The Journey to Autonomy: Understanding Parental Concerns During the Transition of Children with Chronic Digestive Disorders
Abstract
1. Introduction
- ➢
- To realize a sociodemographic characterization of the studied population;
- ➢
- To establish the particularities of families and children with chronic digestive diseases living in the North East Region of Romania, who are on the verge of transitioning from the pediatric to the adult-oriented healthcare system;
- ➢
- To identify parental appreciation of their children’s abilities of self-management of the chronic disease;
- ➢
- To identify parents’ perception related to the transition process;
- ➢
- To identify parents’ feelings, needs and worries related to the transition process;
- ➢
- To identify parents’ wishes related to the transition;
- ➢
- To identify potentially modifiable parent-related risk factors that could be addressed through active interventions.
2. Materials and Methods
2.1. Participants and Sampling
2.2. Survey Design and Validation
- S-CVI/Ave = 0.95;
- Expert 1 Proportion Relevance = 0.96;
- Expert 2 Proportion Relevance = 0.93;
- S-CVI/UA = 0.90.
2.3. Data Collection
2.4. Statistical Analysis
3. Results
3.1. Sociodemographic Characterization
3.2. Parental Perception of Adolescents’ Transition Readiness
3.3. Parental Needs and Fears Regarding the Transition Process
4. Discussion
5. Conclusions
Supplementary Materials
Author Contributions
Funding
Institutional Review Board Statement
Informed Consent Statement
Data Availability Statement
Conflicts of Interest
References
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Responders | |||||
---|---|---|---|---|---|
% | n | ||||
Environment | Urban | 26.5% | 33 | ||
Rural | 73.4% | 91 | |||
Responder’s relationship to patient | Mother | 81.5% | 101 | ||
Father | 9.7% | 12 | |||
Grandparent | 2.4% | 3 | |||
Foster parent | 6.5% | 8 | |||
Family environment stability | Living with both parents | 55.6% | 69 | ||
Living with one parent | Mother | 30.6% | 38 | ||
Father | 4.8% | 4 | |||
Living in foster care homes | 6.5% | 8 | |||
Living with grandparents | 2.5% | 3 | |||
Parental legal status | Married | 45.2% | 56 | ||
Divorced | 27.4% | 34 | |||
Cohabitating | 19.4% | 24 | |||
One deceased parent | 8% | 10 | |||
Family components | One child | 6.5% | 8 | ||
Two children | 25.8% | 32 | |||
Three children | 28.2% | 35 | |||
Four/five children | 28.2% | 35 | |||
More than five children | 11.3% | 14 | |||
Legal guardian‘s education level | Primary school | 0.8% | 1 | ||
Secondary school | 1.6% | 2 | |||
Highschool | Graduated | 30.6% | 38 | ||
Not graduated | 28.8% | 37 | |||
Higher education (school of arts) | 25.8% | 32 | |||
University | 11.3% | 14 |
Variable 1 | Variable 2 | R Square | p-Value | Observations |
---|---|---|---|---|
Living environment | Encouragement of independent consultation | 0.7000901 | p = 0.000 | 124 |
Living environment | Allowing children to express themselves freely | 0.79507 | ||
Trust in children’s self-management abilities | Encouragement of independent consultation | 0.66743 | ||
Encouragement to keep records of their health and medication | Allowing children to express themselves freely | 0.90129 * | ||
Encouragement to keep records of their health and medication | Chronic disease knowledge | 0.929443 * | ||
Trust in children’s self-management abilities | Encouragement of children’s decision | 0.952386 * | ||
Encouragement of children’s decision | Perceived level of preparedness for the transition | 0.954914 * | ||
Encouragement of children’s decision | Fear of an acute episode in the absence of an adult gastroenterologist | 0.751372 | ||
Desire to receive continuous advice from the pediatric gastroenterologist | Family environment | 0.69458 | ||
Healthcare insurance costs after the age of 18 | Living environment | 0.79507 | ||
Respondent | Family environment | 0.824273 | ||
Fear for children‘s healthcare-related choices | Fear of therapeutic breaks during transition | 0.985199 * | ||
Need transition training | Fear of therapeutic breaks during transition | 0.992368 * | ||
Fear of therapeutic breaks during transition | Usefulness of a discussion with an adult gastroenterologist | 0.984314 * |
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© 2025 by the authors. Published by MDPI on behalf of the Lithuanian University of Health Sciences. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
Share and Cite
Poamaneagra, S.C.; Axinte, S.; Anton, C.; Tătăranu, E.; Mihai, C.; Balan, G.G.; Gîlca-Blanariu, G.-E.; Timofte, O.; Mihaela, F.A.; Roșu, O.M.; et al. The Journey to Autonomy: Understanding Parental Concerns During the Transition of Children with Chronic Digestive Disorders. Medicina 2025, 61, 1338. https://doi.org/10.3390/medicina61081338
Poamaneagra SC, Axinte S, Anton C, Tătăranu E, Mihai C, Balan GG, Gîlca-Blanariu G-E, Timofte O, Mihaela FA, Roșu OM, et al. The Journey to Autonomy: Understanding Parental Concerns During the Transition of Children with Chronic Digestive Disorders. Medicina. 2025; 61(8):1338. https://doi.org/10.3390/medicina61081338
Chicago/Turabian StylePoamaneagra, Silvia Cristina, Sorin Axinte, Carmen Anton, Elena Tătăranu, Catalina Mihai, Gheorghe G. Balan, Georgiana-Emmanuela Gîlca-Blanariu, Oana Timofte, Frenți Adina Mihaela, Oana Maria Roșu, and et al. 2025. "The Journey to Autonomy: Understanding Parental Concerns During the Transition of Children with Chronic Digestive Disorders" Medicina 61, no. 8: 1338. https://doi.org/10.3390/medicina61081338
APA StylePoamaneagra, S. C., Axinte, S., Anton, C., Tătăranu, E., Mihai, C., Balan, G. G., Gîlca-Blanariu, G.-E., Timofte, O., Mihaela, F. A., Roșu, O. M., Anchidin-Norocel, L., & Diaconescu, S. (2025). The Journey to Autonomy: Understanding Parental Concerns During the Transition of Children with Chronic Digestive Disorders. Medicina, 61(8), 1338. https://doi.org/10.3390/medicina61081338