Caregiver contribution to self-care in adults with inflammatory bowel disease. A cross-sectional multicenter study

Background/Objectives: Inflammatory bowel disease (IBD) requires sustained self-care, yet patients’ ability to manage daily treatment and symptoms is often shaped by the support pro- vided by informal caregivers. Methods: Guided by the Middle-Range Theory of Self-Care of Chronic Illness, this multicentre cross-sectional study described caregivers’ contributions to self-care maintenance, monitoring, and management in IBD, and compared these contribu- tions between caregivers of patients with Crohn’s disease (CD) and those of patients with ul- cerative colitis (UC). Results: A convenience sample of 275 caregivers of adult outpatients with IBD was recruited across multiple Italian centres. Caregiver contribution was measured using the Caregiver Contribution to Self-Care of Chronic Illness Inventory, together with caregiver self-efficacy and selected sociodemographic and clinical variables. Caregivers reported sub- stantial involvement across all self-care domains, with significantly higher contributions to self-care maintenance among caregivers of patients with CD than among those caring for pa- tients with UC. Monitoring and management scores were similar across groups. Regression analyses indicated disease-specific patterns, with caregiver gender, education, employment status, and patient clinical characteristics showing differential associations with self-care do- mains. Conclusions: These findings underscore the central role of caregivers in supporting self-care in IBD and suggest that structured, caregiver-focused approaches embedded in rou- tine clinical pathways may strengthen dyadic chronic illness management.