TY - JOUR
T1 - Effectiveness of Transitional Care in Inflammatory Bowel Disease; Development, Validation, and Initial Outcomes of a Transition Success Score
AU - van Gaalen, Martha A.C.
AU - van Pieterson, Merel
AU - Waaijenberg, Petra
AU - Kindermann, Angelika
AU - Wolters, Victorien M.
AU - Dijkstra, Alie
AU - van Wering, Herbert
AU - Wessels, Margreet
AU - de Ridder, Lissy
AU - Rizopoulos, Dimitris
AU - Derikx, C. A.A.P.Lauranne
AU - Escher, Johanna C.
AU - van Rheenen, Patrick F.
AU - Teklenburg, Sarah T.A.
AU - van Schaik, Fiona D.M.
AU - van der Woude, Janneke C.
AU - Hoekstra, Jildou
AU - de Leest, Marleen
AU - Bakker, Carla
AU - Besuijen-Laterveer, Elvira M.E.
AU - Adriaanse, Esther
AU - Wisse, Jolien
AU - Heida, Marloes
AU - Hurkmans, Pamela
AU - Boontje, Nynke
AU - Toonen, Tessa Z.
AU - Heida, Wendy
N1 - Publisher Copyright:
© The Author(s) 2024.
PY - 2025/4/1
Y1 - 2025/4/1
N2 - Background and Aims: The effectiveness of transition programs from pediatric to adult healthcare in adolescents with inflammatory bowel disease (IBD) is not clear, as prospective studies using validated outcome measures for transition are lacking. This study aimed to develop and validate a quantitative Transition Success Score (TSS), and to apply it in a multicenter setting to assess the effectiveness of transitional care. Methods: The Top 10 outcome items related to a successful transition, identified through an international Delphi study with IBD stakeholders, were integrated into a generic questionnaire, the TSS. In a prospective, multicenter study, the TSS was scored by adult healthcare providers, young adult patients, and caregivers, 9-15 months after transfer of care. Results: In 7 Dutch hospitals, 160 patients completed the TSS. The mean score was 25 (range 17-27), 25.6% of patients achieving maximum score. Hypothesis testing for construct validity revealed significant associations with characteristics related to transitional care, such as knowledge, independence, and quality of life (p < 0.005). Structural validation indicated the score was most effective at discerning lower levels of transition success. Internal consistency was acceptable (0.64). High disease burden, exacerbation during or after transfer, and certain personality profiles were associated with lower scores. Conclusions: The TSS serves as a quantitative tool to evaluate the effectiveness of transitional care interventions and to identify IBD patients at risk of encountering challenges during the transition to adult healthcare.
AB - Background and Aims: The effectiveness of transition programs from pediatric to adult healthcare in adolescents with inflammatory bowel disease (IBD) is not clear, as prospective studies using validated outcome measures for transition are lacking. This study aimed to develop and validate a quantitative Transition Success Score (TSS), and to apply it in a multicenter setting to assess the effectiveness of transitional care. Methods: The Top 10 outcome items related to a successful transition, identified through an international Delphi study with IBD stakeholders, were integrated into a generic questionnaire, the TSS. In a prospective, multicenter study, the TSS was scored by adult healthcare providers, young adult patients, and caregivers, 9-15 months after transfer of care. Results: In 7 Dutch hospitals, 160 patients completed the TSS. The mean score was 25 (range 17-27), 25.6% of patients achieving maximum score. Hypothesis testing for construct validity revealed significant associations with characteristics related to transitional care, such as knowledge, independence, and quality of life (p < 0.005). Structural validation indicated the score was most effective at discerning lower levels of transition success. Internal consistency was acceptable (0.64). High disease burden, exacerbation during or after transfer, and certain personality profiles were associated with lower scores. Conclusions: The TSS serves as a quantitative tool to evaluate the effectiveness of transitional care interventions and to identify IBD patients at risk of encountering challenges during the transition to adult healthcare.
KW - IBD
KW - inflammatory bowel disease
KW - transition
KW - young adults
UR - http://www.scopus.com/inward/record.url?scp=105004075747&partnerID=8YFLogxK
U2 - 10.1093/ecco-jcc/jjae166
DO - 10.1093/ecco-jcc/jjae166
M3 - Article
C2 - 39487645
AN - SCOPUS:105004075747
SN - 1873-9946
VL - 19
JO - Journal of Crohn's and Colitis
JF - Journal of Crohn's and Colitis
IS - 4
M1 - jjae166
ER -