Zhu Yangfan, Chen Yueyue, Hu Jinjiu, Wan Xin, Guo Hong, Liu Yan, Tan Wei, Song Xiaomei, Zhou Xiaoqin, Wang Delin, Zhang Xin, Zheng Xianlan
Department of Gastroenterology, Chongqing General Hospital, Chongqing University, Chongqing, China.
Department of Nursing, Ministry of Education Key Laboratory of Child Development and Disorders, Chongqing Key Laboratory of Pediatric Metabolism and Inflammatory Diseases, Children's Hospital of Chongqing Medical University National Clinical Research Center for Child Health and Disorders, Chongqing, China.
Trials. 2025 Jul 30;26(1):264. doi: 10.1186/s13063-025-08959-8.
The incidence of inflammatory bowel disease (IBD) in China has been continuously increasing, with adolescents constituting the peak age group for onset. Effective self-management behaviors are critical for achieving disease remission and facilitating the transition of adolescents with IBD from childhood to adulthood. However, unmet basic psychological needs frequently erode motivation for self-management, resulting in suboptimal self-care practices. There is a pressing need for intervention programs that address these psychological dimensions to enhance self-management behaviors in this population. The Solution-Focused Approach offers valuable insights for designing such interventions.
This study integrates the Solution-Focused Approach and Self-Determination Theory to design a multi-component, short-term remote intervention program, which is based on evidence and informed by practical surveys. A two-center randomized controlled trial is conducted to assess the effectiveness of this program. Participants are recruited from the gastroenterology wards of two tertiary hospitals in Chongqing, China, and then randomly assigned in a 1:1 ratio to either the intervention or control group. The control group receives standard discharge care, whereas the intervention group receives both the proposed intervention and standard discharge care. The outcome parameters include self-management behaviors, basic psychological needs, perceived social support, anxiety and depression levels, disease activity, and healthcare resource utilization.
The intervention program developed in this study is grounded in a robust theoretical framework, empirical evidence, and practical surveys. The findings of this research can provide a valuable reference for designing clinical self-management interventions for adolescents with IBD.
中国炎症性肠病（IBD）的发病率持续上升，青少年是发病的高峰年龄组。有效的自我管理行为对于实现疾病缓解以及促进患有IBD的青少年从儿童期过渡到成年期至关重要。然而，未满足的基本心理需求常常削弱自我管理的动力，导致自我护理实践效果不佳。迫切需要针对这些心理层面的干预项目，以增强该人群的自我管理行为。聚焦解决方案的方法为设计此类干预措施提供了宝贵的见解。
本研究将聚焦解决方案的方法和自我决定理论相结合，设计了一个多组件、短期的远程干预项目，该项目基于证据并参考了实际调查。进行一项双中心随机对照试验以评估该项目的有效性。参与者从中国重庆两家三级医院的胃肠病科病房招募，然后以1:1的比例随机分配到干预组或对照组。对照组接受标准出院护理，而干预组则接受提议的干预措施和标准出院护理。结果参数包括自我管理行为、基本心理需求、感知社会支持、焦虑和抑郁水平、疾病活动度以及医疗资源利用情况。
本研究开发的干预项目基于强大的理论框架、实证证据和实际调查。本研究结果可为设计针对IBD青少年的临床自我管理干预措施提供有价值的参考。
