Self-efficacy and Resilience Are Useful Predictors of Transition Readiness Scores in Adolescents with Inflammatory Bowel Diseases

Abstract

This is the first study to identify a reliable predictor of transition readiness scores in adolescents with IBD that does not seem to be influenced by age.

Examination of Transition Readiness, Medication Adherence, and Resilience in Pediatric Chronic Illness Populations: A Pilot Study

“…[1][2][3]. It is the ability to overcome these challenges, including following complex medical recommendations and successfully managing their chronic illness, which leads to successful disease management and ultimately successful transition from pediatric to adult care [1,2,[4][5][6][7][8][9][10][11][12][13][14]. Improving self-management and health behaviors while preparing adolescents for a successful transition from pediatric to adult care remains a critical area of need to minimize the short-term and long-term consequences of poor self-management behaviors on health outcomes.…”

“…Resilience or the ability to bounce back when faced with adversities has been shown to correlate with transition readiness and disease outcomes [9,[15][16][17]. The concept of resilience emerged in the mid-1970s when psychologists recognized that certain individuals were better able to overcome stressors such as life conflicts, health problems, and trauma compared to other peers [17][18][19][20][21][22][23].…”

“…The concept of resilience emerged in the mid-1970s when psychologists recognized that certain individuals were better able to overcome stressors such as life conflicts, health problems, and trauma compared to other peers [17][18][19][20][21][22][23]. Resilience is characterized by five key components: perseverance, having a balanced perspective, the belief that life is meaningful, self-reliance, and the belief in individuality [9,[15][16][17]24,25]. The relationship between resilience, treatment adherence, and transition readiness has not been fully explored in an adolescent and young adult chronic illness population framework, and hence remains a critical area of investigation in both research and clinical care domains.…”

Stigmatisation and resilience in inflammatory bowel disease

“…During transition from juvenile to adult-centred care, both self-efficacy (SE) and resiliency were found to independently and significantly predict better transition [97]. In response, Carlsen et al developed an e-health transfer concept to assess patient-reported outcomes, including selfefficacy, resilience, stress response among adolescents with IBD transitioning to healthcare [98].…”

Editorial: depression in the setting of inflammatory bowel disease means we have failed to provide early, effective, psychosocial care—authors’ reply

“…However we still do not yet fully understand who is and who is not vulnerable, and as yet, there is limited evidence that resilience training works in this population. Resilience may be associated with a readiness for transition to adult care in younger IBD populations, but further work is needed to establish its role in older patients. Furthermore, it may be challenging to intervene in this way at disease onset given that patients may be unwell at this time.…”