BACKGROUND An increase in self-management skills for adolescent thoracic transplant recipients may improve health outcomes and facilitate a successful transition to adulthood. The iPeer2Peer program is an online peer mentorship program that has been successfully implemented as a self-management intervention in multiple chronic disease populations. This study aimed to determine the implementation and effectiveness outcomes of the iPeer2Peer program for adolescent thoracic transplant recipients. METHODS A type III, hybrid implementation-effectiveness pilot study that comprised a quasi-experimental single-arm pre-post design was used to evaluate the iPeer2Peer program. Participant mentees, ages 12-17, were recruited from 2 large Canadian transplant centers. Peer mentors, ages 18-25, were thoracic transplant recipients who had successfully transitioned to adult care and self-manage their condition. A mixed methods approach for data collection was used, including interviews, focus groups, and standardized questionnaires. RESULTS Twenty mentees (median 15.0 years, IQR 3.3 years; 65% female) completed the iPeer2Peer program with 9 young adult mentors (median 21.0 years, IQR 3.0 years; 78% female). Implementation outcomes indicated that the iPeer2Peer program was perceived as feasible, adoptable, acceptable, and appropriate for adolescent thoracic transplant recipients. Significant findings were noted in mentees for increased self-management and a decrease in overall depression and anxiety symptoms. CONCLUSIONS The successful implementation of the pilot iPeer2Peer program offers support to evaluate the scalability, sustainability, and cost-effectiveness of the program for adolescents with chronic illness, specifically thoracic transplant recipients. Changes to the iPeer2Peer program that facilitate a flexible delivery may help implementation and acceptance.

中文翻译：

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针对青少年胸腔移植受者的 iPeer2Peer 指导计划：实施效果评估。


背景 青少年胸腔移植受者自我管理技能的提高可以改善健康结果并促进成功过渡到成年。 iPeer2Peer 计划是一项在线同伴指导计划，已成功实施为多种慢性病人群的自我管理干预措施。本研究旨在确定 iPeer2Peer 计划对青少年胸部移植受者的实施情况和有效性结果。方法 III 型混合实施有效性试点研究（包括准实验性单臂前后设计）用于评估 iPeer2Peer 计划。参与者的受训者年龄为 12 至 17 岁，是从加拿大 2 个大型移植中心招募的。同伴导师年龄在 18 至 25 岁之间，是胸腔移植接受者，他们已成功过渡到成人护理并能够自我管理自己的病情。使用混合方法收集数据，包括访谈、焦点小组和标准化问卷。结果 20 名学员（中位数 15.0 岁，IQR 3.3 岁；65% 女性）与 9 名年轻成人导师（中位数 21.0 岁，IQR 3.0 岁；78% 女性）完成了 iPeer2Peer 计划。实施结果表明，iPeer2Peer 计划被认为是可行的、可采用的、可接受的且适合青少年胸部移植受者。在受训者中发现了显着的结果，即自我管理能力增强，整体抑郁和焦虑症状减少。结论 iPeer2Peer 试点计划的成功实施为评估该计划针对慢性病青少年（特别是胸部移植受者）的可扩展性、可持续性和成本效益提供了支持。 对 iPeer2Peer 计划进行更改以促进灵活交付可能有助于实施和接受。