Mo-Im Kim Nursing Research Institute, College of Nursing, Yonsei University, Seoul 03722, Korea.
Brain Korea 21 FOUR Project, College of Nursing, Yonsei University, Seoul 03722, Korea.
Int J Environ Res Public Health. 2022 Jan 18;19(3):1056. doi: 10.3390/ijerph19031056.
Adolescents with spina bifida (SB) face challenges in their transition to adulthood due to intensive medical regimens and delayed development of independence. Despite an increasing interest in the transition of adolescents with SB to adulthood, the clinical evidence of transition care remains limited, and existing studies have focused on the effects of intervention programs. This study aims to describe the process of systematically developing an online-based transition care program for adolescents with SB using the intervention mapping (IM) protocol. IM consists of six steps: (1) logic model of the problem; (2) program objectives; (3) program design; (4) program production; (5) plan to implement the program; (6) plan for evaluation. At first, five problems faced during the transition were identified, based on which four program objectives and six program strategies were established. The online transition care program for adolescents with SB was developed as a six-week program. The main strength of this program is that it reflects the diverse perspectives of adults with SB and health care professionals and is easy to apply because it is online. We aim to further validate the feasibility of this transitional care program to evaluate its effect based on our evaluation plan.
青少年脊柱裂（SB）由于密集的医疗方案和独立性发展延迟，在向成年期过渡时面临挑战。尽管人们对 SB 青少年向成年期过渡越来越感兴趣，但过渡护理的临床证据仍然有限，现有研究主要集中在干预计划的效果上。本研究旨在使用干预映射（IM）方案描述为 SB 青少年开发基于在线的过渡护理计划的系统过程。IM 包括六个步骤：（1）问题的逻辑模型；（2）计划目标；（3）计划设计；（4）计划制作；（5）实施计划；（6）计划评估。首先，根据在过渡期间遇到的五个问题，确定了四个计划目标和六个计划策略。为 SB 青少年开发的在线过渡护理计划是一个为期六周的计划。该计划的主要优势在于它反映了 SB 成年患者和医疗保健专业人员的不同观点，并且由于是在线的，因此易于应用。我们旨在进一步验证该过渡护理计划的可行性，根据我们的评估计划评估其效果。
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