Evidence map›Paper›PMID 28754584›Full record

ArticleThe Journal of adolescent health : official publication of the Society for Adolescent Medicine2017

Adolescent to Adult HIV Health Care Transition From the Perspective of Adult Providers in the United States.

Amanda E Tanner, Morgan M Philbin, Alice Ma, Brittany D Chambers, Sharon Nichols, Sonia Lee, J Dennis Fortenberry, Adolescent Trials Network for HIV/AIDS Interventions

Abstract read
In one paragraph

Article in The Journal of adolescent health : official publication of the Society for Adolescent Medicine, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 28 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
28citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

28 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. Healthcare Transition From Pediatric to Adult Care Among Youth Living With HIV in South Carolina: Retrospective Study From 2005 to 2021.The Journal of adolescent health : official publication of the Society for Adolescent Medicine · 2026
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  9. Retention and Viral Suppression Among Adolescents Newly Initiating Antiretroviral Therapy in Adult HIV Care in Lima, Peru: A Retrospective Cohort Study.The Journal of adolescent health : official publication of the Society for Adolescent Medicine · 2024
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

8 authors.

Amanda E TannerDepartment of Public Health Education, University of North Carolina Greensboro, Greensboro, North Carolina. Electronic address: aetanner@uncg.edu.
Morgan M PhilbinDepartment of Sociomedical Sciences, Mailman School of Public Health, Columbia University, New York City, New York.
Alice MaDepartment of Public Health Education, University of North Carolina Greensboro, Greensboro, North Carolina.
Brittany D ChambersDepartment of Public Health Education, University of North Carolina Greensboro, Greensboro, North Carolina.
Sharon NicholsDepartment of Neurosciences, University of California, San Diego, California.
Sonia LeeMaternal and Pediatric Infectious Disease Branch, National Institute of Child Health and Human Development, Bethesda, Maryland.
J Dennis FortenberrySection of Adolescent Medicine, Indiana University School of Medicine, Indianapolis, Indiana.
Adolescent Trials Network for HIV/AIDS Interventions

Funding

Adol. Medicine Trials Network for HIV/AIDS InterventionsU01HD040474 · NICHD · WESTAT, INC. · PI HARRIS, DONALD ROBERT · 2001 to 2016
$114.4M
LEADERSHIP GROUP FOR ADOLESCENT MEDICINE TRIALS NETWORKU01HD040533 · NICHD · UNIVERSITY OF ALABAMA AT BIRMINGHAM · PI WILSON, CRAIG M · 2001 to 2016
$76.4M
Assessing the Impact of State-Level Policies on Drug Use and HIV Risk for YMSMK01DA039804 · NIDA · COLUMBIA UNIVERSITY HEALTH SCIENCES · PI PHILBIN, MORGAN MARI · 2016 to 2020
$888k
NICHD NIH HHS U01 HD040474NICHD NIH HHS U01 HD040533NIDA NIH HHS K01 DA039804
6 · The paper itself

Abstract

purposeThe HIV Care Continuum highlights the need for HIV-infected youth to be tested, linked, and maintained in lifelong care. Care engagement is important for HIV-infected youth in order for them to stay healthy, maintain a low viral load, and reduce further transmission. One point of potential interruption in the care continuum is during health care transition from adolescent- to adult-centered HIV care. HIV-related health care transition research focuses mainly on youth and on adolescent clinic providers; missing is adult clinic providers' perspectives.

methodsWe examined health care transition processes through semi-structured interviews with 28 adult clinic staff across Adolescent Trials Network sites. We also collected quantitative data related to clinical characteristics and transition-specific strategies.

resultsOverall, participants described health care transition as a "warm handoff" and a collaborative effort across adolescent and adult clinics. Emergent transition themes included adult clinical care culture (e.g., patient responsibility), strategies for connecting youth to adult care (e.g., adolescent clinic staff attending youth's first appointment at adult clinic), and approaches to evaluating transition outcomes (e.g., data sharing). Participants provided transition improvement recommendations (e.g., formalized protocols).

conclusionsUsing evidence-based research and a quality improvement framework to inform comprehensive and streamlined transition protocols can help enhance the capacity of adult clinics to collaborate with adolescent clinics to provide coordinated and uninterrupted HIV-related care and to improve continuum of care outcomes.

Indexed as

Outcome and Process Assessment, Health CareAdolescentAdultAmbulatory Care FacilitiesContinuity of Patient CareFemaleHealth Services AccessibilityHIV InfectionsHumansMaleQuality ImprovementTransition to Adult CareUnited StatesYoung AdultAdolescentsHealth care transitionHIVHIV careYouth

Identifiers

PMID28754584
PMCPMC5898429

What OpenQuestion holds

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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.