Teens Taking Charge: Juvenile Idiopathic Arthritis (JIA)

Over the next few months, CAPHC Conversations will be featuring articles and resources from the AboutKidsHealth website.  For more information on AboutKidsHealth, check out their website, or contact Sean Schurr at sean.schurr@sickkids.ca.
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Teens ‘take charge’ with new online program for kids and teens with arthritis - Valuable resource now publicly available on AboutKidsHealth.ca

It is a common assumption that arthritis is a disease that affects adults only, however an estimated 24,000 Canadian children and teens live with one or more forms of childhood arthritis, of which juvenile idiopathic arthritis (JIA) is the most common, affecting about 10,000 (one in 1,000) children in Canada.

JIA causes inflammation in the joints and impacts kids’ and teens’ physical, emotional and social wellbeing.

In an effort to help teens with JIA better manage their arthritis and improve their transition to adult health care, a team of researchers led by Dr. Jennifer Stinson at The Hospital for Sick Children (SickKids) developed an online program called ‘Teens Taking Charge: Managing JIA Online Program’, which is now publicly available on aboutkidshealth.ca.

“As teens mature and gain independence in many areas of their lives, they are similarly expected to take on more responsibility for managing their arthritis,” says Dr. Stinson, principal investigator of this research and Nurse Clinician-Scientist in the Chronic Pain Program at SickKids. “Previous research indicates that for teens with a chronic condition, learning to manage their complex medical condition on their own is very challenging and if not done effectively can negatively impact their health.”

This interactive internet-based program was designed for teens with JIA as well as for their parents as a reliable, easily accessible resource to be used throughout the course of their illness. The content, delivered in 12 modules, was developed by rheumatology health care professionals across Canada. It includes not only information about JIA, its treatments, and self-management strategies (for example, how to deal with physical symptoms like pain, stiffness, fatigue and emotional symptoms like anxiety and depression), but also facilitates peer support through discussion boards, as well as videos featuring patients, their families, and health-care providers offering instruction, personal insight and inspiration.  

Feedback from teens and their families was that there was not one reliable place where they could get the information they needed and their questions answered.

“As a teen, I found myself asking a lot of questions about how JIA would affect my future, how it’ll be when I’m in university, what does this mean when I have a job and how long these medications will be affecting my life? Going through the modules in the Teens Taking Charge program helped me better understand arthritis, which gave me the self-confidence to manage what I was going through,” says Madeleine Dempster, 19, former SickKids patient and research participant on this project. “The doctors and nurses have always been great at explaining things to me during my appointments, but this website provides more of a base knowledge and a deeper understanding since I can go through it at my own pace. This is very reassuring and makes me feel more in control of my life.”

The website was tested for effectiveness using a randomized controlled trial of 333  adolescents from 11 paediatric centres across Canada.

“The results so far have shown that teens who used this online resource tended to experienced less overall pain, and less pain interference with sleep and enjoyment of daily life as well as self-efficacy, compared to teens who did not use the site,” says Stinson.

The majority of teens with JIA, as well most chronic health conditions, do not receive comprehensive education, disease management strategies or social support, because of difficulty accessing services, limited availability of trained professionals, and the costs associated with running in-person education programs. Stinson and her team hopes Teens Taking Charge program will help patients develop the skills they need to better care for themselves as they grow up, understand how different lifestyle choices will impact their condition and importantly, learn to advocate for themselves.

This bilingual interactive internet-based program was funded by The Arthritis Society and the Canadian Institutes of Health Research (CIHR).

“This project is one of a number of investments in childhood arthritis research that The Arthritis Society’s donors have made possible in recent years, and we’re so pleased to see it come to fruition,” says Arthritis Society president and CEO Janet Yale. “We’re proud to partner with Dr. Stinson and her fellow investigators on this collaborative effort that will benefit thousands of young people across Canada, empowering them to live well today while we work together towards a cure.”

To learn more, check out the full site available on aboutkidshealth.ca.
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The CAPHC team is always interested in learning more about what is happening in the paediatric health care community. If you have a program, event, website, or initiative that you would like to share with the country, email info@caphc.org for more information.