{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,1]],"date-time":"2026-10-01T06:59:41Z","timestamp":1790837981178,"version":"4.1.0"},"reference-count":80,"publisher":"Wiley","license":[{"start":{"date-parts":[[2026,9,30]],"date-time":"2026-09-30T00:00:00Z","timestamp":1790726400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2026,9,30]],"date-time":"2026-09-30T00:00:00Z","timestamp":1790726400000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Journal of Clinical Nursing"],"abstract":"ABSTRACT<\/jats:title>\n \n Aim<\/jats:title>\n To synthesise the literature on factors influencing transition to adult care in adolescents with Inflammatory Bowel Disease (IBD).<\/jats:p>\n <\/jats:sec>\n \n Background<\/jats:title>\n Adolescents with IBD often experience care fragmentation and disease exacerbation during the transition to adult care. However, there is a scarcity of systematic reviews that synthesise the multidimensional factors influencing transition in adolescents with IBD.<\/jats:p>\n <\/jats:sec>\n \n Design<\/jats:title>\n This was a mixed\u2010methods systematic review using the convergent integrated analysis framework.<\/jats:p>\n <\/jats:sec>\n \n Methods<\/jats:title>\n A mixed\u2010methods systematic review was conducted on August 11, 2026. A computerised search was conducted in PubMed, Embase, Web of Science, CINAHL, ProQuest, Scopus, Cochrane Library, VIP Database, Wanfang Database, China National Knowledge Infrastructure (CNKI) and the Chinese Biomedical Literature Database (CBM), and the reference lists of the included studies were also screened. The quality of the included studies was assessed using the MMAT. Data were extracted from the selected articles and synthesised using a convergent\u2010integrated approach.<\/jats:p>\n <\/jats:sec>\n \n Results<\/jats:title>\n A total of 41 articles that met the screening criteria were rigorously reviewed and included in this systematic review. Guided by the SMART model, this synthesis of 41 studies identified two themes and 10 sub\u2010themes influencing transitional care among adolescents with IBD: pre\u2010existing objective factors (socio\u2010demographics\/culture, access\/insurance, health status\/risk), and modifiable subjective variables (developmental maturity, knowledge, skills\/efficacy, beliefs\/expectations, goals, relationships, psychosocial functioning).<\/jats:p>\n <\/jats:sec>\n \n Conclusion<\/jats:title>\n Guided by the SMART model, this systematic review synthesised factors influencing transition\u2010care outcomes among adolescents with IBD from the perspectives of patients, caregivers and healthcare providers, offering guidance for the subsequent development of more individualised transition programmes.<\/jats:p>\n <\/jats:sec>\n \n Relevance to Clinical Practice<\/jats:title>\n Mapping evidence to the SMART transition model enables identification of at\u2010risk adolescents for early, intensive family\u2010involved transition, with modifiable subjective variables serving as intervention targets for individualised care.<\/jats:p>\n <\/jats:sec>\n \n Reporting Method<\/jats:title>\n This review followed the PRISMA 2020 guidelines.<\/jats:p>\n <\/jats:sec>\n \n Patient or Public Contribution<\/jats:title>\n No.<\/jats:p>\n <\/jats:sec>","DOI":"10.1111\/jocn.70550","type":"journal-article","created":{"date-parts":[[2026,10,1]],"date-time":"2026-10-01T06:34:08Z","timestamp":1790836448000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Experiences and Factors Influencing the Transition to Adult Care in Adolescents With Inflammatory Bowel Disease: A Mixed\u2010Methods Systematic Review"],"prefix":"10.1111","author":[{"ORCID":"https:\/\/orcid.org\/0009-0002-5034-1586","authenticated-orcid":false,"given":"Hui\u2010Qin","family":"Zhang","sequence":"first","affiliation":[{"name":"School of Nursing Shanghai University of Traditional Chinese Medicine Shanghai China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0003-6217-2510","authenticated-orcid":false,"given":"Jia\u2010Bin","family":"Xu","sequence":"additional","affiliation":[{"name":"School of Nursing Shanghai University of Traditional Chinese Medicine Shanghai China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3192-3070","authenticated-orcid":false,"given":"Lin","family":"Qiu","sequence":"additional","affiliation":[{"name":"School of Nursing Shanghai University of Traditional Chinese Medicine Shanghai China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6902-6557","authenticated-orcid":false,"given":"Yi\u2010Tian","family":"Gao","sequence":"additional","affiliation":[{"name":"School of Nursing Shanghai University of Traditional Chinese Medicine Shanghai China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Si\u2010Qi","family":"Xie","sequence":"additional","affiliation":[{"name":"School of Nursing Shanghai University of Traditional Chinese Medicine Shanghai China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0004-7378-5029","authenticated-orcid":false,"given":"Qian\u2010Yi","family":"Zhai","sequence":"additional","affiliation":[{"name":"School of Nursing Shanghai University of Traditional Chinese Medicine Shanghai China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8792-3972","authenticated-orcid":false,"given":"Lan\u2010Shu","family":"Zhou","sequence":"additional","affiliation":[{"name":"School of Nursing Shanghai University of Traditional Chinese Medicine Shanghai China"},{"name":"Key Laboratory of Geriatric Long\u2010Term Care of the Ministry of Education Naval Medical University Shanghai China"},{"name":"Key Laboratory of Health Identification and Assessment of Shanghai Shanghai University of Traditional Chinese Medicine Shanghai China"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,9,30]]},"reference":[{"issue":"4","key":"e_1_2_11_2_1","doi-asserted-by":"crossref","first-page":"233","DOI":"10.4103\/sjg.SJG_77_17","article-title":"A Cross\u2010Sectional Survey of Saudi Gastroenterologists: Transition Strategies for Adolescents With Inflammatory Bowel Disease","volume":"23","author":"Al\u2010Jahdali E.","year":"2017","journal-title":"Saudi Journal of Gastroenterology"},{"issue":"8","key":"e_1_2_11_3_1","doi-asserted-by":"crossref","DOI":"10.1002\/pbc.27781","article-title":"Impact of a Transition Program With Navigator on Loss to Follow\u2010Up, Medication Adherence, and Appointment Attendance in Hemoglobinopathies","volume":"66","author":"Allemang B.","year":"2019","journal-title":"Pediatric Blood & 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Transitions: A Program Evaluation","volume":"32","author":"Cadogan K.","year":"2018","journal-title":"Journal of Pediatric Health Care"},{"issue":"3","key":"e_1_2_11_11_1","doi-asserted-by":"crossref","first-page":"341","DOI":"10.1097\/MIB.0000000000001038","article-title":"Self\u2010Efficacy and Resilience Are Useful Predictors of Transition Readiness Scores in Adolescents With Inflammatory Bowel Diseases","volume":"23","author":"Carlsen K.","year":"2017","journal-title":"Inflammatory Bowel Diseases"},{"issue":"5","key":"e_1_2_11_12_1","doi-asserted-by":"crossref","first-page":"802","DOI":"10.1016\/j.dld.2023.10.007","article-title":"Transition Care in Patients With IBD: The Pediatric and the Adult Gastroenterologist's Perspective. 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