Systematic review of the impact of transition interventions for adolescents with chronic illness on transfer from pediatric to adult healthcare

Chu, Patricia Y.; Maslow, Gary R.; von Isenburg, Megan; Chung, Richard J.

doi:10.1016/j.pedn.2015.05.022

Cited by 149Adolescent and Pediatric HealthcareChild and Adolescent HealthChildhood Cancer Survivors' Quality of Life

Systematic review of the impact of transition interventions for adolescents with chronic illness on transfer from pediatric to adult healthcare

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Chu, Patricia Y., Maslow, Gary R., von Isenburg, Megan, Chung, Richard J.·2015·Journal of Pediatric Nursing

DOI 10.1016/j.pedn.2015.05.022PMC PMC4567416

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Abstract

Transfer from pediatric to adult care is a critical component of a high-quality transition experience for adolescents and young adults (AYA) with chronic illness. To examine the current evidence regarding the effect of transition interventions on care transfer, we performed a systematic review of studies that evaluated the effect of transition interventions on the specific health services outcome of transfer. The Medline, CINAHL, and PsycINFO databases were searched for studies that evaluated 1) a discrete transition intervention for AYA, 2) included a comparison group, and 3) reported on the outcome of transfer from pediatric to adult healthcare. References were screened and reviewed separately by authors, and relevant study details were abstracted during the review process. Five studies from five different countries were included in the final analysis. All five studies were conducted in specialty care clinics, with three interventions involving a nurse practitioner or systems navigator and two interventions involving physicians. Four studies were retrospective observational studies, and one was a pilot randomized controlled trial. Three of the five studies found that the transition intervention was associated with increased rates of transfer while the other two showed no statistically significant effects. Overall, evaluation of transfer appears to be hindered by methodological challenges. Establishing clearer definitions and metrics of transfer and creating the infrastructure needed to monitor the transfer of patients more consistently are important goals.

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Before- and after-school physical activity programs for school-age children and adolescents improve BMI and prevent obesity.
“Although before and after-school interventions to increase physical activity in school-age children and adolescents have been effective in improving BMI and preventing obesity,1523,1524”
From American Association of Clinical Endocrinology Clinical Practice Guideline: Developing a Diabetes Mellitus Comprehensive Care Plan-2022 Update. (2022) · cites this paper as [1523]
The Results > Outcomes section evaluates transfer from pediatric to adult care and clinic attendance, not BMI or obesity. Searches for before- and after-school physical activity programs and BMI or obesity found no passage addressing the claim. Page numbers were unavailable in our copy. (LLM, conf=0.77)
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Authors: Chu, P. Y., Maslow, G. R., von Isenburg, M., & Chung, R. J.
Affiliations: Duke University (US)
Corresponding author: Chu, Patricia Y.
ORCID: Chu, Patricia Y.
Maslow, Gary R.
Chung, Richard J.
Venue: Journal of Pediatric Nursing
Publisher: Elsevier BV
Published: 2015-09
Volume: 30
Issue: 5
Pages: e19-e27
ISSN: 0882-5963 (ISSN-L)
DOI: 10.1016/j.pedn.2015.05.022
PMC: PMC4567416
OpenAlex: W1860868034
Cited by: 149
References: 45
Citations by year: 2026: 5 · 2025: 14 · 2024: 9 · 2023: 15 · 2022: 13 · 2021: 24 · 2020: 13 · 2019: 12 · 2018: 23 · 2017: 11 · 2016: 9
FWCI: 3.19
Type: journal article
Language: en
Open access: green
www.ncbi.nlm.nih.gov
Licence: www.elsevier.com/tdm/userlicense/1.0/ (tdm)
www.elsevier.com/legal/tdmrep-license (tdm)
Locations: Journal of Pediatric Nursing (publishedVersion)
PubMed (publishedVersion)
PubMed Central (acceptedVersion)
Funders: National Institutes of Health (TL1TR001116)
National Center for Advancing Translational Sciences
Topics: Health Sciences › Health Professions › Speech and Hearing › Adolescent and Pediatric Healthcare
Health Sciences › Health Professions › General Health Professions › Child and Adolescent Health
Health Sciences › Medicine › Pediatrics, Perinatology and Child Health › Childhood Cancer Survivors' Quality of Life
Keywords: care transitions, transition to adult care, adolescents with chronic illness, transition interventions, nurse practitioners
MeSH terms: Adolescent, Anemia, Sickle Cell, Child, Chronic Disease, Delivery of Health Care, Diabetes Mellitus, Type 1, Female, Humans, Male, Pediatrics, Pilot Projects, Quality of Life, Program Evaluation, Randomized Controlled Trials as Topic, Program Development, Patient Satisfaction, Young Adult, Transition to Adult Care

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Systematic review of the impact of transition interventions for adolescents with chronic illness on transfer from pediatric to adult healthcare

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