Building a Self-Management Toolkit for Patients with Pediatric Inflammatory Bowel Disease: Introducing the resilience
Sara Ahola Kohut1, Laurie Keefer2
1Department of Gastroenterology, Hepatology, and Nutrition, Hospital for Sick Children, 555 University Avenue, Toronto, Onatrio, Canada.
Insights
Developing resilience skills like self-efficacy and social support is crucial for adolescents and young adults with inflammatory bowel disease (IBD) during their transition to adult healthcare. These teachable skills aid self-management and resilience.
Area of Science:
- Pediatric to adult healthcare transition
- Inflammatory Bowel Disease (IBD) management
- Adolescent and young adult health
Background:
- Transitioning from pediatric to adult healthcare is complex for youth with Inflammatory Bowel Disease (IBD).
- Many IBD clinical teams lack resources for comprehensive transition programs.
- Effective transition support is vital for long-term patient outcomes.
Purpose of the Study:
- To describe the Resilience5 framework for supporting IBD transition care.
- To identify key teachable skills for enhancing adolescent and young adult resilience.
- To provide a resource for IBD clinical teams to implement transition interventions.
Main Methods:
- This is a review article.
- The Resilience5 framework is described, encompassing five key skill domains.
- The review synthesizes existing knowledge on resilience and IBD self-management.
Main Results:
- The Resilience5 framework includes: self-efficacy, disease acceptance, self-regulation, optimism, and social support.
- These skills are teachable and can be integrated into routine IBD care.
- The framework aims to offset disease-interfering behaviors and build resilience.
Conclusions:
- The Resilience5 framework offers a practical approach to support IBD self-management during healthcare transitions.
- Implementing these skills can improve resilience in adolescents and young adults with IBD.
- Routine reinforcement of these skills in clinical settings is recommended.
Abstract:
Transition from pediatric to adult health care is a complex process that calls for complex interventions and collaboration between health care teams and families. However, many inflammatory bowel disease (IBD) clinical care teams do not have the resources to implement rigorous transition programs for youth. This review provides a description of the Resilience5: self-efficacy, disease acceptance, self-regulation, optimism, and social support. The Resilience5 represents teachable skills to support IBD self-management, offset disease interfering behaviors, and build resilience in adolescents and young adults transitioning to adult health care systems. These skills can also be encouraged and reinforced during routine IBD clinical care.
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