Evaluating Innovations in Transition From Pediatric to Adult Care - The Transition Navigator Trial
Last updated on July 2021Recruitment
- Recruitment Status
- Recruiting
- Estimated Enrollment
- Same as current
Summary
- Conditions
- Autism Spectrum Disorder
- Autoimmune Diseases
- Cardiac Disease
- Diabetes
- Endocrine System Diseases
- Epilepsy
- Fetal Alcohol Spectrum Disorders
- Gastro-Intestinal Disorder
- Stroke
- Genetic Diseases, Inborn
- Respiratory Disease
- Traumatic Brain Injury
- "Hematologic Diseases"
- Renal Disease
- Metabolic Disease
- Neuro-Degenerative Disease
- Type
- Interventional
- Phase
- Not Applicable
- Design
- Allocation: RandomizedIntervention Model: Parallel AssignmentIntervention Model Description: Two groups of participants will be randomized by primary clinical areaMasking: None (Open Label)Primary Purpose: Health Services Research
Participation Requirements
- Age
- Between 16 years and 21 years
- Gender
- Both males and females
Description
Transition is the purposeful, planned movement of adolescent and young adults with chronic health conditions from child-centered to adult-oriented health systems. Transition includes, but is not limited to transfer to adult care. Transfer of care, which occurs during a vulnerable developmental perio...
Transition is the purposeful, planned movement of adolescent and young adults with chronic health conditions from child-centered to adult-oriented health systems. Transition includes, but is not limited to transfer to adult care. Transfer of care, which occurs during a vulnerable developmental period around age 18 introduces gaps in continuity of care that can lead to detrimental health outcomes in young adults. Therefore, provision of coordinated and developmentally appropriate care during the transition period is necessary to maintain health and to sustain investments made in pediatric health care. Clinical practice guidelines for transition to adult care recommend the use of patient navigators to coordinate the entry of patients into a complex and unfamiliar adult health care system. Patient navigators provide individualized supports to facilitate medical follow-up and adherence. A limited number of studies have shown that access to a patient navigator during transition decreases drop-out from medical care and disease specific adverse events. No study to date has evaluated the benefits of a patient navigator to improve patient and or health system outcomes, when implemented across multiple chronic disease settings. Objectives/Methods to evaluate the impact of a patient navigator intervention compared to treatment as usual for 16 to 21 year olds living with chronic health conditions who are transferring to adult care with respect to healthcare utilization and patient reported outcomes to obtain perceptions of stakeholders regarding the role of patient navigators in reducing barriers to adult-oriented ambulatory care to determine the net health care cost impact attributable to the navigator intervention A qualitative study sampling participants randomized into the intervention arm at the beginning and end of the trial will also be undertaken to understand the patient experience.
Tracking Information
- NCT #
- NCT03342495
- Collaborators
- Alberta Health Services
- University of Alberta
- Investigators
- Principal Investigator: Susan Samuel, MD, MSc University of Calgary Principal Investigator: Gina Dimitropoulos, PhD University of Calgary Principal Investigator: Andrew Mackie, MD University of Alberta