Perspectives of Adolescents and Young Adults With Inflammatory Bowel Disease on a Biopsychosocial Transition Intervention: Qualitative Interview Study
Abstract BackgroundThe transition from pediatric to adult health care marks a complex and pivotal process for adolescents and young adults with inflammatory bowel disease (IBD). This group requires support regarding disease self-management, skill development, and system naviga...
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JMIR Publications
2025-04-01
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| Series: | JMIR Pediatrics and Parenting |
| Online Access: | https://pediatrics.jmir.org/2025/1/e64618 |
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| author | Brooke Allemang Ashleigh Miatello Mira Browne Melanie Barwick Pranshu Maini Joshua Eszczuk Chetan Pandit Tandeep Sadhra Laura Forhan Natasha Bollegala Nancy Fu Kate Lee Emily Dekker Irina Nistor Sara Ahola Kohut Laurie Keefer Anne Marie Griffiths Thomas D Walters Samantha Micsinszki David R Mack Sally Lawrence Karen I Kroeker Jacqueline de Guzman Aalia Tausif Claudia Tersigni Samantha J Anthony Eric I Benchimol |
| author_facet | Brooke Allemang Ashleigh Miatello Mira Browne Melanie Barwick Pranshu Maini Joshua Eszczuk Chetan Pandit Tandeep Sadhra Laura Forhan Natasha Bollegala Nancy Fu Kate Lee Emily Dekker Irina Nistor Sara Ahola Kohut Laurie Keefer Anne Marie Griffiths Thomas D Walters Samantha Micsinszki David R Mack Sally Lawrence Karen I Kroeker Jacqueline de Guzman Aalia Tausif Claudia Tersigni Samantha J Anthony Eric I Benchimol |
| author_sort | Brooke Allemang |
| collection | DOAJ |
| description |
Abstract
BackgroundThe transition from pediatric to adult health care marks a complex and pivotal process for adolescents and young adults with inflammatory bowel disease (IBD). This group requires support regarding disease self-management, skill development, and system navigation in preparation for transition. Evidence-based interventions are needed to promote optimal health and psychosocial outcomes for adolescents and young adults with IBD during this period.
ObjectiveA qualitative study embedded within a randomized controlled trial was conducted to evaluate the perceived impact of a biopsychosocial transition intervention on the transition experiences of adolescents and young adults, their views on the intervention, and recommendations for future care.
MethodsThis patient-oriented research study used a qualitative descriptive design. Virtual semistructured interviews were held with 21 adolescents and young adults with IBD (16‐18 y) enrolled in the randomized controlled trial (intervention arm n=11 and control arm n=10). Interviews were audio-recorded, transcribed, and analyzed using an inductive approach to reflexive thematic analysis. Five members of a Youth Advisory Panel with lived experience of IBD collaborated throughout data analysis, interpretation, and the presentation of findings.
ResultsWe constructed three themes through our analysis: (1) making meaning of transitions in care; (2) perceptions and impact of the biopsychosocial transition intervention; and (3) considerations for future transition care, including the importance of individualized support.
ConclusionsOur findings illustrate the importance of relationships and the impact of a biopsychosocial intervention on adolescents’ and young adults’ confidence, knowledge, and self-management skills during transition. The results, which indicate the criticality of tailoring transition supports according to adolescents’ and young adults’ preferences and characteristics, will be used to refine the biopsychosocial intervention before it can be scaled and spread. |
| format | Article |
| id | doaj-art-71b9b9af49cb4b7bbaff20cc9ddbe80e |
| institution | OA Journals |
| issn | 2561-6722 |
| language | English |
| publishDate | 2025-04-01 |
| publisher | JMIR Publications |
| record_format | Article |
| series | JMIR Pediatrics and Parenting |
| spelling | doaj-art-71b9b9af49cb4b7bbaff20cc9ddbe80e2025-08-20T02:29:56ZengJMIR PublicationsJMIR Pediatrics and Parenting2561-67222025-04-018e64618e6461810.2196/64618Perspectives of Adolescents and Young Adults With Inflammatory Bowel Disease on a Biopsychosocial Transition Intervention: Qualitative Interview StudyBrooke Allemanghttp://orcid.org/0000-0003-0634-4472Ashleigh Miatellohttp://orcid.org/0000-0002-1711-8676Mira Brownehttp://orcid.org/0009-0008-9457-2435Melanie Barwickhttp://orcid.org/0000-0002-2478-604XPranshu Mainihttp://orcid.org/0009-0005-3573-9133Joshua Eszczukhttp://orcid.org/0009-0002-0942-8647Chetan Pandithttp://orcid.org/0000-0001-7334-2296Tandeep Sadhrahttp://orcid.org/0009-0006-8185-8106Laura Forhanhttp://orcid.org/0009-0006-8224-6208Natasha Bollegalahttp://orcid.org/0000-0002-4742-4500Nancy Fuhttp://orcid.org/0000-0002-1752-8659Kate Leehttp://orcid.org/0000-0002-3491-6725Emily Dekkerhttp://orcid.org/0009-0005-2911-9085Irina Nistorhttp://orcid.org/0000-0002-7935-0753Sara Ahola Kohuthttp://orcid.org/0000-0003-1562-947XLaurie Keeferhttp://orcid.org/0000-0003-4779-8593Anne Marie Griffithshttp://orcid.org/0000-0001-8623-4665Thomas D Waltershttp://orcid.org/0000-0002-4184-4600Samantha Micsinszkihttp://orcid.org/0000-0002-1357-1158David R Mackhttp://orcid.org/0000-0001-5604-3200Sally Lawrencehttp://orcid.org/0000-0002-7645-7053Karen I Kroekerhttp://orcid.org/0000-0002-3886-4213Jacqueline de Guzmanhttp://orcid.org/0009-0001-3371-9244Aalia Tausifhttp://orcid.org/0009-0003-6707-4901Claudia Tersignihttp://orcid.org/0009-0004-0695-5606Samantha J Anthonyhttp://orcid.org/0000-0002-1800-2333Eric I Benchimolhttp://orcid.org/0000-0001-8855-3598 Abstract BackgroundThe transition from pediatric to adult health care marks a complex and pivotal process for adolescents and young adults with inflammatory bowel disease (IBD). This group requires support regarding disease self-management, skill development, and system navigation in preparation for transition. Evidence-based interventions are needed to promote optimal health and psychosocial outcomes for adolescents and young adults with IBD during this period. ObjectiveA qualitative study embedded within a randomized controlled trial was conducted to evaluate the perceived impact of a biopsychosocial transition intervention on the transition experiences of adolescents and young adults, their views on the intervention, and recommendations for future care. MethodsThis patient-oriented research study used a qualitative descriptive design. Virtual semistructured interviews were held with 21 adolescents and young adults with IBD (16‐18 y) enrolled in the randomized controlled trial (intervention arm n=11 and control arm n=10). Interviews were audio-recorded, transcribed, and analyzed using an inductive approach to reflexive thematic analysis. Five members of a Youth Advisory Panel with lived experience of IBD collaborated throughout data analysis, interpretation, and the presentation of findings. ResultsWe constructed three themes through our analysis: (1) making meaning of transitions in care; (2) perceptions and impact of the biopsychosocial transition intervention; and (3) considerations for future transition care, including the importance of individualized support. ConclusionsOur findings illustrate the importance of relationships and the impact of a biopsychosocial intervention on adolescents’ and young adults’ confidence, knowledge, and self-management skills during transition. The results, which indicate the criticality of tailoring transition supports according to adolescents’ and young adults’ preferences and characteristics, will be used to refine the biopsychosocial intervention before it can be scaled and spread.https://pediatrics.jmir.org/2025/1/e64618 |
| spellingShingle | Brooke Allemang Ashleigh Miatello Mira Browne Melanie Barwick Pranshu Maini Joshua Eszczuk Chetan Pandit Tandeep Sadhra Laura Forhan Natasha Bollegala Nancy Fu Kate Lee Emily Dekker Irina Nistor Sara Ahola Kohut Laurie Keefer Anne Marie Griffiths Thomas D Walters Samantha Micsinszki David R Mack Sally Lawrence Karen I Kroeker Jacqueline de Guzman Aalia Tausif Claudia Tersigni Samantha J Anthony Eric I Benchimol Perspectives of Adolescents and Young Adults With Inflammatory Bowel Disease on a Biopsychosocial Transition Intervention: Qualitative Interview Study JMIR Pediatrics and Parenting |
| title | Perspectives of Adolescents and Young Adults With Inflammatory Bowel Disease on a Biopsychosocial Transition Intervention: Qualitative Interview Study |
| title_full | Perspectives of Adolescents and Young Adults With Inflammatory Bowel Disease on a Biopsychosocial Transition Intervention: Qualitative Interview Study |
| title_fullStr | Perspectives of Adolescents and Young Adults With Inflammatory Bowel Disease on a Biopsychosocial Transition Intervention: Qualitative Interview Study |
| title_full_unstemmed | Perspectives of Adolescents and Young Adults With Inflammatory Bowel Disease on a Biopsychosocial Transition Intervention: Qualitative Interview Study |
| title_short | Perspectives of Adolescents and Young Adults With Inflammatory Bowel Disease on a Biopsychosocial Transition Intervention: Qualitative Interview Study |
| title_sort | perspectives of adolescents and young adults with inflammatory bowel disease on a biopsychosocial transition intervention qualitative interview study |
| url | https://pediatrics.jmir.org/2025/1/e64618 |
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