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Table 3 Skills-building methods to be used for specific skill deficits

From: Multimodal intervention to improve the transition of patients with inflammatory bowel disease from pediatric to adult care: protocol for a randomized controlled trial

Skill deficit

Skill-building methods

Deficits in emotional self-management domains (assertiveness and self-regulation)

CBT-informed, experiential pre-recorded video intervention created and recorded by psychologists (LK, SAK). In addition to core mandatory curriculum, additional experiential videos will be made to address deficits in: assertiveness, advocacy/communication, self-regulation and relaxation, and ability to manage pain, fatigue, overthinking, and social relationships.to ensure fidelity across sites

Deficits in assertiveness/self-confidence

10 modules that can be chosen based on need focused on assertiveness, symptom management (pain, fatigue, sleep) and mastering mental health (worry, mood)

Deficits in self-regulation

4 required modules focused on self-regulatory skills of disease acceptance, optimism, coping

Deficits in task-oriented self-management domains

Behavioral skills training provided by the transition navigator (e.g., self-injections, how to order a taxi to get to an appointment, how to refill a prescription)

Deficits in emotional self-management domains

Motivation and troubleshooting of barriers between visits provided by the transition navigator. Assignment to elective modules as appropriate