‘We need to make “shit” sexy’ a qualitative study exploring treatment adherence in adolescents with inflammatory bowel disease
Background: Adolescents with inflammatory bowel disease (IBD) are faced with the complexities of acquiring self-management behaviours at a time when they are also navigating developmental challenges associated with adolescence. To date, limited treatment adherence interventions exist to support adol...
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| Format: | Article |
| Language: | English |
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Taylor & Francis Group
2025-12-01
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| Series: | Health Psychology and Behavioral Medicine |
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| Online Access: | https://www.tandfonline.com/doi/10.1080/21642850.2025.2500323 |
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| author | Cassandra Screti Lou Atkinson Rachel Shaw Rafeeq Muhammed Gemma Heath |
| author_facet | Cassandra Screti Lou Atkinson Rachel Shaw Rafeeq Muhammed Gemma Heath |
| author_sort | Cassandra Screti |
| collection | DOAJ |
| description | Background: Adolescents with inflammatory bowel disease (IBD) are faced with the complexities of acquiring self-management behaviours at a time when they are also navigating developmental challenges associated with adolescence. To date, limited treatment adherence interventions exist to support adolescents with IBD.Aim: To explore the experience and support needs of adolescents with IBD to facilitate optimum treatment adherence.Method: Thirty-three semi-structured interviews were conducted with adolescents with IBD (n = 12), parents of adolescents with IBD (n = 13) and healthcare professionals who support adolescents with IBD (n = 8). Adolescents and parents completed a creative task to prioritise adherence barriers and adherence intervention strategies.Results: The analysis generated three key themes: (1) striving for normality, (2) taking responsibility for IBD management and (3) seeking supportive environments. Living with IBD was often perceived as living a limited life, as adolescents had to manage their symptoms, which resulted in feelings of difference and stigmatisation. To manage their IBD, adolescents were required to develop treatment routines and communicate their health needs. Parents wanted to protect their child from the burden of living with IBD. Synthesis of findings with a creative mapping task generated seven priorities for intervention.Discussion: Adolescents discussed the complexity behind their adherence behaviours and the formation of treatment perceptions. The adherence barriers identified within this research can be utilised to develop a treatment adherence intervention that is effective for adolescents with IBD. |
| format | Article |
| id | doaj-art-e854b15545944a37997b2b5f28ac72ab |
| institution | OA Journals |
| issn | 2164-2850 |
| language | English |
| publishDate | 2025-12-01 |
| publisher | Taylor & Francis Group |
| record_format | Article |
| series | Health Psychology and Behavioral Medicine |
| spelling | doaj-art-e854b15545944a37997b2b5f28ac72ab2025-08-20T02:14:38ZengTaylor & Francis GroupHealth Psychology and Behavioral Medicine2164-28502025-12-0113110.1080/21642850.2025.2500323‘We need to make “shit” sexy’ a qualitative study exploring treatment adherence in adolescents with inflammatory bowel diseaseCassandra Screti0Lou Atkinson1Rachel Shaw2Rafeeq Muhammed3Gemma Heath4Institute of Health & Neurodevelopment, Aston University, Birmingham, UKSchool of Health and Life Sciences, Aston University, Birmingham, UKInstitute of Health & Neurodevelopment, Aston University, Birmingham, UKBirmingham Women’s, and Children’s Hospital, Birmingham, UKInstitute of Health & Neurodevelopment, Aston University, Birmingham, UKBackground: Adolescents with inflammatory bowel disease (IBD) are faced with the complexities of acquiring self-management behaviours at a time when they are also navigating developmental challenges associated with adolescence. To date, limited treatment adherence interventions exist to support adolescents with IBD.Aim: To explore the experience and support needs of adolescents with IBD to facilitate optimum treatment adherence.Method: Thirty-three semi-structured interviews were conducted with adolescents with IBD (n = 12), parents of adolescents with IBD (n = 13) and healthcare professionals who support adolescents with IBD (n = 8). Adolescents and parents completed a creative task to prioritise adherence barriers and adherence intervention strategies.Results: The analysis generated three key themes: (1) striving for normality, (2) taking responsibility for IBD management and (3) seeking supportive environments. Living with IBD was often perceived as living a limited life, as adolescents had to manage their symptoms, which resulted in feelings of difference and stigmatisation. To manage their IBD, adolescents were required to develop treatment routines and communicate their health needs. Parents wanted to protect their child from the burden of living with IBD. Synthesis of findings with a creative mapping task generated seven priorities for intervention.Discussion: Adolescents discussed the complexity behind their adherence behaviours and the formation of treatment perceptions. The adherence barriers identified within this research can be utilised to develop a treatment adherence intervention that is effective for adolescents with IBD.https://www.tandfonline.com/doi/10.1080/21642850.2025.2500323Inflammatory bowel diseaseadolescencepaediatricstreatment adherencemedication adherence |
| spellingShingle | Cassandra Screti Lou Atkinson Rachel Shaw Rafeeq Muhammed Gemma Heath ‘We need to make “shit” sexy’ a qualitative study exploring treatment adherence in adolescents with inflammatory bowel disease Health Psychology and Behavioral Medicine Inflammatory bowel disease adolescence paediatrics treatment adherence medication adherence |
| title | ‘We need to make “shit” sexy’ a qualitative study exploring treatment adherence in adolescents with inflammatory bowel disease |
| title_full | ‘We need to make “shit” sexy’ a qualitative study exploring treatment adherence in adolescents with inflammatory bowel disease |
| title_fullStr | ‘We need to make “shit” sexy’ a qualitative study exploring treatment adherence in adolescents with inflammatory bowel disease |
| title_full_unstemmed | ‘We need to make “shit” sexy’ a qualitative study exploring treatment adherence in adolescents with inflammatory bowel disease |
| title_short | ‘We need to make “shit” sexy’ a qualitative study exploring treatment adherence in adolescents with inflammatory bowel disease |
| title_sort | we need to make shit sexy a qualitative study exploring treatment adherence in adolescents with inflammatory bowel disease |
| topic | Inflammatory bowel disease adolescence paediatrics treatment adherence medication adherence |
| url | https://www.tandfonline.com/doi/10.1080/21642850.2025.2500323 |
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