Cited by 34Adolescent and Pediatric HealthcareInflammatory Bowel DiseaseFamily Support in Illness

The evolution of IBD perceived engagement and care needs across the life-cycle: a scoping review

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Volpato, E., Bosio, C., Previtali, E., Leone, S., Armuzzi, A., Pagnini, F., Graffigna, G.·2021·BMC Gastroenterology

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Abstract

Background: The chronic and progressive evolution of Inflammatory Bowel Diseases (IBD), with its prototypical fluctuating trend, creates a condition of psycho-social discomfort, impacting the quality of life in terms of personal, working, and interpersonal. Aims: In this article, we want to identify the nature and extent of the research evidence on the life experiences, the perceived engagement, the psychological, social care and welfare needs of people affected by IBD across the lifecycle. Methods: Following the approach set out by Arksey and O’Malley and the PRISMA extension for scoping reviews, we conducted a scoping review in March 2019 and closed the review with an update in October 2019. It was performed using electronic databases covering Health and Life Sciences, Social Sciences and Medical Sciences, such as PubMed, Medline, Embase, Scopus, Cochrane, Web of Science, PsycInfo. Results: We identified 95 peer-reviewed articles published from 2009 to 2019, that allowed to detection the main needs in children (psychological, need to be accepted, physical activity, feeding, parent style, support, social needs), adolescents (to understand, physical and psychological needs, protection, relational, gratitude, respect, and engagement) and adults (information, medical, psychological, social, work-related, practical, future-related, engagement). Although the literature confirms that the majority of the IBD units have planned provision for the different types of transitions, the quality and appropriateness of these services have not been assessed or audited for all the kinds of challenges across the life cycle. Conclusions: The literature shows the relevance of organizing a flexible, personalized health care process across all the critical phases of the life cycle, providing adequate benchmarks for comparison in a multidisciplinary perspective and ensuring continuity between hospital and territory.

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  • The use of personal values as a navigational tool aims to empower individuals to confront avoidant behavior, a common coping strategy in IBD given the nature of symptoms, which often leads to worsened outcomes in all aspects of an individual's everyday life.

    “The use of personal values as a navigational tool aims to empower individuals to confront avoidant behavior, a common coping strategy in IBD given the nature of symptoms, which often leads to worsened outcomes in all aspects of an individual’s everyday life (Volpato et al., 2021).”

    From Moving Towards Acceptance and Values: A Qualitative Study of ACTforIBD Compared to IBD Psychoeducation (2024) · cites this paper as Volpato et al., 2021

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  • This may be why modules on assertiveness and self-esteem were so well received by this group.

    “and this may be why modules on assertiveness and self-esteem were so well received by this group (Volpato et al., 2021).”
  • Feelings of powerlessness or shame are commonly associated with a diagnosis of IBD, resulting from unpredictability of symptoms and societal stigma.

    “Feelings of powerlessness or shame are commonly associated with a diagnosis of IBD, resulting from unpredictability of symptoms and societal stigma”

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Research works printed but not linked: 1

  1. [57]Whitfield EP Fredericks EM Eder SJ Shpeen BH Adler J Transition readiness in pediatric patients with inflammatory bowel disease J Pediatr Gastroenterol Nutr 2015 60 36 41 10.1097/MPG.0000000000000555 25199036 PMC4624208 · DOI

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Authors
Volpato, E., Bosio, C., Previtali, E., Leone, S., Armuzzi, A., Pagnini, F., & Graffigna, G.
Affiliations
Università Cattolica del Sacro Cuore (IT)
Corresponding author
Volpato, E.
Venue
BMC Gastroenterology
Published
2021-07-14
Volume
21
Issue
1
Pages
293-293
ISSN
1471-230X (ISSN-L)
OpenAlex
W3178375929
Cited by
34
References
102
Citations by year
2026: 7 · 2025: 9 · 2024: 10 · 2023: 4 · 2022: 1 · 2021: 3
FWCI
1.02
Type
journal article
Language
en
Open access
Locations
  • BMC Gastroenterology (publishedVersion, cc-by)
  • Research Square (acceptedVersion, cc-by)
  • PubMed Central (publishedVersion, cc-by)
  • PubMed (publishedVersion)
  • Lirias (submittedVersion, other-oa)
  • DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
  • PubliCatt (Università Cattolica del Sacro Cuore) (submittedVersion, other-oa)
Topics
  • Health Sciences › Health Professions › Speech and Hearing › Adolescent and Pediatric Healthcare
  • Life Sciences › Biochemistry, Genetics and Molecular Biology › Genetics › Inflammatory Bowel Disease
  • Social Sciences › Sociology and Political Science › Family Support in Illness
Keywords
inflammatory bowel disease, life cycle, care needs, patient engagement, psychological needs, social needs, children, adolescents, adults, quality of life, care transitions, personalized healthcare, continuity of care
MeSH terms
Adolescent, Adult, Animals, Child, Humans, Life Cycle Stages, Parents, Quality of Life, Social Support, Inflammatory Bowel Diseases

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