Transition From Pediatric to Adult Services: A Primary Care Based Model for Patients With Chronic Conditions
Trial Snapshot
- Phase
- Not Applicable
- Status
- Completed
- Enrollment
- 43
- Locations
- 1
- Primary Endpoint
- Successful transition to an adult provider
Study Overview
Brief Summary
This study is looking at ways to help young people with chronic health conditions take better care of their health and find an adult doctor.
Detailed Description
The purpose of this study is to determine whether providing targeted transition-related skills through interventions with varying degrees of intensity (from the low intensity Basic intervention group, to the mild intensity Group Intervention group, to the high intensity Full Intervention group) results in improved transition readiness and self-care skills and improved successful transition to adult-based services for young adults with chronic health conditions. Secondary objectives include determining if the transition interventions enhance transition-related satisfaction among participants, their caregivers and the involved pediatric and adult providers.
Study Design
- Study Type
- Interventional
- Allocation
- Randomized
- Intervention Model
- Parallel
- Primary Purpose
- Supportive Care
- Masking
- None
Eligibility Criteria
- Ages
- 19 Years to — (Adult, Older Adult)
- Sex
- All
- Accepts Healthy Volunteers
- No
Inclusion Criteria
- •Young Adult Inclusion Criteria:
- •Males or females age 19 years of age or older
- •Presence of at least 1 Chronic Condition and/or Cognitive Disability
- •Last visit with pediatric primary care provider occurring on or after January 1, 2011
- •Currently active in one of four identified pediatric practices (Cobbs Creek, Chestnut Hill, Market Street, West Chester)
- •Current primary care provider approval for participation
- •English speaking
- •Young Adult
Exclusion Criteria
- •Male or female age < 19 years
- •No presence of a chronic condition or cognitive disability
- •Last visit with pediatric PCP occurring prior to January 1, 2011
- •Not currently active in one of four identified pediatric practices (Cobbs Creek, Chestnut Hill, Market Street, West Chester)
- •Current PCP disapproves participation
- •Non-English speaking
- •Caregiver Inclusion Criteria:
- •Has a child enrolled in the study
- •Child has consented/assented to allow them to participate
- •English speaking
- •Caregiver Exclusion Criteria:
- •Child did not consent/assent to allow them to participate
- •Non-English speaking
Arms & Interventions
Group 1: Control
Group 1 will be the control group. They will complete questionnaires but will otherwise receive usual care from their Primary Care Provider (PCP). At the end of the study period they will be given the Study Materials for participating.
Intervention: Study Materials (Other)
Group 3: Group Intervention
Group 3 (Group Intervention) will receive the Study Materials at the beginning of the study and will also be invited to attend two REACH for Independence group sessions.
Intervention: REACH for Independence (Behavioral)
Group 3: Group Intervention
Group 3 (Group Intervention) will receive the Study Materials at the beginning of the study and will also be invited to attend two REACH for Independence group sessions.
Intervention: Study Materials (Other)
Group 4: Full Intervention
Group 4 (Full Intervention) will receive the Study Materials at the beginning of the study, will be invited to attend the REACH for Independence group sessions, and will be invited to a Transition Consult with an MD and social worker.
Intervention: Transition Consult (Behavioral)
Group 4: Full Intervention
Group 4 (Full Intervention) will receive the Study Materials at the beginning of the study, will be invited to attend the REACH for Independence group sessions, and will be invited to a Transition Consult with an MD and social worker.
Intervention: Study Materials (Other)
Group 4: Full Intervention
Group 4 (Full Intervention) will receive the Study Materials at the beginning of the study, will be invited to attend the REACH for Independence group sessions, and will be invited to a Transition Consult with an MD and social worker.
Intervention: REACH for Independence (Behavioral)
Group 2: Basic Intervention
Group 2 (Basic Intervention) will receive the Study Materials at the beginning of the study but will otherwise continue with their usual PCP care.
Intervention: Study Materials (Other)
Outcomes
Primary Outcomes
Successful transition to an adult provider
Time Frame: 10 months
The primary outcome is successful transition to an adult provider, as evidenced by at least 1 visit with an adult provider within 10 months of the baseline visit.
Secondary Outcomes
- Increased self-care and transition related skills(6 months)