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Self‐efficacy did not predict the outcome of the transition to adult care in adolescents with inflammatory bowel disease
Author(s) -
Brink Gertrude,
Gaalen Martha A.C.,
Zijlstra Marieke,
Ridder Lissy,
Woude Christine J.,
Escher Johanna C.
Publication year - 2019
Publication title -
acta paediatrica
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.772
H-Index - 115
eISSN - 1651-2227
pISSN - 0803-5253
DOI - 10.1111/apa.14471
Subject(s) - medicine , inflammatory bowel disease , outcome (game theory) , disease , adult care , young adult , intensive care medicine , mathematics , mathematical economics
Aim It can be difficult for adolescents with inflammatory bowel disease ( IBD ) to make the transition from paediatric to adult care. We studied the outcomes of this process and defined what constituted a successful transition. Methods In 2008, 50 adolescents who attended our IBD transition clinic completed IBD ‐yourself, a self‐efficacy questionnaire that we had previously developed and validated. We approached the subjects in 2014, two to six years after they transferred to adult care, and 35 agreed to take part in the current study. The outcome of transition was assessed by our newly developed Transition Yourself Score. In addition, the relationship between self‐efficacy and the outcome of the transition was measured. Results The mean age of the patients was 21.8 years, and 69% suffered from Crohn's disease. The transition process was successful in 63% of cases, moderately successful in 31% and failed in 6%. A successful transition was associated with effective use of medication and clinical remission at the time of transfer, but could not be predicted by self‐efficacy. The Transition Yourself Score will be validated in future studies. Conclusion Nearly two‐thirds (63%) of the adolescents who attended the IBD transition clinic had a successful transition to adult care.