Does Parenting Style Affect Adolescent IBD Transition Readiness and Self-Efficacy Scores?
Background: Transition to adult-centered care requires adolescents with inflammatory bowel disease (IBD) to acquire a set of independent self-management skills. Transition success can be affected by maturity, cognitive development, and many other factors. Our hypothesis was that parenting style woul...
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| Format: | Article |
| Language: | English |
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MDPI AG
2021-05-01
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| Series: | Children |
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| Online Access: | https://www.mdpi.com/2227-9067/8/5/367 |
| _version_ | 1797535314630148096 |
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| author | Lynsey R. Zuar Kimberley Chien Jennifer Lentine Victoria Cooley Linda M. Gerber Mary J. Ward Laurie Keefer |
| author_facet | Lynsey R. Zuar Kimberley Chien Jennifer Lentine Victoria Cooley Linda M. Gerber Mary J. Ward Laurie Keefer |
| author_sort | Lynsey R. Zuar |
| collection | DOAJ |
| description | Background: Transition to adult-centered care requires adolescents with inflammatory bowel disease (IBD) to acquire a set of independent self-management skills. Transition success can be affected by maturity, cognitive development, and many other factors. Our hypothesis was that parenting style would be associated with increased self-efficacy and therefore transitions readiness. Methods: A prospective cohort survey study of adolescents with IBD and their parents from October 2018 to October 2019 was performed. Participants completed the IBD-Self-Efficacy Scale- Adolescent questionnaire (IBD-SES-A) and the Transition Readiness Assessment Questionnaire (TRAQ). Parents completed the Parent Styles and Dimensions Questionnaire (PSDQ-short form). Demographic and disease information were also collected. Results: Sixty-nine participants were included for full analysis (36 males and 33 females); mean age was 18.2 years, and average age of IBD diagnosis 13 years. Overall, 83% of participants were non-Hispanic Caucasian, and 84% reported parental annual income over USD 100,000. All 69 parents reported an authoritative parenting style. Females have significantly higher TRAQ scores than males (<i>p</i> = 0.0004). TRAQ scores differed significantly between age groups, with 20 to 22 years old having higher scores (<i>p</i> ≤ 0.0001). TRAQ and IBD-SES-A scores did not differ by parental education or parenting style. Conclusion: Given the inability to delineate different parenting, this study was unable to demonstrate a protective parenting style associated with better transitions readiness and self-efficacy scores in adolescents with IBD. Within the context of authoritative parenting, we did find that females and older adolescents had higher transition readiness scores. Additional research into psychosocial determinants of transition readiness, and the importance of multidisciplinary management with an integrated team including psychologist and social workers, can help improve IBD transition outcomes. |
| first_indexed | 2024-03-10T11:42:42Z |
| format | Article |
| id | doaj.art-c467a82d86a148fdaff1d82cda27ee95 |
| institution | Directory Open Access Journal |
| issn | 2227-9067 |
| language | English |
| last_indexed | 2024-03-10T11:42:42Z |
| publishDate | 2021-05-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Children |
| spelling | doaj.art-c467a82d86a148fdaff1d82cda27ee952023-11-21T18:22:19ZengMDPI AGChildren2227-90672021-05-018536710.3390/children8050367Does Parenting Style Affect Adolescent IBD Transition Readiness and Self-Efficacy Scores?Lynsey R. Zuar0Kimberley Chien1Jennifer Lentine2Victoria Cooley3Linda M. Gerber4Mary J. Ward5Laurie Keefer6Division of Pediatric Gastroenterology & Nutrition, Weill Cornell Medicine, New York, NY 10021, USADivision of Pediatric Gastroenterology & Nutrition, Weill Cornell Medicine, New York, NY 10021, USADivision of Pediatric Gastroenterology & Nutrition, Weill Cornell Medicine, New York, NY 10021, USAClinical & Translational Science Center, Weill Cornell Medicine, New York, NY 10021, USAClinical & Translational Science Center, Weill Cornell Medicine, New York, NY 10021, USADevelopment-Behavioral Pediatrics, Weill Cornell Medicine, New York, NY 10021, USASusan and Leonard Feinstein IBD Clinical Center, Icahn School of Medicine at Mount Sinai, New York, NY 10029, USABackground: Transition to adult-centered care requires adolescents with inflammatory bowel disease (IBD) to acquire a set of independent self-management skills. Transition success can be affected by maturity, cognitive development, and many other factors. Our hypothesis was that parenting style would be associated with increased self-efficacy and therefore transitions readiness. Methods: A prospective cohort survey study of adolescents with IBD and their parents from October 2018 to October 2019 was performed. Participants completed the IBD-Self-Efficacy Scale- Adolescent questionnaire (IBD-SES-A) and the Transition Readiness Assessment Questionnaire (TRAQ). Parents completed the Parent Styles and Dimensions Questionnaire (PSDQ-short form). Demographic and disease information were also collected. Results: Sixty-nine participants were included for full analysis (36 males and 33 females); mean age was 18.2 years, and average age of IBD diagnosis 13 years. Overall, 83% of participants were non-Hispanic Caucasian, and 84% reported parental annual income over USD 100,000. All 69 parents reported an authoritative parenting style. Females have significantly higher TRAQ scores than males (<i>p</i> = 0.0004). TRAQ scores differed significantly between age groups, with 20 to 22 years old having higher scores (<i>p</i> ≤ 0.0001). TRAQ and IBD-SES-A scores did not differ by parental education or parenting style. Conclusion: Given the inability to delineate different parenting, this study was unable to demonstrate a protective parenting style associated with better transitions readiness and self-efficacy scores in adolescents with IBD. Within the context of authoritative parenting, we did find that females and older adolescents had higher transition readiness scores. Additional research into psychosocial determinants of transition readiness, and the importance of multidisciplinary management with an integrated team including psychologist and social workers, can help improve IBD transition outcomes.https://www.mdpi.com/2227-9067/8/5/367inflammatory bowel diseaseadolescent transitionparenting styletransition |
| spellingShingle | Lynsey R. Zuar Kimberley Chien Jennifer Lentine Victoria Cooley Linda M. Gerber Mary J. Ward Laurie Keefer Does Parenting Style Affect Adolescent IBD Transition Readiness and Self-Efficacy Scores? Children inflammatory bowel disease adolescent transition parenting style transition |
| title | Does Parenting Style Affect Adolescent IBD Transition Readiness and Self-Efficacy Scores? |
| title_full | Does Parenting Style Affect Adolescent IBD Transition Readiness and Self-Efficacy Scores? |
| title_fullStr | Does Parenting Style Affect Adolescent IBD Transition Readiness and Self-Efficacy Scores? |
| title_full_unstemmed | Does Parenting Style Affect Adolescent IBD Transition Readiness and Self-Efficacy Scores? |
| title_short | Does Parenting Style Affect Adolescent IBD Transition Readiness and Self-Efficacy Scores? |
| title_sort | does parenting style affect adolescent ibd transition readiness and self efficacy scores |
| topic | inflammatory bowel disease adolescent transition parenting style transition |
| url | https://www.mdpi.com/2227-9067/8/5/367 |
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