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Volume 7
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10.3390/children7120271
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Article

Evaluating a Standardized Transition of Care Process for Pediatric Inflammatory Bowel Disease Patients

by
Jennifer Lynne Shearer
1,
Sharon Perry
2,
Nicole Lidyard
2,
Carolyn Apperson-Hensen
1,
Sarah DeLozier
3,
Kimberly Burkhart
4,
Jeffry Katz
5 and
Jonathan Moses
1,2,*
1
School of Medicine, Case Western Reserve University, Cleveland, OH 44106, USA
2
UH/Rainbow Babies Children’s Pediatric Gastroenterology, University Hospitals Cleveland, Cleveland, OH 44106, USA
3
Center for Clinical Research, University Hospitals Cleveland, Cleveland, OH 44106, USA
4
UH/Rainbow Babies and Children’s Pediatric Psychology, University Hospitals Cleveland, Cleveland, OH 44106, USA
5
Division of Gastroenterology, University Hospitals Cleveland Medical Center, Cleveland, OH 44106, USA
*
Author to whom correspondence should be addressed.
Children 2020, 7(12), 271; https://doi.org/10.3390/children7120271
Submission received: 23 October 2020 / Revised: 26 November 2020 / Accepted: 1 December 2020 / Published: 4 December 2020
(This article belongs to the Special Issue Integrated Multidisciplinary Care for Pediatric Inflammatory Bowel Disease: Supporting Disease and Psychosocial Outcomes)
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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.
Keywords: inflammatory bowel disease; pediatrics; young adults; transition; multidisciplinary inflammatory bowel disease; pediatrics; young adults; transition; multidisciplinary
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MDPI and ACS Style

Shearer, J.L.; Perry, S.; Lidyard, N.; Apperson-Hensen, C.; DeLozier, S.; Burkhart, K.; Katz, J.; Moses, J. Evaluating a Standardized Transition of Care Process for Pediatric Inflammatory Bowel Disease Patients. Children 2020, 7, 271. https://doi.org/10.3390/children7120271

AMA Style

Shearer JL, Perry S, Lidyard N, Apperson-Hensen C, DeLozier S, Burkhart K, Katz J, Moses J. Evaluating a Standardized Transition of Care Process for Pediatric Inflammatory Bowel Disease Patients. Children. 2020; 7(12):271. https://doi.org/10.3390/children7120271

Chicago/Turabian Style

Shearer, Jennifer Lynne, Sharon Perry, Nicole Lidyard, Carolyn Apperson-Hensen, Sarah DeLozier, Kimberly Burkhart, Jeffry Katz, and Jonathan Moses. 2020. "Evaluating a Standardized Transition of Care Process for Pediatric Inflammatory Bowel Disease Patients" Children 7, no. 12: 271. https://doi.org/10.3390/children7120271

APA Style

Shearer, J. L., Perry, S., Lidyard, N., Apperson-Hensen, C., DeLozier, S., Burkhart, K., Katz, J., & Moses, J. (2020). Evaluating a Standardized Transition of Care Process for Pediatric Inflammatory Bowel Disease Patients. Children, 7(12), 271. https://doi.org/10.3390/children7120271

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