Podcasts zur Psychoedukation bei Reizdarmsyndrom: Eine Mixed-methods-Analyse

Zusammenfassung

Einleitung

Das Reizdarmsyndrom macht einen bedeutenden Anteil gastroenterologischer Konsultationen aus. Psychoedukation bei Reizdarmsyndrom kann zur Verbesserung des klinischen Outcomes sinnvoll sein. Podcasts stellen potenziell ein geeignetes Medium zur Psychoedukation dar. Ziel der vorliegenden Studie war es daher, deutschsprachige Podcasts zum Thema Reizdarmsyndrom hinsichtlich ihrer Eignung zur Patient:innenedukation zu evaluieren und sowohl Podcast-Empfehlungen als auch praxisorientierte Formulierungsbeispiele für Behandelnde zu identifizieren.

Methoden

In einer Stichtagserhebung wurden von Fachkräften produzierte Podcasts zu Erklärungsmodellen des Reizdarmsyndroms identifiziert und einer Mixed-Methods-Analyse unterzogen. Der fachliche Inhalt wurde quantitativ anhand einer leitlinienbasierten Checkliste und die enthaltenen Erklärungsmodelle qualitativ mit Hilfe einer Thematischen Analyse evaluiert.

Ergebnisse

Aus insgesamt 132 identifizierten Podcast-Folgen wurden 53 Folgen (Dauer M = 31 Minuten, SD = 15.5) in die Analyse einbezogen. Im Durchschnitt erreichten die Podcast-Folgen 16 von 60 möglichen Punkten, die am besten bewertete Folge 37 Punkte. Die qualitative Analyse zeigte neben hilfreichen Formulierungsbeispielen stigmatisierende bis missverständliche Äußerungen.

Diskussion

In Podcasts finden sich hochwertige Erklärungsmodelle des Reizdarmsyndroms, wobei eine sich thematisch ergänzende Kombination von Behandelnden als eine Ressource zur Erleichterung der Psychoedukation genutzt werden kann.

Abstract

Introduction

Irritable bowel syndrome (IBS) constitutes a significant proportion of gastroenterological consultations. Psychoeducation for IBS can improve clinical outcomes. Podcasts might be a valuable medium for psychoeducation. The aim of this study was therefore to evaluate German-language podcasts on IBS with regard to their suitability for patient education and to identify both podcast recommendations and practice-oriented formulation examples for practitioners.

Methods

In a key date survey, podcasts produced by specialists on explanatory models of IBS were identified and a mixed methods analysis conducted. Content was evaluated quantitatively using a guideline-based checklist and qualitatively using a thematic analysis for an in-depth analysis of the contained explanatory models.

Results

From a total of 132 identified podcast episodes, 53 (duration M = 31 minutes, SD = 15.5) were included in the analysis. On average, the podcast episodes scored 16 out of a possible 60 points, with the best-rated episode scoring 37 points. Alongside helpful formulation examples, the qualitative analysis revealed stigmatizing to misleading statements.

Discussion

Podcasts comprise high-quality explanatory models for IBS. Practitioners can use a combination of podcast episodes as a valuable resource to facilitate psychoeducation.

Schlüsselwörter

Podcast - Psychoedukation - Darm - Reizdarm - Psychosomatik

Keywords

Podcast - Psychoeducation - Intestine - Irritable Bowel Syndrome - Psychosomatics

• Literatur

• 1 Oka P, Parr H, Barberio B. et al. Global prevalence of irritable bowel syndrome according to Rome III or IV criteria: a systematic review and meta-analysis. Lancet Gastroenterol Hepatol 2020; 5 (10) 908-917
• 2 Althaus A, Broicher W, Wittkamp P. et al. Determinants and frequency of irritable bowel syndrome in a German sample. Z Gastroenterol 2016; 54 (03) 217-225
• 3 Icks A, Haastert B, Enck P. et al. Prevalence of functional bowel disorders and related health care seeking: a population-based study. Z Gastroenterol 2002; 40 (03) 177-183
• 4 Hungin A, Chang L, Locke G. et al. Irritable bowel syndrome in the United States: prevalence, symptom patterns and impact. Aliment Pharmacol Ther 2005; 21 (11) 1365-1375
• 5 Shivaji UN, Ford AC. Prevalence of functional gastrointestinal disorders among consecutive new patient referrals to a gastroenterology clinic. Frontline Gastroenterol 2014; 5 (04) 266-271
• 6 Koloski N, Shah A, Kaan I. et al. Healthcare Utilization Patterns: Irritable Bowel Syndrome, Inflammatory Bowel Disease, and Gastroesophageal Reflux Disease. Dig Dis Sci 2024; 69 (05) 1626-1635
• 7 Layer P, Andresen V, Allescher H. et al. Update S3-Leitlinie Reizdarmsyndrom: Definition, Pathophysiologie, Diagnostik und Therapie. Juni 2021 – AWMF-Registriernummer: 021/016. Z Gastroenterol 2021; 59 (12) 1323-1415
• 8 Creed F, Ratcliffe J, Fernandez L. et al. Health-related quality of life and health care costs in severe, refractory irritable bowel syndrome. Ann Intern Med 2001; 134 (09) 860-868
• 9 Andrews EB, Eaton SC, Hollis KA. et al. Prevalence and demographics of irritable bowel syndrome: results from a large web-based survey. Aliment Pharmacol Ther 2005; 22 (10) 935-942
• 10 Hahn BA, Kirchdoerfer LJ, Fullerton S. et al. Patient-perceived severity of irritable bowel syndrome in relation to symptoms, health resource utilization and quality of life. Aliment Pharmacol Ther 1997; 11 (03) 553-559
• 11 Whitehead WE, Burnett CK, Cook 3rd EW. et al. Impact of irritable bowel syndrome on quality of life. Dig Dis Sci 1996; 41 (11) 2248-2253
• 12 Brun-Strang C, Dapoigny M, Lafuma A. et al. Irritable bowel syndrome in France: quality of life, medical management, and costs: the Encoli study. Eur J Gastroenterol Hepatol 2007; 19 (12) 1097-1103
• 13 Dean BB, Aguilar D, Barghout V. et al. Impairment in work productivity and health-related quality of life in patients with IBS. Am J Manag Care 2005; 11 (Suppl. 1) S17-S26
• 14 Schwille-Kiuntke J, Ittermann T, Schmidt CO. et al. Quality of life and sleep in individuals with irritable bowel syndrome according to different diagnostic criteria and inflammatory bowel diseases: A comparison using data from a population-based survey. Z Gastroenterol 2022; 60 (03) 299-309
• 15 Icks A, Haastert B, Enck P. et al. Health-related quality of life in subjects with functional bowel disorders in Germany. Z Gastroenterol 2002; 40 (10) 863-867
• 16 Drossman DA. Do psychosocial factors define symptom severity and patient status in irritable bowel syndrome?. Am J Med 1999; 107: 41s-50s
• 17 Drossman DA, McKee DC, Sandler RS. et al. Psychosocial factors in the irritable bowel syndrome. A multivariate study of patients and nonpatients with irritable bowel syndrome. Gastroenterol 1988; 95 (03) 701-708
• 18 Smith RC, Greenbaum DS, Vancouver JBH. et al. Psychosocial factors are associated with health care seeking rather than diagnosis in irritable bowel syndrome. Gastroenterol 1990; 98 (02) 293-301
• 19 Koloski NA, Talley NJ, Boyce PM. Predictors of health care seeking for irritable bowel syndrome and nonulcer dyspepsia: a critical review of the literature on symptom and psychosocial factors. Am J Gastroenterol 2001; 96 (05) 1340-1349
• 20 Locke 3rd GR, Weaver AL, Melton 3rd LJ. et al. Psychosocial factors are linked to functional gastrointestinal disorders: a population based nested case-control study. Am J Gastroenterol 2004; 99 (02) 350-357
• 21 Tanaka Y, Kanazawa M, Fukudo S. et al. Biopsychosocial model of irritable bowel syndrome. J Neurogastroenterol Motil 2011; 17 (02) 131-139
• 22 Van Oudenhove L, Crowell MD, Drossman DA. et al. Biopsychosocial Aspects of Functional Gastrointestinal Disorders. Gastroenterol 2016; S0016–5085(16)00218–3
• 23 Henningsen P, Zipfel S, Sattel H. et al. Management of Functional Somatic Syndromes and Bodily Distress. Psychother Psychosom 2018; 87 (01) 12-31
• 24 Löwe B, Toussaint A, Rosmalen JGM. et al. Persistent physical symptoms: definition, genesis, and management. Lancet 2024; 403: 2649-2662
• 25 Drossman DA, Hasler WL. Rome IV-Functional GI Disorders: Disorders of Gut-Brain Interaction. Gastroenterol 2016; 150 (06) 1257-1261
• 26 Löwe B, Lohse A, Andresen V. et al. The Development of Irritable Bowel Syndrome: A Prospective Community-Based Cohort Study. Am J Gastroenterol 2016; 111 (09) 1320-1329
• 27 Löwe B, Nestoriuc Y, Andresen V. et al. Persistence of gastrointestinal symptoms in irritable bowel syndrome and ulcerative colitis: study protocol for a three-arm randomised controlled trial (SOMA.GUT-RCT). BMJ Open 2022; 12 (06) e059529
• 28 Harms F. Anteil der Personen, die zumindest gelegentlich Podcasts und Radiosendungen auf Abruf nutzen, nach Altersgruppen in Deutschland im Jahr 2024 Statista: Statista GmbH. 2024 https://de.statista.com/statistik/daten/studie/912565/umfrage/nutzung-von-podcasts-und-audiosendungen-auf-abruf-nach-altersgruppen-in-deutschland/
• 29 Harms F. Beliebteste Themen bei der Podcast-Nutzung in Deutschland im Jahr 2020 Statista: Statista GmbH. 2024 https://de.statista.com/statistik/daten/studie/1076171/umfrage/beliebteste-themen-bei-der-nutzung-von-podcasts-in-deutschland/
• 30 Kelly JM, Perseghin A, Dow AW. et al. Learning Through Listening: A Scoping Review of Podcast Use in Medical Education. Acad Med 2022; 97 (07) 1079-1085
• 31 Clarke C, Shah R, Mughal M. Podcasts in plastic surgery, why we should start listening. J Plast Reconstr Aesthet Surg 2021; 74 (07) 1633-1701
• 32 Wills CD. Using Mental Health Podcasts for Public Education. Acad Psychiatry 2020; 44 (05) 621-623
• 33 De Los Reyes S, Cholakian D, Chau D. et al. Education on the Go: Studying the Use of Podcasts in Resident Education. Obstet Gynecol 2017; 130: 47S
• 34 Roth J, Chang A, Ricci B. et al. Why not a podcast? Assessing narrative audio and written curricula in obstetrical neurology. J Grad Med Educ 2020; 12 (01) 86-91
• 35 Brust T, Cooke L, Yeung M. A Randomized-Controlled Trial Comparing Efficacy and User Satisfaction of Audio Podcasts Versus a Traditional Lecture on Multiple Sclerosis in Family Medicine Resident Education (P4. 195). Neurol 2015; 84 (Suppl. 14) 195
• 36 Larsson K, Sundberg Hjelm M. et al. A group-based patient education programme for high-anxiety patients with Crohn disease or ulcerative colitis. Scand J Gastroenterol 2003; 38 (07) 763-769
• 37 Howorka K, Pumprla J, Wagner-Nosiska D. et al. Empowering diabetes out-patients with structured education: short-term and long-term effects of functional insulin treatment on perceived control over diabetes. J Psychosom Res 2000; 48 (01) 37-44
• 38 Steen E, Haugli L. From pain to self-awareness – a qualitative analysis of the significance of group participation for persons with chronic musculoskeletal pain. Patient Educ Couns 2001; 42 (01) 35-46
• 39 Savelkoul M, de Witte LP. Development, content, and process evaluation of a coping intervention for patients with rheumatic diseases. Patient Educ Couns 2001; 45 (03) 163-172
• 40 Urek MC, Tudorić N, Plavec D. et al. Effect of educational programs on asthma control and quality of life in adult asthma patients. Patient Educ Couns 2005; 58 (01) 47-54
• 41 Lichtman JH, Amatruda J, Yaari S. et al. Clinical trial of an educational intervention to achieve recommended cholesterol levels in patients with coronary artery disease. Am Heart J 2004; 147 (03) 522-528
• 42 Heitkemper MM, Jarrett ME, Levy RL. et al. Self-management for women with irritable bowel syndrome. Clin Gastroenterol Hepatol 2004; 2 (07) 585-596
• 43 Saito YA, Prather CM, Van Dyke CT. et al. Effects of multidisciplinary education on outcomes in patients with irritable bowel syndrome. Clin Gastroenterol Hepatol 2004; 2 (07) 576-584
• 44 Bengtsson M, Ulander K, Börgdal EB. et al. A course of instruction for women with irritable bowel syndrome. Patient Educ Couns 2006; 62 (01) 118-125
• 45 Ringström G, Störsrud S, Posserud I. et al. Structured patient education is superior to written information in the management of patients with irritable bowel syndrome: a randomized controlled study. Eur J Gastroenterol Hepatol 2010; 22 (04) 420-428
• 46 Dancey CP, Fox R, Devins GM. The measurement of irritable bowel syndrome (IBS)-related misconceptions in people with IBS. J Psychosom Res 1999; 47 (03) 269-76
• 47 Rabe L. Wie nutzen Sie Podcasts bzw. Radiosendungen zum Nachhören? Ist das über… 2022. https://de.statista.com/statistik/daten/studie/913569/umfrage/genutzte-plattformen-zum-zugriff-auf-podcasts-und-radiosendungen-auf-abruf-nach-alter-in-deutschland/
• 48 Braun V, Clarke V. Using thematic analysis in psychology. Qual Res Psychol 2006; 3 (02) 77-101
• 49 Dresing T, Pehl T. Praxisbuch Transkription: Regelsysteme, Software und Anleitungen für qualitative ForscherInnen: Eigenverl. 2012
• 50 Labus J, Gupta A, Gill HK. et al. Randomised clinical trial: symptoms of the irritable bowel syndrome are improved by a psycho-education group intervention. Aliment Pharmacol Ther 2013; 37 (03) 304-315
• 51 Andresen V, Frieling T. Definitionen des Reizdarmsyndroms: Historische Entwicklung und Update. Der Gastroenterologe 2017; 2 (12) 108-113
• 52 Link BG, Phelan JC. Conceptualizing stigma. Annu Rev Sociol 2001; 27: 363-385
• 53 Feingold JH, Drossman DA. Deconstructing stigma as a barrier to treating DGBI: lessons for clinicians. Neurogastroenterol Motil 2021; 33 (02) e14080
• 54 Taft TH, Keefer L, Artz C. et al. Perceptions of illness stigma in patients with inflammatory bowel disease and irritable bowel syndrome. Qual Life Res 2011; 20 (09) 1391-1399
• 55 Carter-Harris L. Lung cancer stigma as a barrier to medical help-seeking behavior: Practice implications. J Am Assoc Nurse Pract 2015; 27 (05) 240-245
• 56 Taft TH, Bedell A, Naftaly J. et al. Stigmatization toward irritable bowel syndrome and inflammatory bowel disease in an online cohort. Neurogastroenterol Motil 2017; 29 (02)
• 57 Taft TH, Riehl ME, Dowjotas KL. et al. Moving beyond perceptions: internalized stigma in the irritable bowel syndrome. Neurogastroenterol Motil 2014; 26 (07) 1026-1035
• 58 Mohebbi Z, Sharif F, Peyrovi H. et al. Self-Perception of Iranian Patients during their life with Irritable Bowel Syndrome: A Qualitative Study. Electron Physician 2017; 9 (12) 5885-5893
• 59 Hearn M, Whorwell PJ, Vasant DH. Stigma and irritable bowel syndrome: a taboo subject?. Lancet Gastroenterol Hepatol 2020; 5 (06) 607-615
• 60 Boyd JE, Adler EP, Otilingam PG. et al. Internalized Stigma of Mental Illness (ISMI) Scale: A multinational review. Compr Psychiatry 2014; 55 (01) 221-231
• 61 Hölzel LP, Ries Z, Dirmaier J. et al. Usefulness scale for patient information material (USE) – development and psychometric properties. BMC Med Inform Decis Mak 2015; 15 (01) 34