Transition From Pediatric to Adult Services: A Primary Care Based Model for Patients With Chronic Conditions
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 43
- 试验地点
- 1
- 主要终点
- Successful transition to an adult provider
研究概览
简要总结
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.
详细描述
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.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Supportive Care
- 盲法
- None
入排标准
- 年龄范围
- 19 Years 至 —（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •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
排除标准
- •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
研究组 & 干预措施
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.
干预措施: 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.
干预措施: 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.
干预措施: 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.
干预措施: 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.
干预措施: 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.
干预措施: 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.
干预措施: Study Materials (Other)
结局指标
主要结局
Successful transition to an adult provider
时间窗: 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.
次要结局
- Increased self-care and transition related skills(6 months)