{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,7,30]],"date-time":"2025-07-30T12:33:26Z","timestamp":1753878806548,"version":"3.41.2"},"reference-count":27,"publisher":"Wiley","issue":"8","license":[{"start":{"date-parts":[[2021,8,24]],"date-time":"2021-08-24T00:00:00Z","timestamp":1629763200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Pediatric Transplantation"],"published-print":{"date-parts":[[2021,12]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>Young adults who underwent liver transplantation in childhood (YALTs) are highly vulnerable to non\u2010adherent behavior and psychosocial problems. During the COVID\u201019 pandemic, special efforts may be necessary to maintain contact with these patients and offer support. This can be achieved through the use of telemedicine. The study's objective was to assess adherence and the psychosocial situation of YALTs during the COVID\u201019 pandemic in Germany and to evaluate the utilization of video consultations.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>In May 2020, a questionnaire was sent to YALTs treated at the Hamburg University Transplant Center, accompanied by the offer of video appointments with the attending physician. The questionnaire included the Generalized Anxiety Disorder Scale 7, the Patient Health Questionnaire 2, and questions compiled by the authors.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Of 98 YALTs, 12% used the video consultation, while 65% had an in\u2010person appointment. The 56 patients who completed the questionnaire did not report reduced medication adherence during the pandemic, but 40% missed follow\u2010up visits with their primary care physician or check\u2010up laboratory tests. About 70% of YALTs were afraid to visit their physician and the transplant center, and 34% were afraid of a SARS\u2010CoV\u20102 infection. Mental health and well\u2010being were unimpaired.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>During the COVID\u201019 pandemic, YALTs in our study did not show an increased need for psychosocial support, but a majority were afraid to attend medical appointments, and 40% reported lower appointment adherence. Acceptance of video consultations was lower than expected. The reasons for this need to be further investigated in order to optimize care.<\/jats:p><\/jats:sec>","DOI":"10.1111\/petr.14121","type":"journal-article","created":{"date-parts":[[2021,8,24]],"date-time":"2021-08-24T18:25:45Z","timestamp":1629829545000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":11,"title":["Psychosocial situation, adherence, and utilization of video consultation in young adult long\u2010term pediatric liver transplant recipients during COVID\u201019 pandemic"],"prefix":"10.1111","volume":"25","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-1191-6669","authenticated-orcid":false,"given":"Sylvia","family":"Kr\u00f6ncke","sequence":"first","affiliation":[{"name":"Department of Medical Psychology University Medical Center Hamburg\u2010Eppendorf  Hamburg Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Louisa Katharina","family":"Lund","sequence":"additional","affiliation":[{"name":"Department of Gastroenterology University Transplant Center University Medical Center Hamburg\u2010Eppendorf  Hamburg Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2806-1764","authenticated-orcid":false,"given":"Angela","family":"Buchholz","sequence":"additional","affiliation":[{"name":"Department of Medical Psychology University Medical Center Hamburg\u2010Eppendorf  Hamburg Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Melanie","family":"Lang","sequence":"additional","affiliation":[{"name":"Department of Gastroenterology University Transplant Center University Medical Center Hamburg\u2010Eppendorf  Hamburg 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