Evidence map›Paper›PMID 33631616›Full record

ArticleJournal of psychosomatic research2021

Empowered transitions: Understanding the experience of transitioning from pediatric to adult care among adolescents with inflammatory bowel disease and their parents using photovoice.

Jordyn H Feingold, Halley Kaye-Kauderer, Michelle Mendiolaza, Marla C Dubinsky, Laurie Keefer, Ksenia Gorbenko

Open access · greenAbstract read
In one paragraph

Article in Journal of psychosomatic research, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed, 1 pooled it
5.5field-weighted citation impact, top 4% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

13 citing papers in PubMed, 1 synthesis or guideline pooled it, 25 citations in OpenAlex.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors at 1 institution in 1 country.

Jordyn H FeingoldDepartment of Medical Education, Icahn School of Medicine at Mount Sinai, New York, NY, United States of America. Electronic address: Jordyn.feingold@icahn.mssm.edu.
Halley Kaye-KaudererDepartment of Medical Education, Icahn School of Medicine at Mount Sinai, New York, NY, United States of America. Electronic address: Halley.kaye-kauderer@icahn.mssm.edu.
Michelle MendiolazaThe Susan and Leonard Feinstein Mount Sinai Inflammatory Bowel Disease Center, Department of Gastroenterology, Icahn School of Medicine at Mount Sinai, New York, NY, United States of America. Electronic address: Michelle.mediolaza@mssm.edu.
Marla C DubinskyThe Susan and Leonard Feinstein Mount Sinai Inflammatory Bowel Disease Center, Department of Gastroenterology, Icahn School of Medicine at Mount Sinai, New York, NY, United States of America. Electronic address: Marla.dubinsky@mssm.edu.
Laurie KeeferThe Susan and Leonard Feinstein Mount Sinai Inflammatory Bowel Disease Center, Department of Gastroenterology, Icahn School of Medicine at Mount Sinai, New York, NY, United States of America. Electronic address: Laurie.keefer@mssm.edu.
Ksenia GorbenkoDepartment of Population Health Science and Policy, Icahn School of Medicine at Mount Sinai, New York, NY, United States of America. Electronic address: Ksenia.gorbenko@mssm.edu.
Icahn School of Medicine at Mount Sinai · US

Funding

Conduits: MSHS Translational Science HubTL1TR001434 · NCATS · ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI · PI GABRILOVE, JANICE L · 2015 to 2019
$2.1M
NCATS NIH HHS TL1 TR001434
6 · The paper itself

Abstract

objectiveTo identify barriers and facilitators of pediatric to adult transitions among adolescents with IBD and their parents.

methodsThis cross-sectional study used photovoice to explore adolescent and parent perspectives on transitions in IBD care. Adolescents with IBD aged 14-23 and their parents were recruited from an urban IBD center during clinic visits. Participants completed a survey, took photos, participated in a semi-structured interview, and optionally participated in a focus group. Interviews were recorded and transcribed. Two analysts coded interview data for themes using MAXQDA software.

resultsThirteen adolescents and eleven parents submitted photos and participated in an interview. The mean patient age was 19.0 ± 3.0. The mean parent age was 51.5 ± 5.4. Eleven (84.6%) adolescents were Caucasian; 12 (92.3%) privately insured; 4 (30.8%) in high school, 5 (38.4%) in college, and 4 (30.8%) in the workforce. Adolescent transition-readiness, resilience, and IBD-related self-efficacy scores were relatively high, with high agreement between patient self-report and parent-reported children's resilience; parents over-estimated their children's IBD-related self-efficacy. Participants discussed barriers to transitions including psychological distress, disease uncertainty, gut-brain axis-related issues, a lack of understanding by people unaffected by IBD, and frequent life disruptions. Facilitators of transitions included having a disease narrative, deliberately shifting responsibility for disease management tasks, positivity/optimism, social support, engagement with the IBD community, and mental health support.

conclusionAttention to psychosocial issues is warranted during the transition process from pediatric to adult IBD care, specifically related to understanding the gut-brain axis and accessing resources to optimize mental health and well-being among transition-aged adolescents and their caregivers.

Indexed as

EmpowermentAdolescentAdultAgedChildCross-Sectional StudiesFocus GroupsHumansInflammatory Bowel DiseasesMaleParentsSelf EfficacySocial SupportSurveys and QuestionnairesTransition to Adult CareYoung AdultAdolescentsGut-brain axisInflammatory bowel diseaseParentsTransitions

Identifiers

PMID33631616
PMCPMC8098753
OpenAlexW3133126906

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.