Healthcare Transition of Adolescents With Chronic Health Conditions
NCT ID: NCT04631965
Last Updated: 2021-12-21
Study Results
The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.
Basic Information
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UNKNOWN
503 participants
OBSERVATIONAL
2017-09-01
2023-12-31
Brief Summary
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The primary hypothesis is that transition readiness will be more strongly associated with adherence to follow-up, fewer emergency visits and continued education than disease severity or chronological age.
The secondary hypothesis is that positive experiences of care will be associated with lower levels of anxiety. Positive care experiences and low anxiety will predict better health-related quality of life during the transition period.
A cohort of 504 young patients will be followed for three years. Patients have been recruited from pediatric hospitals 0-12 months prior to the transfer of care and follow-up will be completed after the patients have been followed for two years in adult healthcare.
Detailed Description
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Conditions
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Keywords
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Study Design
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COHORT
PROSPECTIVE
Study Groups
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Cohort in Finland
253 young patients who attend clinics in Finland with no hospital-wide transition support service available
No interventions assigned to this group
Cohort in Australia
250 young patients who attend clinics in Victoria, Australia and who have received support from a hospital-wide transition support service
Transition support service
The hospital-wide transition support service provides systematic care coordination for young patients prior to the transfer of care
Interventions
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Transition support service
The hospital-wide transition support service provides systematic care coordination for young patients prior to the transfer of care
Eligibility Criteria
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Inclusion Criteria
* Attend care and/or follow-up at either the New Children's Hospital in Helsinki, Finland or the Royal Children's Hospital in Melbourne, Australia in one or more of the following disciplines: endocrinology, gastroenterology, cardiology, rheumatology, neurology, pediatric surgery, nephrology and solid organ transplantation.
* Care to be transferred to adult services within 0-12 months following recruitment
Exclusion Criteria
* Cognitive limitations that inhibit responding to questionnaires
15 Years
20 Years
ALL
No
Sponsors
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Pediatric Research Center
UNKNOWN
Foundation for Medical Research
OTHER
Foundation for Paediatric Research, Finland
OTHER
The Paulo Foundation
OTHER
Royal Children's Hospital
OTHER
Murdoch Childrens Research Institute
OTHER
University of Melbourne
OTHER
University of Helsinki
OTHER
Responsible Party
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Silja Kosola, MD PhD
Adjunct professor in Adolescent Medicine
Locations
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Royal Children's Hospital
Melbourne, Victoria, Australia
Pediatric Research Center
Helsinki, Uusimaa, Finland
Countries
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References
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Alanen A, Kallio M, Culnane E, Koivisto M, Pasanen M, Salantera S, Sawyer S, Kosola S. Anxiety and care experiences in adolescents with chronic health conditions: an international, longitudinal study across the transfer of care. BMJ Paediatr Open. 2024 Nov 19;8(1):e002836. doi: 10.1136/bmjpo-2024-002836.
Kallio MM, Tornivuori A, Kolho KL, Culnane E, Loftus H, Sawyer SM, Kosola S. Changes in health-related quality of life during transition to adult healthcare: an international prospective cohort study. Arch Dis Child. 2024 Jul 18;109(8):659-665. doi: 10.1136/archdischild-2024-327017.
Kallio M, Tornivuori A, Miettinen PJ, Kolho KL, Relas H, Culnane E, Loftus H, Sawyer SM, Kosola S. Health-related quality of life and self-reported health status in adolescents with chronic health conditions before transfer of care to adult health care: an international cohort study. BMC Pediatr. 2024 Mar 8;24(1):163. doi: 10.1186/s12887-024-04629-x.
Tornivuori A, Kallio M, Culnane E, Pasanen M, Salantera S, Sawyer S, Kosola S. Transition readiness and anxiety among adolescents with a chronic condition and their parents: A cross-sectional international study. J Adv Nurs. 2024 Feb;80(2):756-764. doi: 10.1111/jan.15860. Epub 2023 Sep 10.
Kosola S, Culnane E, Loftus H, Tornivuori A, Kallio M, Telfer M, Miettinen PJ, Kolho KL, Aalto K, Raivio T, Sawyer S. Bridge study protocol: an international, observational cohort study on the transition of healthcare for adolescents with chronic conditions. BMJ Open. 2021 Jun 21;11(6):e048340. doi: 10.1136/bmjopen-2020-048340.
Other Identifiers
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U1011SILTA
Identifier Type: -
Identifier Source: org_study_id