Article Text

Download PDFPDF
A self help guidebook reduced primary care consultations in irritable bowel syndrome

Statistics from

Request Permissions

If you wish to reuse any or all of this article please use the link below which will take you to the Copyright Clearance Center’s RightsLink service. You will be able to get a quick price and instant permission to reuse the content in many different ways.

 Q In patients with irritable bowel syndrome (IBS), does a self help intervention in the form of a guidebook or group meetings reduce consultation rates and symptom severity?

Clinical impact ratings GP/FP/Primary care ★★★★★★☆ IM/Ambulatory care ★★★★★☆☆ Gastroenterology ★★★★★☆☆


Embedded ImageDesign:

randomised controlled trial.

Embedded ImageAllocation:


Embedded ImageBlinding:


Embedded ImageFollow up period:

1 year.

Embedded ImageSetting:

54 general practices in the UK.

Embedded ImagePatients:

420 patients ⩾18 years of age (mean age 40 y, 89% women) who had IBS diagnosed by a general practitioner or specialist and had consulted their general practitioner with gastrointestinal symptoms at least once in the past year. Patients unable to read or understand English were excluded.

Embedded ImageIntervention:

self help guidebook containing information on lifestyle, diet, and drug and alternative treatments with current evidence and patients’ experiences (n = 141); guidebook plus an invitation to participate in a 2 hour self help group meeting with 8–12 patients facilitated by the …

View Full Text


  • * See glossary.

  • Kennedy A, Robinson A. What should I do? A handy guide to managing irritable bowel syndrome. Southampton: RTFB Publishing, 2000.

  • For correspondence: Dr A Robinson, Hope Hospital, Salford, UK. andrew.robinson{at}

  • Source of funding: Manchester, Stockport, and West Pennine Research and Development Liaison Group.

Linked Articles

  • Glossary
    BMJ Publishing Group Ltd