INTRODUCTION Limitations in inflammatory bowel disease (IBD) care necessitate greater patient activation and self-efficacy, measures associated with positive health outcomes. METHODS We assessed change in patient activation and general self-efficacy from baseline to 12 months through our TELEmedicine for IBD trial, a multicenter, randomized controlled trial consisting of a web-based monitoring system that interacts with participants via text messaging. A total of 222 adults with IBD who had experienced an IBD flare within 2 years prior to the trial were randomized into either a control arm that received standard care (SC) or an intervention arm that completed self-testing through the TELE-IBD system every other week (EOW) or weekly (W). RESULTS Changes in self-efficacy scores were not significantly different between control and experimental groups. Patient activation scores were significantly different between standard care and the TELE-IBD EOW group only (p = 0.03). CONCLUSIONS Use of remote monitoring did not improve self-efficacy or patient activation compared to routine care.

中文翻译：

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TELEmedine用于炎性肠病对患者激活和自我效能的影响。

简介炎症性肠病（IBD）护理的局限性要求更大的患者活化度和自我效能感，这些都是与积极健康结果相关的措施。方法我们通过TELEmedicine for IBD试验评估了从基线到12个月患者激活和一般自我效能的变化，该试验是一项多中心，随机对照试验，由基于网络的监测系统组成，该系统通过短信与参与者互动。在试验前2年内，共有222名IBD成年人经历过IBD发作，被随机分为接受标准护理（SC）的对照组或通过TELE-IBD系统完成自检的干预组。其他一周（EOW）或每周（W）。结果对照组和实验组的自我效能得分变化无明显差异。仅标准护理组和仅TELE-IBD EOW组之间的患者激活评分差异显着（p = 0.03）。结论与常规护理相比，使用远程监控不能提高自我效能或患者激活率。