Evidence map›Paper›PMID 38841139›Full record

ArticleJournal of the Canadian Association of Gastroenterology2024

Perspectives of patients, parents, and health care providers on facilitators of and barriers to the transition from pediatric to adult care in inflammatory bowel disease: a qualitative descriptive study.

Allison Bihari, Eytan Wine, Cynthia H Seow, Karen J Goodman, Karen I Kroeker

Abstract read
In one paragraph

Article in Journal of the Canadian Association of Gastroenterology, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
–field-weighted citation impact
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

4 citing papers in PubMed.

  1. Review
  2. Article
  3. Article
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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

5 authors.

Allison BihariDivision of Gastroenterology, Department of Medicine, University of Alberta, Edmonton, Alberta T6G 2X8, Canada.ORCID https://orcid.org/0000-0002-7315-9368
Eytan WineDivision of Pediatric Gastroenterology & Nutrition, Department of Pediatrics, University of Alberta, Edmonton, Alberta T6G 1C9, Canada.ORCID https://orcid.org/0000-0002-3458-4142
Cynthia H SeowDivision of Gastroenterology, Departments of Medicine and Community Health Sciences, University of Calgary, Calgary, Alberta T2N 4Z6, Canada.ORCID https://orcid.org/0000-0002-1551-9054
Karen J GoodmanDivision of Gastroenterology, Department of Medicine, University of Alberta, Edmonton, Alberta T6G 2X8, Canada.
Karen I KroekerDivision of Gastroenterology, Department of Medicine, University of Alberta, Edmonton, Alberta T6G 2X8, Canada.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: The typical transition from pediatric to adult care in patients with inflammatory bowel disease occurs with an increase in health care utilization and a decrease in adherence to medications and scheduled appointments. An effective transition could reduce negative impacts but requires identifying opportunities to improve this process. This study aims to describe barriers and facilitators of transition according to patients, parents, and health care providers. Methods: This study used a qualitative description approach. The lead author conducted semi-structured interviews with 17 patients, 13 parents, and 15 providers recruited from Western Canada. Latent content analysis identified themes in interview transcripts. Results: The theme of preparedness emerged across all groups as a transition facilitator. Other facilitators that emerged included patient characteristics, supportive parents, home environment, and supportive adult care team. Themes of barriers that emerged included patient factors, "hovering parents" and family factors, navigating a new health care system, and travel distance. Conclusions: This study describes facilitators and barriers according to each stakeholder involved in the transition process. Future studies should focus on designing and evaluating interventions aimed at promoting facilitators and addressing identified barriers in patients preparing to transition from pediatric to adult care.

Indexed as

inflammatory bowel diseasepediatric chronic diseasetransition of care

Identifiers

PMID38841139
PMCPMC11149662

What OpenQuestion holds

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LicenceCC BY
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Registered trials

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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.