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IBD IMPACT Toolkit

Inflammatory Bowel Disease - Informing Patient-Centered Care Together


Core principles to help reduce stigmatizing language1

Adapted from Core Principles - Temple Health with input from people living with IBD and an expert steering committee. The list of principles below is not an all-inclusive list and may not apply to all people living with IBD.

Use mindful
person-first language

Instead of referring to someone as an “IBD patient” use “person living with IBD”

Avoid stereotypes
and generalizations

Refrain from using terms like “non-compliant,” or “poor historian” that can perpetuate negative stereotypes

Assign blame to the system or disease, not the individual

For example: “patient chooses” rather than “refuses”; “Medication failed in this person with Crohn's disease” rather than “patient failed this medication”; “the symptoms of IBD are causing difficulty” instead of “the patient is not managing their condition properly”

Eliminate derogatory terms or negative connotations

For example: convict, prostitute, alien, sickly, weak, burden

Think critically and be intentional about using social identifiers

For example: race, socioeconomic status, and language don't belong in the one-liner, choose phrases that promote empowerment, resilience, and understanding

State the facts – avoid interpretations

For example: “patient alleges/claims 10/10 pain”

Use inclusive language

For example: “patient uses a wheelchair” rather than “wheelchair-bound”; people with Crohn’s disease or ulcerative colitis vs subgroups

Use the active voice

For example: “I prescribed biologics” rather than passive language “Biologics were prescribed by me”

Avoid misusing quotes or exaggerating descriptions

For example: “The patient reported experiencing significant pain” instead of patient is having “horrible” pain


Related patient resources

Mental health

A webpage from the Crohn’s & Colitis Foundation that focuses on the connection between IBD and mental health. It highlights the impact of IBD on mental well-being and discusses common psychological issues such as anxiety, depression, and body image concerns that may arise in individuals with IBD.

Visit site

Open Path

Open Path is a non-profit organization that offers a platform to find therapists providing affordable in-office and online psychotherapy sessions for clients who are uninsured and underinsured. The page includes a search function to find a therapist by entering a city or zip code.

Visit site

Reference

  • 1. Healy M, Richard A, Kidia K. How to reduce stigma and bias in clinical communication: a narrative review. J Gen Intern Med. 2022;37(10):2533-2540. doi:10.1007/s11606-022-07609-y