Review articleComponents of Interventions That Improve Transitions to Adult Care for Adolescents With Type 1 Diabetes
Section snippets
Search
Following an a priori protocol [17] and the Preferred Reporting Items for Systematic Reviews and Meta-Analysis guidelines [18], we searched six databases: Cumulative Index to Nursing and Allied Health Literature, Cochrane, Embase, MEDLINE, PsycINFO, and PubMed. Search terms addressed the population ([adolescent or young adult or pediatrics] and [type 1 diabetes]) undergoing transition (transition to adult care or health transition) measuring specific outcomes (hemoglobin A, glycosylated or
Results
Figure 1 provides details regarding the literature search. Of 4,689 records, 2,725 titles and 518 full abstracts were reviewed. During the review of abstracts, there was one title [27] where neither an abstract nor full text could be obtained via library request and was therefore excluded from further review. The full text was reviewed for 81 papers. At this stage in the search, two additional papers were obtained. One was a publication of a study originally retrieved in abstract form only [25]
Discussion
Overall, all but one study [24] reported improvement or maintenance in glycemic control posttransition. While this suggests that transition programs may be effective in maintaining or improving glycemic control during transition, this finding must be interpreted with caution. Most included studies lacked a control group and did not statistically adjust for potential confounding factors such as time. When change in HbA1c was pooled, no differences in glycemic control were found. It may be that
Acknowledgments
A.T.S. wrote the first draft of the manuscript. The authors would like to acknowledge and thank Nelsa S. Avallon Duke, BSN, RN of Columbia University School of Nursing for reading a preliminary draft of the manuscript and Rita Marie John, DNP, EdD, CPNP of Columbia University School of Nursing for reviewing an outline of the manuscript and a draft of our table and figures. No honorariums, grants, or other forms of payments were received for the writing of this manuscript.
Protocol: PROSPERO
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Transition From Pediatric to Adult Care for Individuals With Type 1 Diabetes: Opportunities and Challenges
2023, Endocrine PracticeCitation Excerpt :Another diabetes-specific transition tool, the Readiness of Emerging Adults with Diabetes Diagnosed in Youth (READDY) has recently been developed but has not yet been shown to be predictive of self-care ability or glycemic control.14 There are a variety of models of transition that have been implemented for AYA patients with T1D (Table 1).15-19 Most studies of transition of care interventions are small and from single institution, limiting the applicability.
Review of transition of care literature: Epidermolysis bullosa—A paradigm for patients with complex dermatologic conditions
2022, Journal of the American Academy of DermatologyDevelopment and Validation of the Transition Readiness Assessment Instrument in Type 1 Diabetes “On TRAck”
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Conflicts of interest: The authors have no conflicts of interest to disclose.
Disclaimer: This research did not receive any specific grant from funding agencies in the public, commercial, or not-for-profit sectors.