The purpose of this research study is to find out more about how to support young adults (ages 18-22) with type 1 diabetes as they prepare to transition from pediatric and adult endocrinology medical care.
The overarching goal of the proposed trial is to improve diabetes self-management and glycemic control in young adults and prepare them for the transition to adult endocrinology. The current application will investigate the impact of a multisystem transition preparation intervention for young adults (ages 18-22) with T1D. Twenty-five young adults and a parent will be enrolled in a 6-month transition preparation program which will use a hybrid in-person and technology delivery structure. Providers will receive training highlighting their role preparing young adults for transition and provides practical tips to use in their communication with young adults. If effective, this multisystem intervention, designed to enhance T1D self-management and increase young adults' readiness for transition to adult healthcare during this critical developmental period, has the potential to inform clinical practice guidelines.
Study Type
INTERVENTIONAL
Allocation
NA
Purpose
SUPPORTIVE_CARE
Masking
NONE
Enrollment
62
Young adult participants and parents will complete transition preparation sessions that include meeting with a health behavior coach for in-person sessions and review of materials sent electronically between study visits.
Children's Hospital of Richmond at Virginia Commonwealth University
Richmond, Virginia, United States
Number of sessions attended
Number of study visits (attendance)
Time frame: 6 months
Number of session views
Number of opened electronic materials (e.g., opened messages in the patient health portal))
Time frame: 6 months
Program acceptability - young adult
Young adult report on satisfaction with the program via an exit survey
Time frame: 9 months
Program acceptability - parent
Parent report on satisfaction with the program via an exit survey
Time frame: 9 months
Program acceptability - provider
Provider report on satisfaction with the program via an exit survey
Time frame: 9 months
Change in Glycemic control
Measurement of hemoglobin A1c (A1c; reported as a percentage)
Time frame: Baseline to 9 months
Diabetes-related hospitalizations
Participant report and medical record review of count of reported diabetes-related hospitalizations and complications
Time frame: 9 months
Change in adherence to diabetes care regimen
Average of young adult and parent participant reports on the Diabetes Management Questionnaire (DMQ)
Time frame: Baseline to 9 months
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Change in transition readiness
Average of young adult and parent participant reports on the Transition Readiness Assessment Questionnaire (TRAQ)
Time frame: Baseline to 9 months