Evaluation of Physical Activity Programming for Pediatric Patients with Inflammatory Bowel Disease

ABSTRACT Introduction Despite increasing evidence that physical activity should be incorporated into the holistic care of pediatric patients with inflammatory bowel disease (IBD), there are no recommendations to support its implementation in the outpatient setting. The purpose of this implementation study was to improve the physical literacy and quality of life of pediatric patients with IBD and evaluate the applicability and reach of the programming. Methods One hundred sixteen patients aged 9–21 yr with IBD were offered program participation and administered validated surveys to measure levels of physical activity, perceived physical literacy, and quality-of-life domains. The 64 patients who chose to participate were provided cost-free resources to support physical activity plans tailored to personal interests, resources, and identified barriers, with remote monthly follow-ups and reassessments. Results Higher baseline physical activity level positively correlated with improved well-being ( P = 0.02) and self-efficacy ( P < 0.001). Over half of patients surveyed reported disease-related barriers to physical activity. Program enrollment rates were highest in patients who were less physically active and perceived themselves as less capable of managing their fitness. After 2 months of the program, participants experienced a statistically significant improvement in physical literacy with respect to self-confidence ( P = 0.01). Most participants reported that setting goals and logging activity were helpful, and positive feedback supported program satisfaction. Conclusion This work is unique in its documentation of the implementation of physical activity–focused care for pediatric patients with IBD in an outpatient setting, providing evidence of its applicability and efficacy.