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Open Access 01-12-2021 | Cystic Fibrosis | Study protocol

A prospective investigation of developmental trajectories of psychosocial adjustment in adolescents facing a chronic condition - study protocol of an observational, multi-center study

Authors: Petra Warschburger, Ann-Christin Petersen, Roman E. von Rezori, Friederike Buchallik, Harald Baumeister, Reinhard W. Holl, Kirsten Minden, Annabel S. Müller-Stierlin, Christina Reinauer, Doris Staab, COACH consortium

Published in: BMC Pediatrics | Issue 1/2021

Abstract

Background

Relatively little is known about protective factors and the emergence and maintenance of positive outcomes in the field of adolescents with chronic conditions. Therefore, the primary aim of the study is to acquire a deeper understanding of the dynamic process of resilience factors, coping strategies and psychosocial adjustment of adolescents living with chronic conditions.

Methods/design

We plan to consecutively recruit N = 450 adolescents (12–21 years) from three German patient registries for chronic conditions (type 1 diabetes, cystic fibrosis, or juvenile idiopathic arthritis). Based on screening for anxiety and depression, adolescents are assigned to two parallel groups – “inconspicuous” (PHQ-9 and GAD-7 < 7) vs. “conspicuous” (PHQ-9 or GAD-7 ≥ 7) – participating in a prospective online survey at baseline and 12-month follow-up. At two time points (T1, T2), we assess (1) intra- and interpersonal resiliency factors, (2) coping strategies, and (3) health-related quality of life, well-being, satisfaction with life, anxiety and depression. Using a cross-lagged panel design, we will examine the bidirectional longitudinal relations between resiliency factors and coping strategies, psychological adaptation, and psychosocial adjustment. To monitor Covid-19 pandemic effects, participants are also invited to take part in an intermediate online survey.

Discussion

The study will provide a deeper understanding of adaptive, potentially modifiable processes and will therefore help to develop novel, tailored interventions supporting a positive adaptation in youths with a chronic condition. These strategies should not only support those at risk but also promote the maintenance of a successful adaptation.

Trial registration

German Clinical Trials Register (DRKS), no. DRKS00025125. Registered on May 17, 2021.

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Title: A prospective investigation of developmental trajectories of psychosocial adjustment in adolescents facing a chronic condition - study protocol of an observational, multi-center study
Authors: Petra Warschburger
Ann-Christin Petersen
Roman E. von Rezori
Friederike Buchallik
Harald Baumeister
Reinhard W. Holl
Kirsten Minden
Annabel S. Müller-Stierlin
Christina Reinauer
Doris Staab
COACH consortium
Publication date: 01-12-2021
Publisher: BioMed Central
Keywords: Cystic Fibrosis
Juvenile Rheumatoid Arthritis
Cystic Fibrosis
COVID-19
Juvenile Rheumatoid Arthritis
Type 1 Diabetes
Published in: BMC Pediatrics / Issue 1/2021
Electronic ISSN: 1471-2431
DOI: https://doi.org/10.1186/s12887-021-02869-9

Keynote webinar | Spotlight on medication adherence

Springer Medicine

A prospective investigation of developmental trajectories of psychosocial adjustment in adolescents facing a chronic condition - study protocol of an observational, multi-center study

Abstract

Background

Methods/design

Discussion

Trial registration

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Background

Methods/design

Discussion

Trial registration

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