Christine Weirich Paine|Natalie Stollon|Em Rabelais|Lauren D. Brumley|Erika Shehan Poole|Tamara Peyton|Anne W. Grant|Sophie Jan|Symme Trachtenberg|Miriam Zander|Petar Mamula|Christopher P. Bonafide|Lisa A. Schwartz
Barriers and Facilitators to Successful Transition from Pediatric to Adult Inflammatory Bowel Disease Care from the Perspectives of Providers
Children's Hospital of Philadelphia|Children's Hospital of Philadelphia|Children's Hospital of Philadelphia|Children's Hospital of Philadelphia|University of Pennsylvania|Pennsylvania State University|Pennsylvania State University|Children's Hospital of Philadelphia|Children's Hospital of Philadelphia|University of Pennsylvania|Children's Hospital of Philadelphia|University of Pennsylvania|Children's Hospital of Philadelphia|Children's Hospital of Philadelphia|University of Pennsylvania|Children's Hospital of Philadelphia|University of Pennsylvania|Children's Hospital of Philadelphia
adolescents young adults aya inflammatory bowel disease ibd transition pediatric adult care often challenging associated gaps care study objectives 1 identify outcomes evaluating transition success 2 elicit major barriers facilitators successful transitionwe interviewed pediatric adult ibd providers across united states experience caring ayas ibd thematic saturation reached 12 interviews elicited participants backgrounds examples successful unsuccessful transition ayas cared recommendations improving transition using socialecological model adolescent young adult readiness transition framework coded interview transcripts using constant comparative method identified major themesparticipants reported evaluating transition success failure using health care utilization outcomes eg maintaining continuity adult providers health outcomes eg stable symptoms quality life outcomes eg attending school patients level developmental maturity ie ownership care prominent determinant transition outcomes style parental involvement ie helicopter parent versus optimally involved parent degree support providers eg care coordination also influenced outcomesibd transition success influenced complex interplay patient developmental maturity parenting style provider support multidisciplinary ibd care teams aim optimize factors patient increase likelihood smooth transfer adult care