Clinic attendance and disengagement of young adults with type 1 diabetes after transition of care from paediatric to adult services (TrACeD): a randomised, open-label, controlled trial

The Lancet Child & Adolescent Health
Mary WhiteFergus J Cameron

Abstract

Care transition from paediatric to adult services for young adults with type 1 diabetes is frequently associated with decreased attendance at outpatient hospital clinics and increased disengagement from specialist services. We aimed to assess the effect of an appointment-management intervention on clinic attendance and disengagement after transition. We did a randomised, open-label, controlled trial of patients aged 17-19 years with type 1 diabetes. Participants were recruited from a tertiary paediatric diabetes service at the Royal Children's Hospital (Melbourne, VIC, Australia) and had to be scheduled for transition to adult services at one of eight centres in Melbourne. We randomly assigned participants (1:1), using sequential sealed opaque envelopes, to either appointment management (intervention) or current care (control). The appointment manager acted as the point of contact between intervention group participants and the relevant adult clinics, and provided personalised pre-appointment telephone and short message service (SMS) reminders with automatic rebooking of missed appointments. No contact was initiated with the control group after recruitment, and any self-initiated contact with the investigating team was directed...Continue Reading

Citations

Jun 15, 2018·Pediatric Diabetes·Fergus J CameronEthel Codner
Apr 24, 2019·Diabetes Care·Tamara SpaicUNKNOWN JDRF Canadian Clinical Trial CCTN1102 Study Group
Nov 27, 2019·Diabetic Medicine : a Journal of the British Diabetic Association·S K W WongL Tudor Car
Jan 23, 2020·Diabetic Medicine : a Journal of the British Diabetic Association·S BrewsterH Price
Apr 19, 2019·Current Opinion in Gastroenterology·Jacob A Kurowski, Jessica R Philpott
Dec 22, 2019·Diabetes Care·UNKNOWN American Diabetes Association
Jun 19, 2018·Journal of Child Health Care : for Professionals Working with Children in the Hospital and Community·Susie AldissFaith Gibson
Jan 11, 2018·Health Expectations : an International Journal of Public Participation in Health Care and Health Policy·Janine ClarkeMadeleine Bridgett
Dec 11, 2020·Diabetes Care·UNKNOWN American Diabetes Association
Dec 30, 2021·Diabetes Care·UNKNOWN American Diabetes Association Professional Practice CommitteeMikhail Kosiborod
Jan 28, 2022·European Journal of Pediatrics·Lars Pape, Gundula Ernst

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