Evidence map›Paper›PMID 32731863›Full record

ArticleBMC palliative care2020

"Transition from children's to adult services for adolescents/young adults with life-limiting conditions: developing realist programme theory through an international comparison".

Helen Kerr, Kimberley Widger, Geraldine Cullen-Dean, Jayne Price, Peter O'Halloran

Abstract read
In one paragraph

Article in BMC palliative care, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed
–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

10 citing papers in PubMed.

  1. Article
  2. Transition from adolescence to adulthood: Dedicated health services for young people with epilepsy in Italy.Epileptic disorders : international epilepsy journal with videotape · 2026
    Observational
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Helen KerrSchool of Nursing and Midwifery, Queen's University Belfast, Medical Biology Centre, Lisburn Road, Belfast, BT9 7BL, Northern Ireland. h.kerr@qub.ac.uk.ORCID http://orcid.org/0000-0003-3710-2046
Kimberley WidgerUniversity of Toronto, Lawrence S Bloomberg John Hopkins University Baetjer Memorial Library, The Hopsital for Sick Children, Toronto, Canada.
Geraldine Cullen-DeanThe Hospital for Sick Children, Toronto, Canada.
Jayne PriceFaculty of Health, Social Care and Education, Kingston and St George's University, London, UK.
Peter O'HalloranSchool of Nursing and Midwifery, Queen's University Belfast, Medical Biology Centre, Lisburn Road, Belfast, BT9 7BL, Northern Ireland.

Funding

All Ireland Institute of Hospice and Palliative Care, Ireland and Health and Social Care, Research and Development, Public Health Agency, Belfast Northern Ireland EAT/4694/2012Marcia Mackie Scholarship, School of Nursing and Midwifery, Queen's University Belfast 2014
6 · The paper itself

Abstract

backgroundManaging transition of adolescents/young adults with life-limiting conditions from children's to adult services has become a global health and social care issue. Suboptimal transitions from children's to adult services can lead to measurable adverse outcomes. Interventions are emerging but there is little theory to guide service developments aimed at improving transition. The Transition to Adult Services for Young Adults with Life-limiting conditions (TAYSL study) included development of the TASYL Transition Theory, which describes eight interventions which can help prepare services and adolescents/young adults with life-limiting conditions for a successful transition. We aimed to assess the usefulness of the TASYL Transition Theory in a Canadian context to identify interventions, mechanisms and contextual factors associated with a successful transition from children's to adult services for adolescents/young adults; and to discover new theoretical elements that might modify the TASYL Theory.

methodsA cross-sectional survey focused on organisational approaches to transition was distributed to three organisations providing services to adolescents with life-limiting conditions in Toronto, Canada. This data was mapped to the TASYL Transition Theory to identify corresponding and new theoretical elements.

resultsInvitations were sent to 411 potentially eligible health care professionals with 56 responses from across the three participating sites. The results validated three of the eight interventions: early start to the transition process; developing adolescent/young adult autonomy; and the role of parents/carers; with partial support for the remaining five. One new intervention was identified: effective communication between healthcare professionals and the adolescent/young adult and their parents/carers. There was also support for contextual factors including those related to staff knowledge and attitudes, and a lack of time to provide transition services centred on the adolescent/young adult. Some mechanisms were supported, including the adolescent/young adult gaining confidence in relationships with service providers and in decision-making.

conclusionsThe Transition Theory travelled well between Ireland and Toronto, indicating its potential to guide both service development and research in different contexts. Future research could include studies with adult service providers; qualitative work to further explicate mechanisms and contextual factors; and use the theory prospectively to develop and test new or modified interventions to improve transition.

Indexed as

InternationalityAdolescentContinuity of Patient CareFemaleHumansMalePatient TransferPersons with DisabilitiesProgram DevelopmentSurveys and QuestionnairesYoung Adult

Identifiers

PMID32731863
PMCPMC7393825

What OpenQuestion holds

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LicenceCC BY
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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.