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  11. Transitioning Adolescents To Adult Hiv Care In The United States: Implementation Lessons From The Itransition Intervention Pilot Trial.
  1. Home
  3. Research Domains
  5. Health Sciences
  7. Health Services And Systems
  9. Family Care
  11. Transitioning Adolescents To Adult Hiv Care In The United States: Implementation Lessons From The Itransition Intervention Pilot Trial.

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Transitioning Adolescents to Adult HIV Care in the United States: Implementation Lessons from the iTransition Intervention Pilot Trial.

Amanda E Tanner1, Sulianie Mertus1, Mohammed Sheikh Eldin Jibriel1

  • 1Department of Public Health Education, University of North Carolina Greensboro, 437 Coleman, Greensboro, NC 27402, USA.

Tropical Medicine and Infectious Disease
|December 27, 2024

View abstract on PubMed

Summary
This summary is machine-generated.

Healthcare transition for youth with HIV is challenging. The iTransition mobile health intervention shows promise but faces implementation barriers, requiring further refinement for improved care continuity.

Keywords:
HIVhealthcare transitioninterventionmHealth

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Area of Science:

  • Pediatric and Adolescent Healthcare
  • HIV/AIDS Management
  • Digital Health Interventions

Background:

  • Healthcare transition is a critical, yet under-supported, process for all youth with HIV moving from pediatric to adult care.
  • Challenges in transition can lead to decreased care engagement, poor medication adherence, and compromised viral suppression.
  • Existing evidence-based interventions to optimize this transition are lacking.

Purpose of the Study:

  • To evaluate the implementation process of the iTransition, a multilevel mobile health (mHealth) intervention.
  • To identify the role of iTransition in addressing healthcare transition challenges for youth living with HIV.
  • To understand barriers and facilitators to the intervention's reach and implementation.

Main Methods:

youth and young adults
  • Process evaluation utilizing iterative interviews with youth, healthcare providers, and Transition Champions.
  • Analysis of team meeting notes to supplement interview data.
  • Qualitative assessment of intervention implementation and user experiences.

    • Main Results:

    • The iTransition intervention demonstrates potential in addressing healthcare transition challenges and filling a critical gap for youth and providers.
    • Key implementation challenges include individual factors (competing priorities), clinical integration (EHR), and contextual issues (COVID-19 policies).
    • Iterative feedback highlights the intervention's value but also areas needing refinement.

    Conclusions:

    • The iTransition mHealth intervention shows promise for supporting healthcare transition in youth with HIV.
    • Addressing individual, clinical, and contextual barriers is crucial for successful intervention implementation.
    • Further research and refinement are necessary to ensure sustained care continuity for this population.