Differential effect of a patient-education transition intervention in adolescents with IBD vs. diabetes.
Silke SchmidtHenriette MarkwartFranziska BombaHolger MuehlanAnnette FindeisenMartina KohlIngo MenrathUte ThyenPublished in: European journal of pediatrics (2018)
Transition-oriented PEPs can have differential effects in different patient groups. However, this needs further longitudinal investigations. What is Known: • To date, evidence has accumulated concerning the effectiveness of patient education programs (PEPs) in pediatric health care for chronic conditions such as type 1 diabetes, asthma, atopic dermatitis, or obesity but is less documented in inflammatory bowel disease (IBD). In particular, PEPs in the transition period have not been investigated in youth with IBD. • The current study focuses on evaluating a PEP for transition preparation and management designed to be generically used across different chronic conditions since many aspects of managing chronic conditions share commonalities across conditions. The 2-day workshop included condition-specific modules adapted to the specific medical needs but was otherwise similar in quality and organization among different conditions. What is New: • The transition-oriented PEP was effective in enhancing self-management and transition management skills in both patients with IBD and diabetes; however, effects were higher in youth with IBD. A significant impact of the intervention on patients' QoL compared to the control group was only identified in youth with IBD. • We recommend that patients with IBD have access to PEP as a standard treatment as well as to a transition program during the course of illness.
Keyphrases
- type diabetes
- healthcare
- randomized controlled trial
- physical activity
- young adults
- quality improvement
- cardiovascular disease
- ulcerative colitis
- case report
- glycemic control
- mental health
- insulin resistance
- end stage renal disease
- metabolic syndrome
- chronic kidney disease
- chronic obstructive pulmonary disease
- skeletal muscle
- body mass index
- prognostic factors
- social media
- adipose tissue
- drug induced
- cystic fibrosis
- air pollution
- high resolution
- single molecule