Transition of children with inflammatory bowel disease: Big task, little evidence

Table 2 Clinical transition framework[9]

	Early (10 to 12 years of age)	Middle (13 to 15 years of age)	Late (16 to 18 years of age)
Self-advocacy	Describe GI condition	Name and describe the role of those involved in care	Review successful changes achieved in life
	Learn about transition process	Learn about rights and responsibilities	Review GI conditions and ways to stay informed
Independent behaviors	Name medications and doses	Describe tests and reasons for them	Demonstrate knowledge in dealing with own care needs (e.g. booking appointments, refilling prescriptions)
	Choose method to remember to take medication	Plan and prepare for appointments
		Discuss differences in pediatric and adult care
		Encourage self-reporting
Sexual health	Discuss puberty and changes related to GI condition and medication side effects	Discuss safer relationships and dating	Aware of sexual capability and ability to have children
		Name places for reliable sexual health information	Understands sexual behaviors and its risks
Social supports	Describe role of family in transition process	Discuss family medical history	Enrolls in GI support associations
		Discuss ways to benefit from peer support	Identifies contacts in case of need of emotional support
Educational/ vocational planning	Discuss school attendance, goals and strengths	Review restrictions for education or work	Aware of work opportunities
		Discuss volunteering opportunities at school or community	Discuss further plans for insurance coverage
Health and lifestyles	Review healthy active living	Review ways of coping with stress	Describes exercise/activity routines
	Tobacco use or other substances	Learn of risks associated with driving and GI condition	Discuss importance of planning ahead for trips and being away from home

Adapted from the ON-TRAC abo model at the British Columbia Children’s and women’ Health Center.