An iPad Enabled HEADSS Adolescent Risk AND Resilience Assessment - Use in a Paediatric IBD Clinic - Tickit®

Authors: Isseman, R. and Odeh, S.V

McMaster Children's Hospital, Hamilton ON, Canada. Department of Pediatrics, McMaster University, Hamilton ON, Canada.



As the prevalence of IBD increases and clinic resources decrease, the inflammatory Bowel Disease (IBD) care team at McMaster Children’s Hospital has looked for innovative ways to systematically assess the emotional and social issues in adolescents with chronic disease.

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Presented at: NASPGHAN Conference Chicago Apr 12th 2014


What is Tickit?

• An innovative, interactive, graphic, portable questionnaire presented on an iPad platform.

• A questionnaire designed to resonate with contemporary youth communication styles

• A means for youth to confidentially inform and communicate personal information to care providers.

• A form of systematic psychosocial screening

• A confidential risk and resiliency report provided to care providers in timely fashion

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Topics Covered In the Tickit Survey

  • Consent
  • Home
  • Sex
  • Education
  • Activities - fun, sports, sleep, free time, work/volunteering
  • Emotions - suicidal thoughts/ actions
  • Health - state/ condition and knowledge

Our Study 

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Conducted on patients attending the McMaster Children’s Hospital IBD clinic.

53 patients with ulcerative colitis and Crohn’s disease

31 males and 22 females (8-17 years) 

Mean age = 14.9 years

  • A research coordinator administered the Tickit survey. Neither parents nor physicians were involved.
    • Allowed teens a greater degree of confidentiality around sensitive topics such as gender identity issues, drug and alcohol use and, thoughts of self-harm or running away.

We Observed:

Risk Behaviours in 10 patients (19%)

Resiliency behaviours in 26 patients (50%)

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Despite considerable efforts at educating patients about their transition most participants did

not know where they would receive medical care for their IBD past the age of 18, (63.3%) vs.

the 36.7% who answered they would be seeing an adult specialist.


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