Chronic inflammatory bowel diseases (IBD; including Crohn's disease and ulcerative colitis) significantly impact patients' quality of life. Among non-pharmacological therapies, adapted physical activity (APA) has demonstrated its beneficial impact, particularly on fatigue, anxiety, digestive symptoms, and the overall quality of life of patients with IBD. The real-world implementation of APA remains insufficient, primarily due to limited patient adherence to this prescription. Patient therapeutic education (PTE) represents a potentially powerful lever for promoting engagement in APA by addressing barriers related to a lack of awareness (fear of symptom worsening) and lack of motivation. No dedicated study has specifically evaluated the effect of targeted PTE sessions on adherence to physical activity in IBD. The objective of the present feasibility study will be to determine whether a single therapeutic education session focused on the digestive and systemic benefits of APA has an impact on the rate of physical activity practice in the medium term among patients with IBD in clinical remission for at least 3 months.
Study Type
OBSERVATIONAL
Enrollment
71
Patients will be asked to complete the questionnaires regarding bowel inflammation at enrollment, 6 months later, and 12 months later.
Patients will be asked to complete the physical activity questionnaire 6 months later and 12 months later.
Service de Gastro-Entérologie, CHU Toulouse, Hôpital Rangueil, 1 avenue Jean Poulhès
Toulouse, France
RECRUITINGEffectiveness of therapeutic education intervention on physical activity practice
Measure the amount of metabolic equivalent or MET/Week (Metabolic Equivalent Task) at 12 months, based on the short-IPAQ questionnaire assessing physical activities reported by the patient over the last 7 days.
Time frame: 12 months after the inclusion
study the impact on quality of life at 6 months
measure of quality of life with the IBD disk questionnaires answers at 6 months
Time frame: 6 months after the inclusion
Study the impact on quality of life in 12 months
measure of quality of life with the IBD disk questionnaires answers at 12 months
Time frame: 12 months after the inclusion
study the impact on fatigue reported at 6 months
Measure of fatigue reported according to one of the items of the IBD Disk questionnaire at 6 months
Time frame: 6 months after the inclusion
study the impact on fatigue reported at 12 months
Measure of fatigue reported according to one of the items of the IBD Disk questionnaire at 12 months
Time frame: 12 months after the inclusion
study the correlation between increased overall muscle strength and improved quality of life
Measurement of estimated muscle strength using a hand grip test before and after intervention as part of annual malnutrition screening and response to the quality of life questionnaire
Time frame: 12 months after the inclusion
Study of the impact on the evolution of IBD activity at 6 months
measurement of clinical activity in chronic inflammatory bowel disease at 6 months
Time frame: 6 months after the inclusion
Study of the impact on the evolution of IBD activity at 12 months
measurement of clinical activity in chronic inflammatory bowel disease at 12 months
Time frame: 12 months after the inclusion
study the impact on the monitoring of the prescription of adapted physical activity
Monitoring of the APA prescription estimated according to the proportion of patients who completed at least 12 APA sessions (i.e. 1 weekly session for 3 months) and the average number of APA sessions completed.
Time frame: 12 months after the inclusion
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