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Implementation of a Diabetes Transition of Care Program
Summary
Adolescents with Type 1 diabetes often struggle with transitioning to adult care, impacting their health. This study highlights the need for better transition preparation to improve diabetes management and outcomes.
Area of Science:
- Pediatric Endocrinology
- Transition of Care Research
- Adolescent Health Services
Background:
- Ineffective healthcare transition for adolescents with diabetes can lead to poor glycemic control and increased complications.
- National recommendations exist, but few youth receive adequate preparation for transitioning to adult health services.
Purpose of the Study:
- To assess the readiness of adolescents with Type 1 diabetes for transition to adult care.
- To identify specific areas of readiness and confidence in managing their diabetes during the transition period.
Main Methods:
- A data transition registry was established at an urban academic medical center.
- Patients aged 14+ with Type 1 diabetes were identified.
- Transition Readiness Assessment Questionnaires (TRAQs) were administered to eligible patients.
Main Results:
- Twenty-one patients completed baseline TRAQs, with a mean skill score of 66.62/100.
- No correlation was found between TRAQ scores and hemoglobin A1c levels.
- Patients showed lower readiness in appointment keeping and health issue tracking but were confident in daily management, provider communication, and medication management.
Conclusions:
- Adolescents with Type 1 diabetes demonstrate variable readiness for transition to adult care.
- Targeted interventions are needed to improve skills in appointment keeping and health tracking.
- Leveraging existing confidence in daily management can support a smoother transition process.
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