The Diabetes Transition Study for Young People Aged Between 16-20 Years of Age.

Northampton General Hospital NHS Trust100 enrolled

Overview

Study into the use of a diabetes specialist transition nurse in the care of young people aged 16-20 years, with type 1 diabetes; undergoing transition from the paediatric to the adult diabetes services at the Northampton General Hospital

Does the use of a structured diabetes transition program in the care of young people transitioning from the paediatric to the adult diabetes services at Northampton General Hospital improve the study group mean HbA1C, reduce the number of diabetes related hospital episodes and increase attendance at the adult diabetes clinic following transition to the adult service?

Study Type

INTERVENTIONAL

Allocation

NON_RANDOMIZED

Purpose

SUPPORTIVE_CARE

Masking

NONE

Enrollment

100

Conditions

Type 1 Diabetes Mellitus

Interventions

Transition intervention groupOTHER

Support and on-going treatment intervention; monitoring the uptake of routine annual diabetes tests and encouraging to access where default observed General specialist diabetes support and provision of education and referral to other specialist healthcare agencies as individual requires

Post transition groupOTHER

The previous fifty eligible young people who have transitioned to adult service, will be compared with the active comparator group.

Eligibility

Sex: ALLMin age: 16 YearsMax age: 20 YearsHealthy volunteers:

Medical Language ↔ Plain English

Inclusion Criteria: * established type 1 diabetes for minimum of 1 year * attended the Northampton general Hospital, children's and young peoples diabetes service for at least 6 months prior to transition * between the ages of 16 - 20 years * ability to participate in all aspects of the trial * written informed consent must be obtained Exclusion Criteria: * any condition which may interfere with the subjects ability to participate in the study including cystic-fibrosis related diabetes * subjects who move away from the Northampton General Hospital clinic during the transition process * those unable to give informed consent

Locations (1)

Northampton general Hospital NHS Trust

Northampton, United Kingdom

Outcomes

Primary Outcomes

The rates of diabetes related hospital episodes, including Diabetic Ketoacidosis, between the 2 study groups before and after transition

Rates of admission

Time frame: 3 years

Secondary Outcomes

The mean Hba1C between the 2 study groups before and after transition

Hba1C measurement

Time frame: 3 years

The frequency of testing according to National Institute for Health and Care Excellence between the 2 study groups

Annual diabetes routine checks

Time frame: 3 years

Emotional health of the 2 study groups

HADS Questionnaire

Time frame: 3 years

Emotional health of the 2 study groups

PAID Questionnaire

Time frame: 3 years

To compare the proportion of young people in the study groups who fail to attend at least one out-patient adult diabetes appointment during the first year after transition

Compare attendance rates

Time frame: 3 years

Data from ClinicalTrials.gov

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