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Inflammatory Bowel DiseasesNCT05221281

Implementing a Multimodal RCT Intervention to Improve the Transition of Patients With Crohn's Disease From Pediatric to Adult Care

A study testing Multimodal intervention consisting of four core components in people with Inflammatory Bowel Diseases and Crohn Disease, run by The Hospital for Sick Children at 3 sites in Canada.

Active, not recruiting

Under way, not looking for participants. Everyone needed has enrolled. The study is still running.

Official record
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Trial summary

Background: Transition in care is defined as the "purposeful and planned movement of adolescents and young adults with a chronic medical condition from pediatric to adult-oriented healthcare systems/care providers." Currently, there is no Level 1 evidence of an intervention to improve the care of transitioning… Read more about this study

Who is it for?
Ages 16 to 17 years
What is being tested?
Multimodal intervention consisting of four core components
Could I receive a placebo?
No, everyone receives an active treatment
How many people
90 participants
Where
3 sitesCanada
Study dates
25 Feb 2022to 31 Dec 2026
Phase
Interventional
Are there results?
Not yet: the study is under way

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 16 to 17 years
  • All sexes
  • No healthy volunteers
  • Child

Who may be able to join

  • Aged 16-17.5 years
  • Diagnosed with IBD diagnosed using standard criteria
  • Ability to speak/read English at a functional (Grade 8) level
  • Intention to reside in Canada after transfer to adult care
  • Ability to use a smartphone or personal computer for the virtual intervention

Who cannot join

  • Do not speak English fluently
  • Intention to leave Canada after graduation from high school

Trial locations and contacts

3 sites in 1 country.

Canada3 sites
  • Children's Hospital of Eastern Ontario

    Ottawa, Ontario, K1H 8L1

  • The Hospital for Sick Children

    Toronto, Ontario, M5G 1X8

  • BC Children's Hospital

    Vancouver, British Columbia, V6H 3N1

Other trials in Canada

About this study

Background: Transition in care is defined as the "purposeful and planned movement of adolescents and young adults with a chronic medical condition from pediatric to adult-oriented healthcare systems/care providers." Currently, there is no Level 1 evidence of an intervention to improve the care of transitioning adolescents and young adults (AYAs) with inflammatory bowel disease (IBD). The development of a transition program using a biopsychosocial approach will improve the standards for healthcare delivery to transitioning IBD patients. This is a protocol for a structured randomized controlled trial (RCT) to assess the efficacy and impact of a multimodal intervention focused on improving patient function, transition readiness and outcomes among AYA patients with IBD being cared for at pediatric centers in Canada.

Methods: This multi-center RCT is a type 1 hybrid effectiveness-implementation trial to evaluate effectiveness of the intervention and how it can be implemented more widely after the trial. We will include patients aged 16.0 to 17.5 years. The intervention program consists of 4 core components: 1) individualized assessment, 2) transition navigator, 3) virtual patient skills-building with a focus on building resilience, self-management and self-efficacy, and 4) a virtual structured education program. The control group will undergo standard-of-care defined by each participating center. The primary outcome will be the IBD Disability Index, a validated measure to assess patient functioning. Secondary outcomes include transition readiness, anxiety and depression scales, and health service utilization rates. Additionally, we will identify the effectiveness of an evidence-based implementation approach and related barriers and facilitators for the intervention program.

Discussion: The type 1 hybrid effectiveness-implementation design will allow us to develop a feasible, sustainable, and acceptable final intervention model. The intervention will consist of modules that can be accessed in an online, virtual platform. The implementation will not depend on individual hospital resources, allowing centralization of interventions and funding. The authors anticipate that the main study limitation will relate to study subjects not completely adhering to every component of the intervention, which will be evaluated and addressed using the implementation science approach.

Being tested
Multimodal intervention consisting of four core components, Standard of care
Keywords
Transition from Pediatric to Adult Care, Health Services Research, Adolescent Medicine
Medical subject headings
Inflammatory Bowel Diseases, Crohn Disease, Colitis, Ulcerative

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • Multimodal intervention consisting of four core componentsBehavioural

    Core Component 1: Individualized Assessment: Each participant will undergo individualized assessment of their biopsychosocial risk profile (PIBD INTERMED), self-efficacy (IBD-SES-A), function (IBD-DI), transition readiness (TRAQ) and IBD knowledge (IBD-KID2), and depression, anxiety and activation.

    Core Component 2: Transition Navigator: Participants will be assigned a transition navigators, who will have knowledge of IBD, an understanding of the care pathway involved in transitioning IBD patients, and the skills and ability to provide psychosocial support.

    Core Component 3: Participant Skills-building: Skills-building materials delivered virtually. Navigators will also be trained as motivational coaches and will lead separate personalized virtual sessions targeting individual skills that have been identified as deficient during the assessment phase.

    Core Component 4: eLearning Curriculum: Organized online eLearning modules with reinforcement of knowledge by the navigators.

  • Standard of careBehavioural

    Also called Control

    The control group will be provided a standardized version of routine care for transition. In addition to recruiting centers' standard of care, all participating centers will implement the following transition interventions:

    1. A written letter explaining the goals of transition to the patient and family.
    2. Completion of age-appropriate checklists to ensure adolescents are meeting milestones of transition (developed by the TRACC Network).51
    3. Annual online live educational webinars on transition and adolescent issues (hosted by the CIDsCaNN Education Committee).
    4. Completion of the Pediatric INTERMED,52 with appropriate biopsychosocial intervention.
    5. Completion of a transfer-of-care summary letter sent to the receiving adult gastroenterologist using a standardized letter template.53

    The Control Group may also receive any interventions currently in place in their participating care center, but will not receive the formal 4-component intervention described below.

Study groups in NCT05221281
Study groupRoleWhat they receive
Intervention: Multimodal intervention consisting of four core components.ExperimentalCore Component 1: Individualized Assessment Core Component 2: Transition Facilitation with a Navigator Core Component 3: Participant Skills-building Core Component 4: Structured Educational eLearning Curriculum
Receives: Behavioral: Multimodal intervention consisting of four core components
Control: Standard of careOtherRoutine Care
Receives: Behavioral: Standard of care

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. IBD Disability Index (IBD-DI)

    Ordinal variable that measures participant functioning as the primary outcome. IBD-DI was selected as a validated measure of overall disability, functioning, and health. The primary outcome will be measured 3 years after enrollment.

    Measured: 3 years

Secondary outcomes (24)
  1. Transition Readiness Assessment Questionnaire (TRAQ)

    Transition Readiness

    Measured: 3 years

  2. Transition Readiness Assessment Questionnaire (TRAQ)

    Transition Readiness

    Measured: Up to 24 months (at time of transfer to adult care)

  3. Transition Success Scores (TSS)

    Transition Readiness

    Measured: 3 years

  4. Transition Success Scores (TSS)

    Transition Readiness

    Measured: Up to 24 months (at time of transfer to adult care)

  5. Pediatric IBD INTERMED

    Biopsychosocial Risk Profile

    Measured: 3 years

  6. Pediatric IBD INTERMED

    Biopsychosocial Risk Profile

    Measured: Up to 24 months (at time of transfer to adult care)

  7. IBD-KID2

    Disease-related knowledge

    Measured: 3 years

  8. IBD-KID2

    Disease-related knowledge

    Measured: Up to 24 months (at time of transfer to adult care)

  9. IBDQ-32

    Quality of life

    Measured: 3 years

  10. IBDQ-32

    Quality of life

    Measured: Up to 24 months (at time of transfer to adult care)

  11. IBD Self-Efficacy Scale - Adolescent (IBD-SES-A)

    Self-Efficacy

    Measured: 3 years

  12. IBD Self-Efficacy Scale - Adolescent (IBD-SES-A)

    Self-Efficacy

    Measured: Up to 24 months (at time of transfer to adult care)

  13. Physician Global Assessment (PGA)

    Physician assessment of disease activity

    Measured: 3 years

  14. Physician Global Assessment (PGA)

    Physician assessment of disease activity

    Measured: Up to 24 months (at time of transfer to adult care)

  15. Fecal calprotectin

    Measure of gut inflammation

    Measured: 3 years

  16. Modified Harvey-Bradshaw Index (HBI) for Crohn's disease

    Disease activity in Crohn's disease patients

    Measured: 3 years

  17. Modified Harvey-Bradshaw Index (HBI) for Crohn's disease

    Disease activity in Crohn's disease patients

    Measured: Up to 24 months (at time of transfer to adult care)

  18. Pediatric Ulcerative Colitis Activity Index (PUCAI)

    Disease activity in ulcerative colitis patients

    Measured: 3 years

  19. Pediatric Ulcerative Colitis Activity Index (PUCAI)

    Disease activity in ulcerative colitis patients

    Measured: Up to 24 months (at time of transfer to adult care)

  20. Emergency department visit after 18th birthday (yes/no)

    Health services utilization

    Measured: 3 years

  21. Number of emergency department visits after 18th birthday

    Health services utilization

    Measured: 3 years

  22. Hospitalization after 18th birthday (yes/no)

    Health services utilization

    Measured: 3 years

  23. Number of outpatient visits to a gastroenterologist after 18th birthday

    Health services utilization

    Measured: 3 years

  24. IBD Disability Index (IBD-DI)

    Ordinal variable that measures participant functioning as the primary outcome. IBD-DI was selected as a validated measure of overall disability, functioning, and health.

    Measured: Up to 24 months (at time of transfer to adult care)

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted2 Feb 2022
  2. Study start25 Feb 2022
  3. Primary completion1 Apr 2026
  4. Study completion31 Dec 2026 (estimated)

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase N/A
Primary purpose
Health services research
Allocation
Randomised
Intervention model
Parallel groups
Masking
None (open label)
Enrolment
90 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT05221281
Sponsor's protocol ID
1000078476
Status last verified
Apr 2026
First submitted
10 Jan 2022
Last updated
24 Apr 2026
Results posted
No
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
No: * Location of the repository - OSF.io or journal (planned) * Administrators for the repository Since we are not sure which journals we will submit to at this time, we cannot comment on the location/administrators for the repository. * De-identified study data plans - At a minimum, research journals are asking that authors share a 'minimal data set' for submission. This is normally defined as the minimal data set to consist of the data required to replicate all study findings reported in the article, as well as related metadata and methods. This is what will be shared with journals upon submission. * Privacy protections for stored study data - Only de-identified study data will be shared with the open access repository. Submission to research journals has been outlined on the participant consent form.

Publications

  • Tiles-Sar N, Neuser J, de Sordi D, Baltes A, Preiss JC, Moser G, Timmer A. Psychological interventions for treatment of inflammatory bowel disease. Cochrane Database Syst Rev. 2025 Apr 17;4(4):CD006913. doi: 10.1002/14651858.CD006913.pub3.

    PubMed 40243391
  • Lalji R, Koh L, Francis A, Khalid R, Guha C, Johnson DW, Wong G. Patient navigator programmes for children and adolescents with chronic diseases. Cochrane Database Syst Rev. 2024 Oct 9;10(10):CD014688. doi: 10.1002/14651858.CD014688.pub2.

    PubMed 39382077
  • Bollegala N, Barwick M, Fu N, Griffiths AM, Keefer L, Kohut SA, Kroeker KI, Lawrence S, Lee K, Mack DR, Walters TD, de Guzman J, Tersigni C, Miatello A, Benchimol EI. Multimodal intervention to improve the transition of patients with inflammatory bowel disease from pediatric to adult care: protocol for a randomized controlled trial. BMC Gastroenterol. 2022 May 18;22(1):251. doi: 10.1186/s12876-022-02307-9.

    PubMed 35585484

Questions about this trial

What is this clinical trial studying?

A study testing Multimodal intervention consisting of four core components in people with Inflammatory Bowel Diseases and Crohn Disease, run by The Hospital for Sick Children at 3 sites in Canada.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 5 inclusion and 2 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: under way, not looking for participants, as of the sponsor's last update on 24 Apr 2026. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 3 sites in Canada. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

Are results available for this study?

This study is still under way. Results are not available in the source record yet.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

IBD Disability Index (IBD-DI) (time frame: 3 years). It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT05221281, which also lists 3 linked publications.

Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 24 Apr 2026.

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Clinical Trial NCT05221281 | AzTrials