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Creating a sustainable pediatric diabetes transition program.

Aparna Bindiganavle1, Amy Manion2

  • 1Pediatric Nurse Practitioner Hematology/Oncology & Endocrinology, Rush University Medical Center, United States.

Journal of Pediatric Nursing
|June 11, 2021
PubMed
Summary

Implementing the Transition Readiness Assessment Questionnaire (TRAQ) improved pediatric diabetes care transition. Addressing staff training and software access barriers led to a 100% increase in documented transition goals.

Keywords:
Chronic conditionsDiabetesHealth care transitionPediatric diabetesTransition to adulthood

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Area of Science:

  • Pediatric Endocrinology
  • Healthcare Quality Improvement
  • Transition of Care

Background:

  • A quality improvement project focused on healthcare transition was implemented in a pediatric endocrinology clinic.
  • The project aimed to evaluate the effectiveness of the Transition Readiness Assessment Questionnaire (TRAQ).
  • Barriers to TRAQ implementation were identified to create a more sustainable format.

Purpose of the Study:

  • To assess the effectiveness of the TRAQ tool in a pediatric endocrinology setting.
  • To identify and address barriers hindering the successful implementation of the TRAQ tool.
  • To improve the documentation and achievement of transition-focused goals for adolescents with diabetes.

Main Methods:

  • A pre- and post-intervention evaluation design was employed.
  • A twelve-month chart review of eligible pediatric diabetes patients (≥14 years) was conducted.
  • Clinic staff discussions identified implementation barriers, leading to targeted solutions like staff training and software relocation.

Main Results:

  • Barriers included insufficient staff training for device downloads and inconvenient software location.
  • Staff training was enhanced, and diabetes software was relocated for better accessibility.
  • The revised process resulted in a statistically significant 100% increase in the documentation of transition goals and their achievement (p ≤0.001).

Conclusions:

  • The TRAQ tool is effective for guiding transition needs when implementation barriers are managed.
  • Addressing staff training and software accessibility is crucial for successful TRAQ administration.
  • Regular evaluation of the TRAQ protocol supports pediatric patients' transition to adult healthcare.