Related Experiment Video
Updated: Nov 26, 2025
Evaluating Therapeutic Interventions in the SHIP-deficient Mouse Model of Crohn Disease-like Ileitis and Fibrosis
Published on: October 14, 2025
Evaluating a Standardized Transition of Care Process for Pediatric Inflammatory Bowel Disease Patients
Jennifer Lynne Shearer1, Sharon Perry2, Nicole Lidyard2
1School of Medicine, Case Western Reserve University, Cleveland, OH 44106, USA.
Insights
A health maintenance transition visit (HMV) improves readiness for adult care in pediatric inflammatory bowel disease (IBD) patients. The study also highlighted under-diagnosed depression impacting transition preparedness.
Area of Science:
- Pediatric Gastroenterology
- Transition Medicine
- Adolescent Health
Background:
- Lapses in care are common for pediatric inflammatory bowel disease (IBD) patients transitioning to adult care.
- A health maintenance transition visit (HMV) was developed to supplement standard medical care (SMV) and improve this transition.
- Assessing transition readiness is crucial for successful transfer to adult healthcare systems.
Purpose of the Study:
- To evaluate the effectiveness of the HMV in enhancing transition readiness among pediatric IBD patients.
- To identify factors influencing transition preparedness.
- To determine the prevalence of undiagnosed depression in this patient population.
Main Methods:
- Retrospective chart review of 140 pediatric IBD patients at a single center.
- Data collected included demographics, clinical data, Patient Health Questionnaire-9 (PHQ-9) for depression screening, and Transition Readiness Assessment Questionnaire (TRAQ) scores.
- Comparison of TRAQ scores between patients with and without prior HMVs.
Main Results:
- Patients who attended at least one prior HMV demonstrated significantly higher TRAQ scores (92 vs. 83, p < 0.05) compared to those attending their first HMV.
- 36% of patients without a prior depression diagnosis screened positive for depression.
- A significant relationship was found between disease status and PHQ-9 scores (p < 0.05).
Conclusions:
- A structured HMV significantly enhances transition readiness for pediatric IBD patients moving to adult care.
- The study identified a high rate of undiagnosed depression, suggesting it may negatively impact transition preparedness.
- Routine depression screening is essential for this vulnerable population.
Abstract:
To reduce lapses in care for pediatric inflammatory bowel disease (IBD) patients approaching adulthood, a health maintenance transition visit (HMV) was developed to supplement standard medical care (SMV). Our aim was to assess the effect of the HMV on transition readiness. A retrospective chart review was conducted at a single center with demographics and clinical data from HMV and SMV visits. Effectiveness of the HMV was assessed by the patient health questionanaire-9 (PHQ-9) and transition readiness assessment questionnaire (TRAQ) scores. A total of 140 patients, 80% Caucasian and 59% male completed an HMV. The mean age was 18 ± 2 years old, and 93% of patients reported inactive or mild disease. Patients who completed at least 1 prior HMV scored significantly higher on the TRAQ when transferring to adult care compared to patients transferred at their first HMV visit (92 vs. 83, p < 0.05). Of patients with no prior depression diagnosis, 36% had a positive screen for depression. A significant relationship was identified between disease status and PHQ-9 (p < 0.05). This study demonstrated a structured HMV increased transition readiness and quantified the significant under-diagnosis of depression in this population, emphasizing the importance of screening. These results indicate depression may affect patients' transition preparedness.
More Related Videos
05:56Implementation of Non-invasive Point of Care Transient Elastography for Evaluation of Liver Disease in Pediatric Populations with Cystic Fibrosis
Published on: August 29, 2025
08:32Assessment of Intestinal Transcytosis of Neonatal Escherichia coli Bacteremia Isolates
Published on: February 17, 2023
Related Concept Videos
01:30Inflammatory Bowel Disease III: Diagnostic Studies and Management I-Nutritional Therapy
Diagnostic studies
A colonoscopy is the definitive screening test, distinguishing ulcerative colitis from other colon diseases with similar symptoms. During a colonoscopy test, inflamed mucosa with exudate ulcerations can be observed, and biopsies are taken to determine the histologic characteristics of the...
01:21Inflammatory Bowel Disease V: Surgical Management
Here are some common surgical interventions for IBD:
01:29Inflammatory Bowel Disease IV: Pharmacological Management
Pharmacologic...
01:30Inflammatory Bowel Disease II: Crohn's Disease
Inflammatory bowel disease, commonly known as IBD, refers to a collection of disorders that lead to persistent inflammation of the gastrointestinal tract. The two types of IBD are ulcerative colitis, which impacts the colon, and Crohn's disease, which can involve any part of the gastrointestinal segment.
Crohn's disease
Crohn's disease is a chronic, systemic inflammatory bowel disease (IBD) that predominantly affects the gastrointestinal tract. It is marked by...
01:27Inflammatory Bowel Disease I: Ulcerative Colitis
Inflammatory bowel disease, or IBD, encompasses a group of disorders characterized by chronic inflammation or ulceration of the gastrointestinal tract.
Risk Factors
The exact cause of IBD remains unclear, although it is believed to be due to a mix of genetic, environmental, microbial, and immune factors. Genetic factors are significant in determining susceptibility to IBD, with family history being a critical risk factor. Individuals with a first-degree relative who has IBD are at...
01:30Irritable Bowel Syndrome III: Medical and Nursing Management