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1.

Reflection
why you took the title of this journal because in the world of nursing cases listed in the
title is very common in people's lives. Inflammatory bowel disease is very common in
children.
of journals are looked researcher discusses the effects of stress from inflammatory bowel
disease. And patients reported higher levels of depression and anxiety than
umum.Mindfulness population-based Cognitive Therapy (MBCT) is an evidence-based
psychological program designed to help manage depression and stress symptoms.
2. Photocopy of the research abstract
Background: Inflammatory bowel disease (IBD) is a chronic gastrointestinal condition
with a relapsing disease course. Managing the relapsing nature of the disease causes daily
stress for IBD patients; thus, IBD patients report higher rates of depression and anxiety
than the general population. Mindfulness-based Cognitive Therapy (MBCT) is an
evidence-based psychological program designed to help manage depressive and stress
symptoms. There has been no randomized controlled trial (RCT) testing the use of
MBCT in IBD patients. The purpose of this pilot study is to test the trial methodology
and assess the feasibility of conducting a large RCT testing the effectiveness of MBCT in
IBD.
Methods: The IBD patients, who were recruited from gastroenterology outpatient clinics
at two Scottish NHS Boards, were randomly allocated to an MBCT intervention group (n
= 22) or a wait-list control group (n = 22). The MBCT intervention consisted of 16 hours
of structured group training over 8 consecutive weeks plus guided home practice and
follow-up sessions. The wait-list group received a leaflet entitled Staying well with
IBD. All participants completed a baseline, post-intervention and 6-month follow up
assessment. The key objectives were to assess patient eligibility and recruitment/dropout
rate, to calculate initial estimates of parameters to the proposed outcome measures
(depression, anxiety, disease activity, dispositional mindfulness and quality of life) and to
estimate sample size for a future large RCT.
Results: In total, 350 patients were assessed for eligibility. Of these, 44 eligible patients
consented to participate. The recruitment rate was 15 %, with main reasons for
ineligibility indicated as follows: non-response to invitation, active disease symptoms,

planned surgery or incompatibility with group schedule. There was a higher than
expected dropout rate of 44 %. Initial estimates of parameters to the proposed outcomes
at post-intervention and follow-up showed a significant improvement of scores in the
MBCT group when compared to the control for depression, trait anxiety and dispositional
mindfulness. The sample-size calculation was guided by estimates of clinically important
effects in depression scores.
Conclusions: This pilot study suggests that a multicentre randomized clinical trial testing
the effectiveness of MBCT for IBD patients is feasible with some changes to the
protocol. Improvement in depression, trait anxiety and dispositional mindfulness scores
are promising when coupled with patients reporting a perceived improvement of their
quality of life.
Trial registration: ISRCTN27934462. 2 August 2013.
Keywords: Mindfulness-based cognitive therapy, MBCT, Inflammatory bowel disease,
Crohns disease, Ulcerative colitis, Depression, Anxiety, Quality of life, Pilot randomised
controlled trial.
3. Critique of the research abstract
we learned journals discuss consciousness-based cognitive therapy for
Inflammatory bowel disease patients: findings from an exploratory pilot randomized
controlled trial.
This method of research journal Mindfulness-based Cognitive Therapy (MBCT)
The purpose of this pilot study was to test the experimental methodologies and assess the
feasibility of doing a large RCT to test the effectiveness of MBCT in IBD. The
intervention consisted of 16 hours of training a structured group of more than 8
consecutive weeks plus guided home practice and follow-up sessions. Group waiting list
received a flyer entitled 'Live well with IBD'. All participants completed a basic, postintervention and 6-month follow-up assessment.
Results in total, 350 patients were assessed for eligibility. Of these, 44 eligible
patients agreed to participate. That recruitment rate is 15%, with the main reason for not
qualify indicated as follows: non-response to the invitation, the active symptoms of
disease, surgery or incompatibility with the planned schedule for the group. There was a
higher than expected dropout rate of 44%. initial estimates of the parameters for the

proposed results in the post-intervention and follow-up showed a significant increase of


the score on the MBCT group when compared with controls for depression, trait anxiety
and dispositional mindfulness. Calculation of the sample-size estimates are guided by
clinical effect is important in depression scores.
4. Answers to questions for discussion
1. Source
a. publishing this journal is BioMed Central
b. Author :
1Centre for Health Science, School of Health Sciences, University of Stirling,
Inverness, Scotland, UK. 2Nursing, Midwifery & Social Care, Napier University,
Edinburgh, Scotland, UK. 3Raigmore Hospital NHS Highland, Inverness,
Scotland, UK.
2. Research Problem
a. Identification of the problem of the journal: Inflammatory bowel disease (IBD)
Inflammatory bowel disease (IBD) is a chronic digestive condition with disease
recurrence. Managing nature of disease recurrence causing stress daily for IBD
patients; thus, patients with IBD reported higher levels of depression and anxiety
than the general population. Mindfulness-based Cognitive Therapy (MBCT) is
designed to help manage depression and stress symptoms.
b. Yes, because this pilot study suggests that a multicentre randomized clinical trial
testing the effectiveness of MBCT for IBD patients is feasible with some changes
to the protocol. Improvement in depression, trait anxiety and dispositional
mindfulness scores are promising when coupled with patients reporting a
perceived improvement of their quality of life.
c. Yes, because of this journal can provide new knowledge for nurses about
inflammatory bowel disease and any complications of the inflammatory bowel
disease
3. Literature Review
a. yes, we discussed this journal There are no randomized controlled trials (RCTs)
examined the use of MBCT in patients with IBD. but the authors assure that
pengguanaan decent MBCT in IBD patients randomized controlled trials (RCTs)
that the author conducted a pilot study to test the experimental methodologies and
assess the feasibility of doing a large RCT to test the effectiveness of MBCT in
IBD.

b. yes, this literature strongly supports the students for increasing knowledge about
consciousness-based cognitive therapy for inflammatory bowel disease patients
c. Excess journal: increasing knowledge about consciousness-based cognitive
therapy

for

inflammatory

bowel

disease

patients

shortage journal: There are no randomized controlled trials (RCTs) examined


the use of MBCT in patients with IBD
d. Para pasien IBD, yang direkrut dari klinik gastroenterologi rawat jalan di dua
Skotlandia NHS Boards.
e. No, I'll just use a psychological program Mindfulness-based Cognitive Therapy
(MBCT) based on evidence which is designed to help manage depression and
stress symptoms
4. Theoretical Framework
a. IBD patients report higher rates of depression and anxiety than the general
b.
c.
d.
e.

population.
44 eligible patients consented to participate

Initial estimates of parameters to the proposed outcomes at post-intervention and


follow-up showed a significant improvement of scores in the MBCT group when

compared to the control for depression, trait anxiety and dispositional mindfulness
5. Variiables
a. baseline, post-treatment and 6 months
b. variables which are relevant to the current field is a post-treatment and 6 months
c. to ensure similarity between groups, stratified randomization two variables: the
type of illness and sex. computer-generated random allocation
6. Hypothesis
a. This pilot study suggests that a multicentre randomized clinical trial testing the
effectiveness of MBCT for IBD patients is feasible with some changes to the
protocol. Improvement in depression, trait anxiety and dispositional mindfulness
scores are promising when coupled with patients reporting a perceived
improvement of their quality of life.
7. Design (overall)
a. Mindfulness-based Cognitive Therapy (MBCT) With three assessment (baseline,
post-treatment and 6 months)

b. This study was a two-centre, two-arm, exploratory pilot RCT (MBCT treatment
versus wait-list control group) with three assessments (baseline, post-treatment
and 6 months)
c. The following steps were taken to minimise systematic errors or bias and improve
rigour: all participants self-completed all of the questionnaires, data entry was
done by the lead researcher and was independently checked by a second person,
and data analysis was done by two researchers independently.
8. Sample
a. The following steps were taken to minimise systematic errors or bias and improve
rigour: all participants self-completed all of the questionnaires, data entry was
done by the lead researcher and was independently checked by a second person,
and data analysis was done by two researchers independently.
b. The IBD patients, who were recruited from gastroenterology outpatient clinics at
two Scottish NHS Boards, were randomly allocated to an MBCT intervention
group (n = 22) or a wait-list control group (n = 22).
c. The IBD patients
9. Data Collection
a. A permuted block randomization procedure with randomly varied block sizes was
used.
b. Participants were informed of the results of randomization by email or letter
(depending on their preference)
c. Yes it is
d. according to the data collection method using two stages. Phase 1 of the pilot
RCT, phase two will be reported separately. there is no deviation from the
protocol described previously.
10. Ethical Considerations
a.
b. yes, secrecy, freedom protected
c. no, there is no compulsion
11. Data analysis
a. In line with the good practice guidance for analysis of any pilot study, the primary
analysis of the study was descriptive. Descriptive data were calculated
representing frequencies, means and standard deviations for all continuous data
and n (%) for categorical data.

b. Further analysis was done to determine initial estimates of the parameters for the
proposed outcome measures, for example, the mean and standard deviation
required for sample size calculation for a future large RCT
c. Yes, according
d. Yes, with tables to facilitate understanding in reading analysis
12. Discussion and Interpretation of Findings
a. Yes,discussions and logical fit to the data based on the data
b. Yes, discussions and logical fit to the data based on the data
c. Yes, discussions and logical fit to the data based on the data
d. Yes
13. Application to field of specialization
a. This paper describes a pilot randomised control trial of Mindfulness-based
Cognitive Therapy for IBD. The results showed that it would be feasible to
conduct a full RCT. In conducting this investigation, we have identified areas of
critical importance if a subsequent study of MBCT for IBD is to going to be
conducted. These areas are related to recruitment and retention, data collection
and trial design as well as to the intervention.
b. research shows that it would be feasible to conduct RCT penuh.dalam do this
research has identified the area is essential if the next study MBCT for IBD is
going to do the data collection and design of experiments and interventions