Pollock McLean D, Brotkin Samuel M, Denio Erin, Dave Sneha, Fisher Edwin B, Docherty Sharron L, Maslow Gary R
Department of Psychiatry and Behavioral Sciences, Duke University School of Medicine.
Department of Psychology and Neuroscience, Duke University.
Clin Pract Pediatr Psychol. 2022 Dec;10(4):409-427. doi: 10.1037/cpp0000468.
The purpose of this article is to characterize the current evidence base related to peer support interventions for adolescents and young adults (AYAs) with inflammatory bowel disease (IBD) and to describe a peer support program to enhance self-management for AYAs with IBD through a case study. There is strong theory and compelling evidence suggesting that AYAs with IBD could benefit from and are interested in receiving peer support to enhance self-management; however, literature on peer support interventions for AYAs with IBD is lacking.
This study (a) presents a topical review describing qualitative factors AYAs with IBD would seek in a peer support program as well as existing peer support programs for this population, (b) presents an innovative one-to-one peer support program targeting self-management through a case study, and (c) discusses clinical implications and directions for future research.
Peer support offers a promising approach for AYAs with IBD that is feasible and acceptable to patient populations. However, results from the present topical review identified only two studies that examined peer support interventions for AYAs with IBD. The case study demonstrates how a theoretically driven program uses peer support to promote self-management and adaptive behavioral change.
The paucity of literature in this area reveals a critical opportunity for future research and clinical programming to improve existing practices by leveraging peer support. We present the application of an innovative mobile-based peer coaching intervention that has the potential to support AYAs with IBD in their self-management.
本文旨在阐述与炎症性肠病（IBD）青少年及青年（AYA）同伴支持干预措施相关的现有证据基础，并通过一个案例研究来描述一项旨在增强IBD青少年及青年自我管理能力的同伴支持项目。有强有力的理论和令人信服的证据表明，患有IBD的青少年及青年能从同伴支持中获益，且有兴趣接受同伴支持以增强自我管理能力；然而，关于IBD青少年及青年同伴支持干预措施的文献却很匮乏。
本研究（a）进行了一项专题综述，描述了患有IBD的青少年及青年在同伴支持项目中会寻求的质性因素以及针对该人群的现有同伴支持项目，（b）通过一个案例研究介绍了一项旨在通过同伴支持来增强自我管理能力的创新型一对一同伴支持项目，（c）讨论了临床意义及未来研究方向。
同伴支持为患有IBD的青少年及青年提供了一种有前景的方法，这种方法对患者群体而言是可行且可接受的。然而，本次专题综述的结果仅发现了两项针对患有IBD的青少年及青年同伴支持干预措施的研究。该案例研究展示了一个理论驱动的项目如何利用同伴支持来促进自我管理和适应性行为改变。
该领域文献的匮乏揭示了未来研究和临床规划的一个关键机会，即通过利用同伴支持来改进现有实践。我们介绍了一种创新的基于移动设备的同伴指导干预措施的应用，该措施有可能在自我管理方面支持患有IBD的青少年及青年。
