Table 3.

Patient core-competencies for success after transition to adult care.

Medical knowledge	Disease-specific knowledge including the following:  Personal disease history (diagnosis, extent, location, and prior surgeries)  Medication history (including adverse effects)  General information on IBD natural history  Disease activity and issues of reproductive health   Effect of diet, smoking, and use of NSAIDs  Importance of preventive health including immunizations
Health literacy	A patient's ability to obtain, process, and understand basic health information in order to do the following:  Navigate the healthcare system  Access preventive health services  Communicate with healthcare providers  Analyze risks and benefits of treatment  Interpret tests results   Mindfully consume available health-related information
Self-management	Health promoting behaviors including the following examples:  Recognition of disease flare and extraintestinal manifestations  Adherence to complex medication regimen (e.g., self-injectable and rectally administered therapy)  Ostomy care  Smoking cessation  Calling for medication refills   Scheduling clinic visits
Self-efficacy	A belief in one's ability to organize and execute behaviors necessary to manage challenging situations

NSAIDs: nonsteroidal anti-inflammatory drugs.