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PTH-066 An Audit To Assess Feasibility And Efficacy Of Group Education For Irritable Bowel Syndrome (ibs) Patients In The Delivery Of Low Fodmap (fermentable Oligosaccharides, Disaccharides, Monosaccharides And Polyols) Dietary Advice
  1. SK Kinrade,
  2. RM Twamley,
  3. L Fell,
  4. L Heald,
  5. A Healy
  1. Nutrition and Dietetics, University Hospital South Manchester, Manchester, UK

Abstract

Introduction A low FODMAP diet has demonstrated symptom improvement in patients with IBS when conducted during individual consultations.1 Structured dietetic group education is a well recognised medium for encouraging self-management and promoting confidence in patients with chronic illness.2 There is a lack of research in the use of low FODMAP dietary intervention in a group setting. This audit was conducted to assess the efficacy and feasibility of providing low FODMAP dietary advice in a group environment.

Methods Data was collected using the ‘IBS satisfaction survey’3 which was given to 17 patients with IBS on completion of the 8 week low FODMAP diet. The following question was used to monitor effectiveness of the low FODMAP diet: ‘Do you currently have satisfactory relief from your gut symptoms’? This is a closed question, completed anonymously, with a choice response of ‘yes’ or ‘no’. Feasibility of a group format was measured via attendee’s feedback and non-attendance (DNA) rate. Feedback was collected using an evaluation questionnaire (6 point Likert scale – very satisfied, satisfied, acceptable, dissatisfied, very dissatisfied, unsure) after the group session.

Results 21 patients attended the initial session. 4 patients (19%) failed to attend the follow up session. 82% (14 /17) of patients who completed the education programme reported satisfactory relief of gut symptoms. 100% of patients were ‘satisfied’ or ‘very satisfied’ with the presentation and group discussion. 94% were ‘satisfied’ or ‘very satisfied’ with the organisation of the group session.

Conclusion Group education for low FODMAP diet therapy is a feasible and effective method for promoting symptom improvement for IBS patients. Group education has the potential to be at least as effective as one-to-one low FODMAP IBS education. Further randomised control studies with large sample sizes are recommended.

References 1 Halmos EP, Power, VA, Shepherd SJ, Gibson PR, Muir JG. Diet Low in FODMAPs Reduces Symptoms of Irritable Bowel Syndrome. Gastroenterology 2014;146(1): pp67–75

2 Keen AJ, Duncan E, McKillop-Smith A, Evans ND, Gold AE. Dose Adjustment for normal eating (DAFNE) in routine clinical practice: who benefits? Diabetes Medicine 2012;29(5):pp670–6

3 Staudacher HM, Whelan K, Irving PM, Lomer MC. Comparison of symptom response following advice for a diet low in fermentable carbohydrates (FODMAPs) versus standard dietary advice in patients with irritable bowel syndrome. Journal of Human Nutrition and Dietetics, 2011;24(5):pp487–95

Disclosure of Interest None Declared.

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