physicians' Attitudes Towards the Use of Patients' Expressive Writings About Irritable Bowel Syndrome in the Outpatient Setting Albena Halpert, Tamanna Singh Aim: An exploratory, qualitative study examining the attitudes of gastroenterologists towards the use of patient's expressive writing about IBS in the outpatient setting. Methods: Three representative writings by IBS patients from a previous study were selected by the authors. Ten gastroenterologists from a single academic institution were asked to read the writings and answer follow up questions (listed in Table 1) in a one to one interview with TS( trained in interviewing skills by AH). MD's responses were recorded verbatim. Results: All ten physicians (8 attending, 2 GI fellows) agreed to participate, age (mean±SD) 39.2±7.7, M 80 ‰, y of practicing GI 7±12.4, average #of IBS patients/week 8.5± 7.2. The length of the selected writings was ½ typed page (range: ½ -1 typed page), interview time was 15.4±5.5 minutes (range: 10-25). Physicians' perception regarding time (min) needed to read all 3 narratives was accurate (6.4±4) vs. actual time (4.5±1.9). The following themes were identified Table 1. Conclusion: Our results indicate that physicians find IBS patient's writing helpful in developing patient - physician empathic relationships and for obtaining clinical useful information. The study finding will be used in the design of a future controlled clinical trial examining the effects of using IBS expressive writings on patients' and physicians' satisfaction with patient care and health care utilization. Table 1. Physicians' attitudes towards using patients' writings about IBS A-381 AGA Abstracts M1248 Understanding Irritable Bowel Syndrome (IBS) Through Patients' Expressive Writings Albena Halpert, Abha Verma, Lizabeth Cline Expressive writing (writing about one's deep emotions and thoughts) can offer a significant insight into patients' perspectives about their illness. This novel modality has not been previously utilized in studying IBS. Aim: To qualitatively examine patients' perspective about IBS as evident in patients' expressive writing about IBS. Methods: As part of a prior study IBS patients were asked to write 30 min/day on 4 consecutive days about their concerns and emotions related to IBS. The first 2 writings written by 50 subjects (total of 100 writings) were qualitatively analyzed by the authors. Each author identified themes, which were further discussed, refined and agreed upon during three meetings. Results: The mean length of the writings was 1/2 typed page (range: 1/4 -1 typed page). We report the top five themes identified in each category (Table 1). We also found that in 36/100 writings, patients included comments about their MD's of which 30 negative and 16 positive comments. Conclusion: We have identified patients' perspective about IBS through patients' expressive writings and found that frustration, social isolation and embarrassment are predominating themes. We plan to use our findings and examples of the writings in the development of educational programs for both patients with IBS and physicians taking care of them. AGA Abstracts
Transcript of M1247 Physicians' Attitudes Towards the Use of Patients' Expressive Writings About Irritable Bowel...
different spontaneous response in patients than controls (Table) and similarly a greaterreactivity was observed in terms of their prompted reactions. Even non-IBS painful andneutral images resulted in an exaggerated and frequently significant different response inpatients than controls. Images of bloating induced the greatest differences between the twogroups. Conclusions: IBS patients appear to exhibit visual hypersensitivity. It is also possiblethat assessing the response to a particular image might give insights into which symptommost troubles a patient as well as enabling the selection of more homogenous populationsfor research purposes.Spontaneous negative responses to images
*IBS image
M1247
Physicians' Attitudes Towards the Use of Patients' Expressive Writings AboutIrritable Bowel Syndrome in the Outpatient SettingAlbena Halpert, Tamanna Singh
Aim: An exploratory, qualitative study examining the attitudes of gastroenterologists towardsthe use of patient's expressive writing about IBS in the outpatient setting. Methods: Threerepresentative writings by IBS patients from a previous study were selected by the authors.Ten gastroenterologists from a single academic institution were asked to read the writingsand answer follow up questions (listed in Table 1) in a one to one interview with TS( trainedin interviewing skills by AH). MD's responses were recorded verbatim. Results: All tenphysicians (8 attending, 2 GI fellows) agreed to participate, age (mean±SD) 39.2±7.7, M80 ‰, y of practicing GI 7±12.4, average #of IBS patients/week 8.5± 7.2. The length of theselected writings was ½ typed page (range: ½ -1 typed page), interview time was 15.4±5.5minutes (range: 10-25). Physicians' perception regarding time (min) needed to read all 3narratives was accurate (6.4±4) vs. actual time (4.5±1.9). The following themeswere identifiedTable 1. Conclusion: Our results indicate that physicians find IBS patient's writing helpfulin developing patient - physician empathic relationships and for obtaining clinical usefulinformation. The study finding will be used in the design of a future controlled clinical trialexamining the effects of using IBS expressive writings on patients' and physicians' satisfactionwith patient care and health care utilization.Table 1. Physicians' attitudes towards using patients' writings about IBS
A-381 AGA Abstracts
M1248
Understanding Irritable Bowel Syndrome (IBS) Through Patients' ExpressiveWritingsAlbena Halpert, Abha Verma, Lizabeth Cline
Expressive writing (writing about one's deep emotions and thoughts) can offer a significantinsight into patients' perspectives about their illness. This novel modality has not beenpreviously utilized in studying IBS. Aim: To qualitatively examine patients' perspective aboutIBS as evident in patients' expressive writing about IBS. Methods: As part of a prior studyIBS patients were asked to write 30 min/day on 4 consecutive days about their concernsand emotions related to IBS. The first 2 writings written by 50 subjects (total of 100 writings)were qualitatively analyzed by the authors. Each author identified themes, which were furtherdiscussed, refined and agreed upon during three meetings. Results: The mean length of thewritings was 1/2 typed page (range: 1/4 -1 typed page). We report the top five themesidentified in each category (Table 1). We also found that in 36/100 writings, patients includedcomments about their MD's of which 30 negative and 16 positive comments. Conclusion:We have identified patients' perspective about IBS through patients' expressive writings andfound that frustration, social isolation and embarrassment are predominating themes. Weplan to use our findings and examples of the writings in the development of educationalprograms for both patients with IBS and physicians taking care of them.
AG
AA
bst
ract
s
