@Article{信息:doi 10.2196 / / jmir。2672，作者=“tonin - crine, Sarah和Bishop, Felicity L和Ellis, Matthew和Moss-Morris, Rona和Everitt, Hazel”，标题=“探索患者对基于认知行为治疗的肠易激综合征症状自我管理网站的看法”，期刊=“J医学互联网Res”，年=“2013”，月=“Sep”，日=“03”，卷=“15”，数=“9”，页=“e190”，关键词=“肠易激综合征;认知行为疗法;互联网;初级保健;背景:认知行为疗法(CBT)已被证明对肠易激综合征(IBS)症状的管理有积极作用。一项阶因试验随机安慰剂对照试验(称为MIBS)测试了基于自我管理的cbt网站与两种药物(甲基纤维素和梅弗林)和安慰剂的潜在有效性。结果显示，在生活质量或症状严重程度测量方面没有显著差异，但在网站组中，使能和参与者对缓解的整体评估更高。目的:在本试验中进行一项定性研究，以探讨患者使用cbt网站促进IBS自我管理的观点和经验。方法:对参加MIBS试验时使用过一次护士支持网站(n=16)或仅使用网站(n=15)的患者进行半结构化访谈。 An inductive thematic analysis was conducted. Results: We identified three types of engagement with the CBT-based website. One group of participants, mostly in the website-only condition, had limited or no engagement with the website. One group engaged with the content and advice on practical lifestyle changes. The final group of participants engaged with the content and advice on psychological aspects related to IBS. Similarities and differences between these three groups are explored. Conclusions: Teaching self-management techniques through a Web intervention was received positively by most of the participants. Concepts linked to cognitive aspects of CBT appeared to be harder for participants to engage with. Participants who received nurse support rated the cognitive aspects more positively, suggesting that some therapy support alongside the website should be considered. However, the Web format was preferred by some who favored anonymity as well as those who appreciated the accessibility and ease of use of this type of management. Suggestions on how to encourage engagement with Web interventions are discussed. ", issn="14388871", doi="10.2196/jmir.2672", url="//www.mybigtv.com/2013/9/e190/", url="https://doi.org/10.2196/jmir.2672", url="http://www.ncbi.nlm.nih.gov/pubmed/24001787" }