ArticlePediatrics2017
Preparation for Transition to Adult Care Among Medicaid-Insured Adolescents.
Article in Pediatrics, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.
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Who cites it
11 citing papers in PubMed.
- Insurance IQ: Demystifying health insurance for young people with inflammatory bowel disease.JPGN reports · 2026Article
- Medicaid Expansion and 1-Year Mortality Among Young Adults Initiating Dialysis.JAMA pediatrics · 2026Article
- Transition of Adolescents With Diabetes Mellitus to Adult Care at the Ho Teaching Hospital in Ghana.Pediatric diabetes · 2025Article
- The impact of insurance on adolescent transition to adult care.Health care transitions · 2025Article
- Nationwide Survey on Transitional Care for Patients With Childhood-Onset Cardiomyopathy in Japan.Circulation reports · 2024Article
- Transition readiness in middle and older adolescents with asthma and associated factors: a descriptive study.The Journal of asthma : official journal of the Association for the Care of Asthma · 2023Article
- Pediatric to adult primary care transition for medically complex youth: A tale of learning from challenges experienced implementing a pilot project during COVID-19.Health care transitions · 2023Article
- Feasibility of Text Messages for Enhancing Therapeutic Engagement Among Youth and Caregivers Initiating Outpatient Mental Health Treatment: Mixed Methods Study.JMIR formative research · 2022Article
- Exploring Health Literacy, Transition Readiness, and Healthcare Utilization in Medicaid Chronically Ill Youth.The Journal of adolescent health : official publication of the Society for Adolescent Medicine · 2021Article
- Transition to adulthood and adult health care for patients with sickle cell disease or cystic fibrosis: Current practices and research priorities.Journal of clinical and translational science · 2018Review
- A Patient Navigator Intervention Supporting Timely Transfer Care of Adolescent and Young Adults of Hispanic Descents Attending an Urban Primary Care Pediatrics Clinic.Pediatric quality & safetyArticle
Corrections and comments
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Authors and funding
10 authors.
Funding
Abstract
backgroundParents of children with chronic illness consistently report suboptimal preparation for transition from pediatric- to adult-focused health care. Little data are available on transition preparation for low-income youth in particular.
methodsWe conducted a mailed survey of youth with chronic illness enrolled in 2 large Medicaid health plans to determine the quality of transition preparation using the Adolescent Assessment of Preparation for Transition (ADAPT). ADAPT is a new 26-item survey designed for 16- to 17-year-old youth to report on the quality of health care transition preparation they received from medical providers. ADAPT generates composite scores (possible range: 0%-100%) in 3 domains: counseling on transition self-management, counseling on prescription medication, and transfer planning. We examined differences in ADAPT scores based on clinical and demographic characteristics.
resultsAmong 780 and 575 respondents enrolled in the 2 health plans, respectively, scores in all domains reflected deficiencies in transition preparation. The highest scores were observed in counseling on prescription medication (57% and 58% in the 2 plans, respectively), and lower scores were seen for counseling on transition self-management (36% and 30%, respectively) and transfer planning (5% and 4%, respectively). There were no significant differences in composite scores by health plan, sex, or type of chronic health condition.
conclusionsThe ADAPT survey, a novel youth-reported patient experience measure, documented substantial gaps in the quality of transition preparation for adolescents with chronic health conditions in 2 diverse Medicaid populations.
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