Table 3

Adaptation strategies and aims*

Aims of adaptationAdaptation strategies
Improve physical well-being (reduce symptoms and flare ups; prevent triggers of flare ups)
  • Medication

  • Change diet

  • Probiotic use

  • Complementary therapies (eg, acupuncture, hypnotherapy)

  • Finding a balance between doing too much and too little (pacing)

  • Exercise

  • Yoga

  • Relaxation classes

  • Smoking

  • Personal research (including forums, Crohn’s and Colitis UK, social media)

Improving psychological well-being
  • Positive and proactive attitude

  • Fighting on/soldiering on in activities (eg, playing netball, going on holiday)

  • Finding a balance between doing too much and too little (pacing)

  • Mindfulness courses

  • Yoga

  • Relaxation classes

  • Personal research (including forums, Crohn’s and Colitis UK, social media)

Carry on working
  • Reducing working hours; selling off part of own business

  • Rearranging working patterns

  • Changing jobs

  • Getting up earlier

  • Finding a balance between doing too much and too little (pacing)

  • Personal research (including forums, Crohn’s and Colitis UK, social media)

Prevent embarrassment
  • Situational avoidance (not going out; avoiding certain places)

  • Planning (timing, location, duration of activities)

  • Wearing nappies

  • Personal research (including forums, Crohn’s and Colitis UK, social media)

  • *A number of adaptation methods appear across several categories.