- Cognitive behavioral therapy (CBT) for irritable bowel syndrome (IBS) bests treatment as usual (TAU) whether provided online or by phone.
- This randomized trial with 12-month follow-up used low-intensity CBT for the web and high-intensity for phone, with good adherence with both.
Why this matters
- Guidelines recommend face-to-face CBT for refractory IBS, but how well delivery would work via the likely more accessible web- or phone-based delivery is not clear.
- Options for patients with refractory IBS are otherwise limited.
- Vs TAU at 12 months, symptom severity scores were:
- 61.6 points lower with phone delivery (P<.001 and>
- 35.2 points lower via web delivery (P=.002).
- Social function scores also improved:
- By 3.5 points with phone delivery (P<.001 and>
- By 3.0 points with web delivery (P=.001).
- Randomized trial of web-based (n=185) vs phone-based (n=186) vs TAU (n=187) CBT, with 1 year of follow-up.
- Outcomes included symptom severity score, work and daily function scores.
- Funding: National Institute for Health Research (UK).
- Necessarily unblinded.