JMIR Publications

ABSTRACT

Background:

Although effective self-management interventions exist for individuals with irritable bowel syndrome (IBS), few interventions have been effectively implemented and most do not consider the unique needs of patients with comorbid IBD and anxiety/depression.

Objective:

The purpose of this study was to determine the anticipated acceptability, appropriateness, feasibility, and usability of Comprehensive Self-Management (CSM) intervention using an implementation science and human-centered design approach.

Methods:

A convergent mixed methods design was used to elicit feedback on the CSM intervention content and outline to identify refinement needs prior to testing. Patients with IBS and moderate to severe anxiety and/or depression and health care providers were purposefully sampled. Participants completed semi-structured interviews and surveys on anticipated acceptability, appropriateness, feasibility, and usability.

Results:

For patients (n=14) and providers (n=12), qualitative data expanded the quantitative findings for acceptability and appropriateness. Participants reported that the intervention was comprehensive and provided structure, accountability, and support. Feasibility was confirmed for patients but there was a lack of agreement between quantitative and qualitative measures for providers. Mean usability scores were 52.5 (out of 100) for patients and 45.6 for providers. Identified usability issues to address include the intervention delivery format, length, and lack of integration into health care settings that if not address may limit the reach of the intervention.

Conclusions:

Patients and healthcare providers found the intervention acceptable but identified several usability issues. Next steps are to refine and test in a pilot study whether addressing usability issues leads to the anticipated improvements in implementation and uptake.