Exploring peer mentoring in pediatric transition: Perspectives of different stakeholders about accompanying patients in gastroenterology

The literature identifies several issues in the pediatric transition, such as the lack of coordination between pediatric and adult settings and young patients who are not exercising independence in the self-management of their disease. The objective of this study is to explore the potential for a pe...

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Autores principales: Guillaume Dumais-Lévesque, Marie-Pascale Pomey
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Publicado: The Beryl Institute 2020
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spelling oai:doaj.org-article:7573cb6b0042479f91199e4b3ac2cde52021-11-15T04:31:27ZExploring peer mentoring in pediatric transition: Perspectives of different stakeholders about accompanying patients in gastroenterology2372-0247https://doaj.org/article/7573cb6b0042479f91199e4b3ac2cde52020-11-01T00:00:00Zhttps://pxjournal.org/journal/vol7/iss3/10https://doaj.org/toc/2372-0247The literature identifies several issues in the pediatric transition, such as the lack of coordination between pediatric and adult settings and young patients who are not exercising independence in the self-management of their disease. The objective of this study is to explore the potential for a pediatric transition program in gastroenterology, introducing an accompanying patient program to support the transition. A qualitative case study was conducted, including semi-structured focus groups and individual interviews with each group involved in the pediatric transition between two centres in Quebec. A thematic analysis of the collected data was performed using QDA Miner v5.1. In addition to the barriers documented in the literature, such as patients’ poor knowledge of their disease, developmental immaturity and low level of independence, our analysis found that adolescents appear to be quite indifferent to their disease and to the transition. Once they are in an adult health centre, they develop an awareness of the disease’s impact on their lives and would appreciate having support from a peer. In contrast, parents experience considerable anxiety before this transition, and would like to be in contact with other parents. Professionals, for their part, are open to the idea of establishing a peer support program to fill certain gaps in how transfers are organized. One way to improve the transition, as suggested by our respondents, is to set up a peer support program that should evolve over time, being initially implemented for the parents and then for the young adults. <strong>Experience Framework</strong> This article is associated with the Patient, Family & Community Engagement lens of The Beryl Institute Experience Framework. (<a href="http://bit.ly/ExperienceFramework">http://bit.ly/ExperienceFramework</a>) <ul> <li><a href="https://www.theberylinstitute.org/page/PXSEARCH#resource-list-all/?view_28_page=1&view_28_filters=%5B%7B%22field%22%3A%22field_38%22%2C%22operator%22%3A%22in%22%2C%22value%22%3A%5B%22PXJ%20Article%22%5D%7D%2C%7B%22field%22%3A%22field_20%22%2C%22operator%22%3A%22is%22%2C%22value%22%3A%5B%22%22%5D%7D%2C%7B%22field%22%3A%22field_40%22%2C%22operator%22%3A%22is%22%2C%22value%22%3A%5B%22%22%2C%22Patient%2C%20Family%20%26%20Community%20Engagement%22%5D%7D%2C%7B%22field%22%3A%22field_41%22%2C%22operator%22%3A%22is%22%2C%22value%22%3A%5B%22%22%5D%7D%5D">Access other PXJ articles</a> related to this lens.</li> <li><a href="https://www.theberylinstitute.org/page/Ecosystem-PatientFamilyCommunityEngagement">Access other resources</a> related to this lens.</li> </ul>Guillaume Dumais-LévesqueMarie-Pascale PomeyThe Beryl Institutearticlepatient engagementaccompanying patientpeer supportpediatric transitionqualitative methodsquality of careaction researchquality improvementMedicine (General)R5-920Public aspects of medicineRA1-1270ENPatient Experience Journal (2020)
institution DOAJ
collection DOAJ
language EN
topic patient engagement
accompanying patient
peer support
pediatric transition
qualitative methods
quality of care
action research
quality improvement
Medicine (General)
R5-920
Public aspects of medicine
RA1-1270
spellingShingle patient engagement
accompanying patient
peer support
pediatric transition
qualitative methods
quality of care
action research
quality improvement
Medicine (General)
R5-920
Public aspects of medicine
RA1-1270
Guillaume Dumais-Lévesque
Marie-Pascale Pomey
Exploring peer mentoring in pediatric transition: Perspectives of different stakeholders about accompanying patients in gastroenterology
description The literature identifies several issues in the pediatric transition, such as the lack of coordination between pediatric and adult settings and young patients who are not exercising independence in the self-management of their disease. The objective of this study is to explore the potential for a pediatric transition program in gastroenterology, introducing an accompanying patient program to support the transition. A qualitative case study was conducted, including semi-structured focus groups and individual interviews with each group involved in the pediatric transition between two centres in Quebec. A thematic analysis of the collected data was performed using QDA Miner v5.1. In addition to the barriers documented in the literature, such as patients’ poor knowledge of their disease, developmental immaturity and low level of independence, our analysis found that adolescents appear to be quite indifferent to their disease and to the transition. Once they are in an adult health centre, they develop an awareness of the disease’s impact on their lives and would appreciate having support from a peer. In contrast, parents experience considerable anxiety before this transition, and would like to be in contact with other parents. Professionals, for their part, are open to the idea of establishing a peer support program to fill certain gaps in how transfers are organized. One way to improve the transition, as suggested by our respondents, is to set up a peer support program that should evolve over time, being initially implemented for the parents and then for the young adults. <strong>Experience Framework</strong> This article is associated with the Patient, Family & Community Engagement lens of The Beryl Institute Experience Framework. (<a href="http://bit.ly/ExperienceFramework">http://bit.ly/ExperienceFramework</a>) <ul> <li><a href="https://www.theberylinstitute.org/page/PXSEARCH#resource-list-all/?view_28_page=1&view_28_filters=%5B%7B%22field%22%3A%22field_38%22%2C%22operator%22%3A%22in%22%2C%22value%22%3A%5B%22PXJ%20Article%22%5D%7D%2C%7B%22field%22%3A%22field_20%22%2C%22operator%22%3A%22is%22%2C%22value%22%3A%5B%22%22%5D%7D%2C%7B%22field%22%3A%22field_40%22%2C%22operator%22%3A%22is%22%2C%22value%22%3A%5B%22%22%2C%22Patient%2C%20Family%20%26%20Community%20Engagement%22%5D%7D%2C%7B%22field%22%3A%22field_41%22%2C%22operator%22%3A%22is%22%2C%22value%22%3A%5B%22%22%5D%7D%5D">Access other PXJ articles</a> related to this lens.</li> <li><a href="https://www.theberylinstitute.org/page/Ecosystem-PatientFamilyCommunityEngagement">Access other resources</a> related to this lens.</li> </ul>
format article
author Guillaume Dumais-Lévesque
Marie-Pascale Pomey
author_facet Guillaume Dumais-Lévesque
Marie-Pascale Pomey
author_sort Guillaume Dumais-Lévesque
title Exploring peer mentoring in pediatric transition: Perspectives of different stakeholders about accompanying patients in gastroenterology
title_short Exploring peer mentoring in pediatric transition: Perspectives of different stakeholders about accompanying patients in gastroenterology
title_full Exploring peer mentoring in pediatric transition: Perspectives of different stakeholders about accompanying patients in gastroenterology
title_fullStr Exploring peer mentoring in pediatric transition: Perspectives of different stakeholders about accompanying patients in gastroenterology
title_full_unstemmed Exploring peer mentoring in pediatric transition: Perspectives of different stakeholders about accompanying patients in gastroenterology
title_sort exploring peer mentoring in pediatric transition: perspectives of different stakeholders about accompanying patients in gastroenterology
publisher The Beryl Institute
publishDate 2020
url https://doaj.org/article/7573cb6b0042479f91199e4b3ac2cde5
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AT mariepascalepomey exploringpeermentoringinpediatrictransitionperspectivesofdifferentstakeholdersaboutaccompanyingpatientsingastroenterology
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