{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,10]],"date-time":"2026-10-10T18:16:06Z","timestamp":1791656166437,"version":"4.3.4"},"reference-count":37,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"6","content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2024,11]]},"abstract":"Abstract<\/jats:title>\n \n Background:<\/jats:title>\n Self-care is one of the basic principles in the management of chronic diseases, which influences follow-up and adherence to treatment. Therefore, the current study was conducted with the aim of comparing the effect of teach-back (TB) and a smartphone application on adherence to treatment in patients with inflammatory bowel disease (IBD).<\/jats:p>\n <\/jats:sec>\n \n Methods:<\/jats:title>\n The current clinical trial was conducted among 80 patients with IBD in Mashhad, Iran, in 2021\u20132022. Self-care education (diet, personal and social relationships, medications, sleep, physical activity, sexual relationships, etc.) was provided through TB method in one group and by using a smartphone application in another group. The control group only received the routine education. A checklist for demographic information and the adherence questionnaire in patients with chronic diseases were used for data collection.<\/jats:p>\n <\/jats:sec>\n \n Results:<\/jats:title>\n \n Patients\u2019 mean age was 38.73 \u00b1 10.32 years. The majority of patients had ulcerative colitis (81%) and were married (67%). Mean and standard deviation score of adherence to treatment were the same in all three groups before the intervention (\n P<\/jats:italic>\n = 0.668). The mean post-test scores of adherence to treatment in the TB, application, and control groups were 170.04 \u00b1 14.19, 167.99 \u00b1 11.59, and 159.60 \u00b1 10.94, respectively. The difference was statistically significant (\n P<\/jats:italic>\n = 0.003). A significant difference was observed in regards to the mean post-test scores of adherence to treatment between TB and control groups (\n P<\/jats:italic>\n = 0.004) and app and control groups (\n P<\/jats:italic>\n = 0.048). However, the difference between TB and app groups was not significant (\n P<\/jats:italic>\n = 0.989).\n <\/jats:p>\n <\/jats:sec>\n \n Conclusions:<\/jats:title>\n TB method and smartphone application have the same effect on adherence to treatment in patients with IBD. Due to the usability and cost-effectiveness of smartphone applications, this method can be used by health-care providers to educate this group of patients.<\/jats:p>\n <\/jats:sec>","DOI":"10.4103\/sjg.sjg_200_24","type":"journal-article","created":{"date-parts":[[2024,11,7]],"date-time":"2024-11-07T02:00:23Z","timestamp":1730944823000},"page":"407-415","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":3,"title":["Comparison of the effect of self-care education with two methods, teach-back and smartphone application, on the adherence to treatment in patients with inflammatory bowel disease"],"prefix":"10.4103","volume":"30","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-8270-7357","authenticated-orcid":false,"given":"Zahra Sadat","family":"Manzari","sequence":"first","affiliation":[{"name":"Nursing and Midwifery Care Research Center, Mashhad University of Medical Sciences, Mashhad, Iran"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8728-0927","authenticated-orcid":false,"given":"Mohammad Sajjad","family":"Ghaderi","sequence":"additional","affiliation":[{"name":"Department of Nursing, Torbat Jam Faculty of Medical Sciences, Torbat Jam, Iran"},{"name":"Student Research Committee, Torbat Jam Faculty of Medical Sciences, Torbat Jam, Iran"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hassan","family":"Vossoughinia","sequence":"additional","affiliation":[{"name":"Department of Gastroenterology and Hepatology, Mashhad University of Medical Sciences, Mashhad, Iran"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hossein","family":"Rafiei","sequence":"additional","affiliation":[{"name":"Social Determinants of Health Research Center, Research Institute for Prevention of Non-Communicable Diseases, Qazvin University of Medical Sciences, Qazvin, Iran"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8805-9546","authenticated-orcid":false,"given":"Mohamad Hossein","family":"Mafi","sequence":"additional","affiliation":[{"name":"Social Determinants of Health Research Center, Research Institute for Prevention of Non-Communicable Diseases, Qazvin University of Medical Sciences, Qazvin, Iran"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2024,10,28]]},"reference":[{"key":"R1-20241107","doi-asserted-by":"crossref","first-page":"4060648","DOI":"10.1155\/2020\/4060648","article-title":"Treatment adherence in inflammatory bowel disease patients from Argentina: A multicenter study","volume":"2020","author":"Lasa","year":"2020","journal-title":"Gastroenterol Res Pract"},{"key":"R2-20241107","doi-asserted-by":"crossref","first-page":"99","DOI":"10.3349\/ymj.2021.62.2.99","article-title":"Incidence and prevalence of inflammatory bowel 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