Stollon Natalie, Zhong Yi, Ferris Maria, Bhansali Suneet, Pitts Brian, Rak Eniko, Kelly Maureen, Kim Sandra, van Tilburg Miranda A L
Natalie Stollon, School of Social Work, University of Washington, Seattle, WA 98105, United States.
World J Gastroenterol. 2017 May 14;23(18):3349-3355. doi: 10.3748/wjg.v23.i18.3349.
To describe the longitudinal course of acquisition of healthcare transition skills among adolescents and young adults with inflammatory bowel diseases.
We recruited adolescents and young adults (AYA) with inflammatory bowel diseases (IBD), from the pediatric IBD clinic at the University of North Carolina. Participants completed the TRANSITION Scale™ at least once during the study period (2006-2015). We used the electronic medical record to extract participants' clinical and demographic data. We used ordinary least square regressions with robust standard error clustered at patient level to explore the variations in the levels and growths of healthcare transition readiness.
Our sample ( = 144) ranged in age from 14-22 years. Age was significantly and positively associated with both the level and growth of TRANSITION Scale™ scores ( < 0.01). Many healthcare transition (HCT) skills were acquired between ages 12 and 14 years, but others were not mastered until after age 18, including self-management skills.
This is one of the first studies to describe the longitudinal course of HCT skill acquisition among AYA with IBD, providing benchmarks for evaluating transition interventions.
描述炎症性肠病青少年和青年获取医疗保健过渡技能的纵向过程。
我们从北卡罗来纳大学儿科炎症性肠病诊所招募了患有炎症性肠病（IBD）的青少年和青年（AYA）。参与者在研究期间（2006 - 2015年）至少完成一次《过渡量表™》。我们使用电子病历提取参与者的临床和人口统计学数据。我们使用普通最小二乘法回归，并在患者层面聚类稳健标准误差，以探索医疗保健过渡准备水平和增长的差异。
我们的样本（n = 144）年龄在14至22岁之间。年龄与《过渡量表™》得分的水平和增长均呈显著正相关（P < 0.01）。许多医疗保健过渡（HCT）技能在12至14岁之间获得，但其他技能直到18岁以后才掌握，包括自我管理技能。
这是首批描述患有IBD的AYA获取HCT技能纵向过程的研究之一，为评估过渡干预提供了基准。
