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Systematic Review of the Impact of Transition Interventions for Adolescents With Chronic Illness on Transfer From Pediatric to Adult Healthcare
Open accessAbstract
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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“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]
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Metadata
- Authors
- Chu, P. Y., Maslow, G. R., von Isenburg, M., & Chung, R. J.
- Affiliations
- Duke University (US)
- Corresponding author
- Chu, Patricia Y.
- Venue
- Journal of Pediatric Nursing
- Publisher
- Elsevier BV
- Published
- 2015-09
- Volume
- 30
- Issue
- 5
- Pages
- e19-e27
- ISSN
- 0882-5963 (ISSN-L)
- 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
- 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 › Medicine › Pediatrics, Perinatology and Child Health › Adolescent and Pediatric Healthcare
- Health Sciences › Medicine › Pediatrics, Perinatology and Child Health › 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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