{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,17]],"date-time":"2026-06-17T01:13:33Z","timestamp":1781658813515,"version":"3.54.5"},"reference-count":35,"publisher":"Oxford University Press (OUP)","issue":"8","license":[{"start":{"date-parts":[[2021,10,7]],"date-time":"2021-10-07T00:00:00Z","timestamp":1633564800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/academic.oup.com\/pages\/standard-publication-reuse-rights"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2022,8,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:sec>\n                  <jats:title>Background<\/jats:title>\n                  <jats:p>Preventive health measures reduce treatment and disease-related complications including infections, osteoporosis, and malignancies in patients with inflammatory bowel disease (IBD). Although guidelines and quality measures for IBD care highlight the importance of preventive care, their uptake remains variable. This systematic review evaluates interventions aimed at improving the rates of provision and uptake of preventive health measures, including vaccinations, bone density assessment, skin cancer screening, cervical cancer screening, and smoking cessation counseling.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Methods<\/jats:title>\n                  <jats:p>We searched PubMed, MEDLINE, EMBASE, and CENTRAL for full text articles published until March 2021. Studies were included if they evaluated interventions to improve the provision or uptake of 1 or more preventive health measures in adult IBD patients and if they reported pre- and postintervention outcomes.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Results<\/jats:title>\n                  <jats:p>In all, 4655 studies were screened, and a total of 17 studies were included, including 1 randomized controlled trial, 1 cluster-controlled trial, and 15 prospective interventional studies. A variety of interventions were effective in improving the rates of adherence to preventive health measures. The most common interventions targeted gastroenterologists, including education, electronic medical records tools, and audit feedback. Other interventions targeted patients, such as education, questionnaires, and offering vaccine administration at clinic visits. Few interventions involved IBD nurses or primary care physicians.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Conclusions<\/jats:title>\n                  <jats:p>A range of interventions\u2014targeted at gastroenterologists, patients, or both\u2014were effective in improving the provision and uptake of preventive care. Future studies should involve randomized controlled trials evaluating multifaceted interventions that target barriers to adherence and involve IBD nurses and primary care physicians.<\/jats:p>\n               <\/jats:sec>","DOI":"10.1093\/ibd\/izab247","type":"journal-article","created":{"date-parts":[[2021,10,10]],"date-time":"2021-10-10T18:49:22Z","timestamp":1633891762000},"page":"1177-1188","source":"Crossref","is-referenced-by-count":13,"title":["Interventions to Improve Adherence to Preventive Care in Inflammatory Bowel Disease: A Systematic Review"],"prefix":"10.1093","volume":"28","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-7283-7246","authenticated-orcid":false,"given":"Natalie","family":"Yu","sequence":"first","affiliation":[{"name":"Department of Medicine, The University of Melbourne , Melbourne , Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Chamara","family":"Basnayake","sequence":"additional","affiliation":[{"name":"Department of Gastroenterology, St. Vincent\u2019s Hospital Melbourne , Melbourne , Australia"},{"name":"Department of Medicine, The University of Melbourne , Melbourne , Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"William","family":"Connell","sequence":"additional","affiliation":[{"name":"Department of Gastroenterology, St. Vincent\u2019s Hospital Melbourne , Melbourne , Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nik Sheng","family":"Ding","sequence":"additional","affiliation":[{"name":"Department of Gastroenterology, St. Vincent\u2019s Hospital Melbourne , Melbourne , Australia"},{"name":"Department of Medicine, The University of Melbourne , Melbourne , Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Emily","family":"Wright","sequence":"additional","affiliation":[{"name":"Department of Gastroenterology, St. Vincent\u2019s Hospital Melbourne , Melbourne , Australia"},{"name":"Department of Medicine, The University of Melbourne , Melbourne , Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Annalise","family":"Stanley","sequence":"additional","affiliation":[{"name":"Department of Gastroenterology, St. Vincent\u2019s Hospital Melbourne , Melbourne , Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Stephanie","family":"Fry","sequence":"additional","affiliation":[{"name":"Department of Gastroenterology, St. Vincent\u2019s Hospital Melbourne , Melbourne , Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Amy","family":"Wilson-O\u2019Brien","sequence":"additional","affiliation":[{"name":"Department of Medicine, The University of Melbourne , Melbourne , Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ola","family":"Niewiadomski","sequence":"additional","affiliation":[{"name":"Department of Gastroenterology, St. Vincent\u2019s Hospital Melbourne , Melbourne , Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mark","family":"Lust","sequence":"additional","affiliation":[{"name":"Department of Gastroenterology, St. Vincent\u2019s Hospital Melbourne , Melbourne , Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Julien","family":"Schulberg","sequence":"additional","affiliation":[{"name":"Department of Gastroenterology, St. Vincent\u2019s Hospital Melbourne , Melbourne , Australia"},{"name":"Department of Medicine, The University of Melbourne , Melbourne , Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Michael A","family":"Kamm","sequence":"additional","affiliation":[{"name":"Department of Gastroenterology, St. Vincent\u2019s Hospital Melbourne , Melbourne , Australia"},{"name":"Department of Medicine, The University of Melbourne , Melbourne , Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"286","published-online":{"date-parts":[[2021,10,7]]},"reference":[{"key":"2023112018212735300_CIT0001","doi-asserted-by":"crossref","first-page":"23","DOI":"10.1007\/s11894-018-0621-1","article-title":"Health maintenance in inflammatory bowel disease","volume":"20","author":"Mir","year":"2018","journal-title":"Curr Gastroenterol Rep."},{"key":"2023112018212735300_CIT0002","volume-title":"Guidelines for Preventive Activities in General Practice","author":"The Royal Australian College of General Practitioners","year":"2016","edition":"9"},{"key":"2023112018212735300_CIT0003","doi-asserted-by":"crossref","first-page":"945","DOI":"10.1093\/ecco-jcc\/jjv141","article-title":"European evidence-based consensus: inflammatory bowel disease and malignancies","volume":"9","author":"Annese","year":"2015","journal-title":"J Crohns 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