Systematic Review of Factors Affecting Transition Readiness Skills in Patients with Inflammatory Bowel Disease

被引:17
作者
Johnson, Lara E. [1 ]
Lee, Matthew J. [2 ,3 ]
Turner-Moore, Tamara [4 ]
Tate, Lydia R. Grinsted [1 ]
Brooks, Alenka J. [5 ,6 ]
Tattersall, Rachel S. [7 ,8 ]
Jones, Georgina L. [4 ]
Lobo, Alan J. [5 ,6 ]
机构
[1] Univ Sheffield, Med Sch, Beech Hill Rd, Sheffield S10 2RX, S Yorkshire, England
[2] Univ Sheffield, Med Sch, Dept Oncol & Metab, Sheffield, S Yorkshire, England
[3] Sheffield Teaching Hosp NHS Fdn Trust, Acad Directorate Gen Surg, Sheffield, S Yorkshire, England
[4] Leeds Beckett Univ, Sch Social Sci, Dept Psychol, Leeds, W Yorkshire, England
[5] Univ Sheffield, Acad Dept Gastroenterol, Sheffield, S Yorkshire, England
[6] Sheffield Teaching Hosp NHS Fdn Trust, Sheffield, S Yorkshire, England
[7] Sheffield Teaching Hosp NHS Fdn Trust, Dept Rheumatol, Sheffield, S Yorkshire, England
[8] Sheffield Childrens Hosp, Sheffield, S Yorkshire, England
关键词
Transition; adolescents; systematic review; ADULT HEALTH-CARE; SELF-MANAGEMENT; YOUNG-ADULTS; ADOLESCENTS; KNOWLEDGE; EFFICACY; YOUTH; DISPARITIES; CHILD; IBD;
D O I
10.1093/ecco-jcc/jjaa245
中图分类号
R57 [消化系及腹部疾病];
学科分类号
摘要
Background and Aims: The incidence of inflammatory bowel disease [IBD] diagnosed before adulthood is increasing worldwide. Transition from paediatric to adult health care requires certain skills.The aim of this study was to identify factors affecting these skills. Methods: This review was registered on the PROSPERO database [CRD42019152272]. Inclusion criteria were: 1] studies of factors affecting transition readiness skills in patients with IBD; 2] written in English; 3] published since 1999. MEDLINE, CINAHL, and PsychINFO databases were searched between 1999 and 2019. Quality was assessed using the Joanna Briggs Institute critical appraisal tools. Results: Searches identified 822 papers. Sixteen papers were included. Age was positively associated with skills including disease knowledge and performing self-management behaviours [14 studies]. Improvement often occurs at 18; however, skill deficiency may still remain. Increased self-efficacy [confidence] was associated with greater disease knowledge and performing self-management behaviours [three studies]. Self-efficacy was positively correlated with transition duration [two studies] and health-related quality of life [r = 0.57, p <0.001] [one study], negatively correlated with depression [r = -0.57, p <0.001] and anxiety [r = -0.23, p = 0.03] lone study], and was associated with higher education level [two studies] and a family history of IBD [one study]. Females had higher self-management scores [three studies], and greater health care satisfaction was significantly associated with higher knowledge [one study]. Greater transition communication improved knowledge, self-management, and overall transition readiness [two studies]. Conclusions: Potentially modifiable factors have been identified that could be supported in the transitioning IBD population, to improve transition readiness. Identification of those with non-modifiable characteristics associated with poor readiness may aid targeted support.
引用
收藏
页码:1049 / 1059
页数:11
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