Clinical Application of a Peer Coaching Intervention to Enhance Self-Management for Adolescents and Young Adults With Inflammatory Bowel Disease.
Clinical Application of a Peer Coaching Intervention to Enhance Self-Management for Adolescents and Young Adults With Inflammatory Bowel Disease.
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同伴辅导干预的临床应用，以增强患有炎症性肠病的青少年和年轻人的自我管理。
DOI：
10.1037/cpp0000468
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发表时间：
2022
影响因子：
1.1
通讯作者：
Maslow,GaryR
中科院分区：
文献类型：
--
作者：
Pollock,McLeanD;Brotkin,SamuelM;Denio,Erin;Dave,Sneha;Fisher,EdwinB;Docherty,SharronL;Maslow,GaryR
目的：本文的目的是描述与炎症性肠病 (IBD) 青少年和年轻人 (AYA) 同伴支持干预相关的当前证据基础，并通过案例研究描述旨在加强 IBD AYA 自我管理的同伴支持计划。有强有力的理论和令人信服的证据表明，患有 IBD 的 AYA 可以受益于并有兴趣接受同伴支持以加强自我管理；方法：本研究 (a) 进行了专题综述，描述了患有 IBD 的 AYA 在同伴支持计划以及针对该人群的现有同伴支持计划中寻求的定性因素，(b) 通过案例研究提出了一项针对自我管理的创新的一对一同伴支持计划，以及 (c) 讨论了未来研究的临床意义和方向。结果：同伴支持为患有 IBD 的 AYA 提供了一种有前景且可行的方法并为患者群体所接受。然而，当前专题综述的结果仅确定了两项研究对患有 IBD 的 AYA 进行同伴支持干预的研究。该案例研究展示了理论驱动的计划如何利用同伴支持来促进自我管理和适应性行为改变。结论：该领域文献的缺乏揭示了未来研究和临床规划通过利用同伴支持来改进现有实践的关键机会。我们提出了一种基于移动设备的创新同伴指导干预措施的应用，该干预措施有可能支持 IBD 患者的自我管理。影响陈述的意义本文的目的是介绍与炎症性肠病 (IBD) 青少年和年轻人 (AYAs) 同伴支持相关的当前证据基础，并通过案例研究描述一个同伴支持计划，以增强 IBD 患者的自我管理。同伴支持，例如本文中介绍的一对一同伴辅导模式，为患有 IBD 的 AYA 提供了一种有前景的方法，该方法可行、适合发展且为患者群体所接受。鉴于有关 IBD AYA 同伴支持干预的文献才刚刚起步，需要进一步研究来发展这一领域并为临床实践提供信息，临床实践应考虑在 IBD AYA 目前参与的环境中有意利用同伴支持的机会。
Objective:The purpose of this article is to characterize the current evidence base related to peer support interventions for adolescents and young adults (AYAs) with inflammatory bowel disease (IBD) and to describe a peer support program to enhance self-management for AYAs with IBD through a case study. There is strong theory and compelling evidence suggesting that AYAs with IBD could benefit from and are interested in receiving peer support to enhance self-management; however, literature on peer support interventions for AYAs with IBD is lacking.Methods:This study (a) presents a topical review describing qualitative factors AYAs with IBD would seek in a peer support program as well as existing peer support programs for this population, (b) presents an innovative one-to-one peer support program targeting self-management through a case study, and (c) discusses clinical implications and directions for future research.Results:Peer support offers a promising approach for AYAs with IBD that is feasible and acceptable to patient populations. However, results from the present topical review identified only two studies that examined peer support interventions for AYAs with IBD. The case study demonstrates how a theoretically driven program uses peer support to promote self-management and adaptive behavioral change.Conclusions:The paucity of literature in this area reveals a critical opportunity for future research and clinical programming to improve existing practices by leveraging peer support. We present the application of an innovative mobile-based peer coaching intervention that has the potential to support AYAs with IBD in their self-management.Implications for Impact StatementThe purpose of this article is to present the current evidence base related to peer support for adolescents and young adults (AYAs) with inflammatory bowel disease (IBD) and to describe a peer support program to enhance self-management for AYAs with IBD through a case study. Peer support, such as the one-to-one peer coaching model presented in this article, offers a promising approach for AYAs with IBD that is feasible, developmentally appropriate, and acceptable to patient populations. Given the nascent nature of the literature on peer support interventions for AYAs with IBD, further research is needed to develop this area and inform clinical practice, which should consider opportunities to intentionally leverage peer support in settings in which AYAs with IBD currently engage.