Many women with Inflammatory bowel disease are concerned about taking their IBD medications during pregnancy, and may actually stop necessary medications. Stopping necessary medications may lead to increased risk of IBD flares during pregnancy. Patient-centred counseling incorporating motivational interviewing and telemedicine-based follow-up by an IBD nurse may improve medication adherence in expectant mothers with IBD.
Dr. Geoffrey Nguyen (University of Toronto), Dr. Vivian Huang (University of Toronto and University of Alberta, and Dr. Cynthia Seow (University of Calgary) are conducting the Counseling to Optimize Medication Adherence in Expectant Mothers with Inflammatory Bowel Disease (COACH-IBD) Study, a randomized controlled trial of patient-centered counseling incorporating motivational interviewing and telemedicine-based follow-up by an IBD nurse. This study will also hope to validate the use of self-reported medication adherence during pregnancy in the IBD population.
This study is being conducted out of Mount Sinai Hospital, Toronto and University of Calgary, Calgary.