There is no model for the process of transition of adolescents with inflammatory bowel diseases (IBD) to the adult care protocol.
Dr Shlomia Cohen and colleagues recently established a transition clinic where 17-year-old to 18-year-old IBD patients are seen by a multidisciplinary team including pediatric and adult gastroenterologists with expertise in IBD treatments, an IBD nurse, and a psychologist.
The team quantitatively described this model and its benefits, and correlated demographic and transition parameters to self-efficacy in IBD adolescent patients before and after transition.
The team evaluated all adolescent IBD patients enrolled in their transition clinic between 2013 and 2015.
The patients completed a self-efficacy questionnaire (‘IBD-yourself’) before and after the transition.
|Self-efficacy scores in all domains of the questionnaire were higher after completion of the transition |
|European Journal of Gastroenterology & Hepatology|
The researchers correlated scores to demographic, disease, and transition parameters.
The team found that 30 of the 36 enrolled patients had Crohn’s disease.
The research team noted that 27 patients completed the transition protocol, which included an average of 3–4 meetings over 7 months.
Self-efficacy scores in all domains of the questionnaire were significantly higher after completion of the transition.
The team determined that weighted average score of the questionnaire’s domains was 1.9 before, and 1.4 after transition.
Age, sex, disease duration, duration of transition, and the number of meetings in the clinic correlated with the questionnaire’s scores in the domains of coping with IBD, knowledge of the transition process, and medication use.
Dr Cohen's team concludes, "A well-planned adolescent IBD transition clinic contributes significantly toward improved self-efficacy in IBD."
"We recommend its implementation in IBD centers to enable a personalized transition program tailored to the needs of adolescents with IBD in specific domains."