Background: Smooth transition of adolescent patients diagnosed with inflammatory bowel
diseases (IBD) to adult care is necessary in order to secure continues clinical management
and to prevent possible deleterious clinical and psychosocial implications. In recent years
there is an emphasis on successful transition, however, there are no standardized models or
consensus guidelines incorporating both clinical and psychosocial aspects of transition.
Objectives: To examine the effect a comprehensive clinical and psychosocial transition
package on clinical management and patients outcomes in adolescents with IBD. Design: A
prospective, trans-sectional study. Setting: The Schneider Children's Medical Center and the
Rabin Medical Center. Participants: Children 17 year to 18 years who are diagnosed with IBD
and are planned to initiate transition process to adult care. Main outcome measures: Change
in clinical management as a result of tailored re-evaluation as a part of tailored transition
package. Secondary outcome measures: a. The effect of a tailored transition package on
patients' self-efficacy perception and readiness for transition. b. The effect of a tailored
transition package on patient's outcomes (disease activity, flares, hospitalizations) during
the first year following transition.