A Taiwan-Adapted Self-Management Program for Adults With Irritable Bowel Syndrome

A Pilot Randomized Controlled Trial of a Taiwanese Version of a Comprehensive Self-Management Program for Adults With Irritable Bowel Syndrome

This pilot randomized controlled trial will evaluate the feasibility, acceptability, and preliminary effects of a Taiwanese version of a comprehensive self-management program for adults with irritable bowel syndrome. Participants will be randomized to the self-management program or usual care. Outcomes will be assessed at baseline, immediately after the intervention, and three months after the intervention.

The study will enroll adults with irritable bowel syndrome and randomize participants in a 2:1 ratio to an 8-session comprehensive self-management program or usual care. The program includes irritable bowel syndrome education, symptom monitoring, relaxation practice, cognitive strategies, dietary self-management, sleep-related content, problem solving, and daily-life symptom management. The pilot trial will assess recruitment, retention, intervention adherence, acceptability, satisfaction, and preliminary changes in symptom-related outcomes.

Inclusion Criteria:Adults aged 20 to 70 years

1. Meets Rome criteria for irritable bowel syndrome
2. Has a healthcare provider diagnosis of irritable bowel syndrome
3. Able to read and speak Mandarin
4. Willing to provide informed consent and participate in study procedures

Exclusion Criteria:

1. Pregnant or breastfeeding
2. Poorly controlled mental health problems, including history of psychosis, bipolar disorder, drug or alcohol abuse or dependence, or suicide attempt within the past 2 years unless explained by significant loss
3. Surgery or hospitalization within the past month
4. Unable to complete study questionnaires or study procedures
5. Unable to complete study questionnaires or study procedures -