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Multidisciplinary Approach for Adult Patients With Childhood-Onset Chronic Disease Focusing on Promoting Pediatric to

Rie Wakimizu1, Keita Sasaki2, Mitsuki Yoshimoto2

  • 1Department of Child Health Care Nursing, Division of Health Innovation and Nursing, Faculty of Medicine, University of Tsukuba, Tsukuba, Japan.

Frontiers in Pediatrics
|July 1, 2022
PubMed

Insights

Healthcare transition interventions for adults with childhood-onset chronic disease (APCCD) support independence and social participation. These interventions are recommended for their positive effects and lack of adverse outcomes.

Area of Science:

  • Pediatric healthcare
  • Chronic disease management
  • Healthcare transition

Background:

  • Increasing number of adult patients with childhood-onset chronic disease (APCCD) due to improved prognosis.
  • Need for effective strategies to manage APCCD and promote successful transition from pediatric to adult care.

Approach:

  • Systematic review of literature from 2010-2021 on pediatric to adult healthcare transition interventions.
  • Inclusion of original studies focusing on children and adolescents (12+) with chronic conditions, adhering to PICO model criteria.
  • Analysis of 16 selected studies encompassing individual education, group meetings, ICT-based learning, and transition clinics.

Key Points:

  • Interventions included individual education programs, group meetings, ICT-based learning, and transition clinics.
  • Observed effects of interventions varied based on content and methodology.
  • No adverse outcomes were reported for any of the evaluated interventions.

Conclusions:

  • Pediatric to adult healthcare transition interventions offer systematic support for patient independence and social participation.
  • These interventions are recommended for adoption due to their positive expected effects in managing APCCD.
  • Further research may explore optimizing intervention strategies for diverse APCCD populations.
Abstract

Keywords:
adolescentschildhood-onset chronic diseasehealthcare transition interventionsmultidisciplinary approachsystematic review

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