Primary Care Transition Study

Children's Hospital of Philadelphia43 enrolled

Overview

This study is looking at ways to help young people with chronic health conditions take better care of their health and find an adult doctor.

The purpose of this study is to determine whether providing targeted transition-related skills through interventions with varying degrees of intensity (from the low intensity Basic intervention group, to the mild intensity Group Intervention group, to the high intensity Full Intervention group) results in improved transition readiness and self-care skills and improved successful transition to adult-based services for young adults with chronic health conditions. Secondary objectives include determining if the transition interventions enhance transition-related satisfaction among participants, their caregivers and the involved pediatric and adult providers.

Study Type

INTERVENTIONAL

Allocation

RANDOMIZED

Purpose

SUPPORTIVE_CARE

Masking

NONE

Enrollment

Conditions

Chronic Health Condition Cognitive Disability

Interventions

REACH for IndependenceBEHAVIORAL

REACH for Independence is a transition and self-care skill-building peer support group led by a social worker. It is comprised of two 2.5-hour group sessions where participants participate in activities designed to teach self-care, self-advocacy and improve transition to adulthood skills.

Transition ConsultBEHAVIORAL

The transition consult is a 1-on-1 visit with an MD and social worker. At the consults, participants will receive individualized information related to their unique medical and psychosocial needs and support related to issues relevant to their gaining healthcare independence and finding an adult doctor, such as accommodations, transportation, insurance and finances. After the consult, this group will have access to a transition coordinator who can help with any transition-related problems that may occur.

Study Materials

Eligibility

Sex: ALLMin age: 19 Years

Medical Language ↔ Plain English

Young Adult Inclusion Criteria: * Males or females age 19 years of age or older * Presence of at least 1 Chronic Condition and/or Cognitive Disability * Last visit with pediatric primary care provider occurring on or after January 1, 2011 * Currently active in one of four identified pediatric practices (Cobbs Creek, Chestnut Hill, Market Street, West Chester) * Current primary care provider approval for participation * English speaking Young Adult Exclusion Criteria: * Male or female age \< 19 years * No presence of a chronic condition or cognitive disability * Last visit with pediatric PCP occurring prior to January 1, 2011 * Not currently active in one of four identified pediatric practices (Cobbs Creek, Chestnut Hill, Market Street, West Chester) * Current PCP disapproves participation * Non-English speaking Caregiver Inclusion Criteria: * Has a child enrolled in the study * Child has consented/assented to allow them to participate * English speaking Caregiver Exclusion Criteria: * Child did not consent/assent to allow them to participate * Non-English speaking

Locations (1)

Children's Hospital of Philadelphia

Philadelphia, Pennsylvania, United States

Outcomes

Primary Outcomes

Successful transition to an adult provider

The primary outcome is successful transition to an adult provider, as evidenced by at least 1 visit with an adult provider within 10 months of the baseline visit.

Time frame: 10 months

Secondary Outcomes

Increased self-care and transition related skills

Self-care and transition related skills will be measured pre- and post- intervention with the Transition Readiness Assessment Questionnaire (TRAQ). The TRAQ is a validated 33-item self-administered tool that measures skills needed to progress towards independence in key areas of life like education and work as well as skills needed to successfully transition from pediatric to adult healthcare. The TRAQ will be completed over the phone or via an online survey with young adult participants and their caregivers at baseline and at the 6-month follow-up visit.

Time frame: 6 months

Data from ClinicalTrials.gov

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