Primary Care Transition Study

Chronic Health Condition Clinical Trial

Official title:

Transition From Pediatric to Adult Services: A Primary Care Based Model for Patients With Chronic Conditions

Clinical Trial Details — Status: Completed

Administrative data

• NCT number: NCT01750892
• Other study ID #: Peter_12-009117
• Status: Completed
• Phase: N/A
• Start date: October 2012
• Est. completion date: July 2014

Study information

• Verified date: October 2023
• Source: Children's Hospital of Philadelphia
• Contact: n/a
• Is FDA regulated: No
• Study type: Interventional

Clinical Trial Summary

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.

Description:

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.

Recruitment information / eligibility

• Status: Completed
• Enrollment: 43
• Est. completion date: July 2014
• Est. primary completion date: July 2014
• Accepts healthy volunteers: No
• Gender: All
• Age group: 19 Years and older

Eligibility

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

Related Conditions & MeSH terms

• Chronic Health Condition
• Cognitive Disability
• Disease

Intervention

Behavioral:
• REACH for Independence
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 Consult
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.

Other:
• Study Materials
The Study Materials include a Care Binder, a Resource list, an Adult Doctor List and a Wallet Card. The Care Binder is an organizational tool to help patients with special healthcare needs manage and track important information related to their health and medical care. The Resource list has information about important community resources. The Adult Doctor List provides information about finding an adult primary care provider. The Wallet Card is a sheet for tracking important medical and personal information.

Locations

Country	Name	City	State
United States	Children's Hospital of Philadelphia	Philadelphia	Pennsylvania

Sponsors (1)

Lead Sponsor	Collaborator
Children's Hospital of Philadelphia

Country where clinical trial is conducted

United States, 

Outcome

Type	Measure	Description	Time frame	Safety issue
Other	Participant satisfaction with the intervention	Self-reported satisfaction with the intervention will be assessed at 6-months post-baseline via a phone interview or online survey.	6 months
Primary	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.	10 months
Secondary	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.	6 months