Evidence map›Paper›PMID 36447255›Full record

ArticleBMC health services research2022

Study protocol: a pragmatic trial reviewing the effectiveness of the TransitionMate mobile application in supporting self-management and transition to adult healthcare services for young people with chronic illnesses.

Jeffrey Yeung, Yisselle I Virella Pérez, Shehani C Samarasinghe, Vhari Forsyth, Vathsala Agarwalla, Katharine Steinbeck

Abstract readClinical Trial Protocol
PubMed Full text at PMC Publisher
In one paragraph

Article in BMC health services research, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing 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

4 citing papers in PubMed.

  1. Article
  2. Article
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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

6 authors.

Jeffrey YeungThe Clinical School at The Children's Hospital Westmead, Specialty of Child and Adolescent Health, The Faculty of Medicine and Health, The University of Sydney, Sydney, Australia. jeffrey.yeung@health.nsw.gov.au.ORCID http://orcid.org/0000-0002-6385-667X
Yisselle I Virella PérezThe Clinical School at The Children's Hospital Westmead, Specialty of Child and Adolescent Health, The Faculty of Medicine and Health, The University of Sydney, Sydney, Australia.
Shehani C SamarasingheThe Clinical School at The Children's Hospital Westmead, Specialty of Child and Adolescent Health, The Faculty of Medicine and Health, The University of Sydney, Sydney, Australia.
Vhari ForsythThe Clinical School at The Children's Hospital Westmead, Specialty of Child and Adolescent Health, The Faculty of Medicine and Health, The University of Sydney, Sydney, Australia.
Vathsala AgarwallaThe Academic Department of Adolescent Medicine, The Children's Hospital Westmead, Sydney, Australia.
Katharine SteinbeckThe Clinical School at The Children's Hospital Westmead, Specialty of Child and Adolescent Health, The Faculty of Medicine and Health, The University of Sydney, Sydney, Australia.

Funding

nsw ministry of health ACI/10/432
6 · The paper itself

Abstract

backgroundTransition from paediatric to adult heath care services is a challenging time for many adolescents with chronic illnesses and may include deterioration in illness control as a consequence of inadequate self-management skills, poor understanding of their chronic illness and failure to engage with adult services. Successful transfer of health care requires the development of self-management skills and increased autonomy. Mobile technology has been proposed as a modality to assist this process. Evidence is limited and generally restricted to illness specific applications. The TransitionMate app (TMApp) is a generic (non-illness specific) mobile application designed to support young people with chronic illness in their transition from paediatric to adult health care services. The overall aim of the study is to assess the effectiveness of TMApp in improving engagement and retention of adolescents with chronic illness within adult healthcare services, as well as preventing the deterioration in illness control and unplanned hospitalisations.

methodsThe TransitionMate trial is a dual centre, pragmatic, single arm, mixed methods cohort study conducted within two university teaching tertiary paediatric hospitals in Australia. Data collection points are planned at 0, 6, 12 and 18 months. Outcome indicators include: usage of TransitionMate, engagement with adult services, quantitative markers of illness control, and unplanned hospital admissions. Data are collected through telephone interviews with the participants, their primary healthcare providers, electronic medical records and de-identified mobile application analytics. The development of the application involved co-design with recently transitioned young people with a number of chronic illnesses as well as online user experience in younger adolescents. DISCUSSION: The TransitionMate study is the first identified trial of a generic mobile application designed to support adolescents with chronic illnesses during the transition process. Results are expected to provide novel insights into the value of technological tools in the transition space, especially their effectiveness in improving both the transition process and clinical outcomes of adolescents with chronic illnesses. Furthermore, the approach of a pragmatic study design may help identify research methods better designed to overcome inherent challenges in research involving adolescents, transition of care and use of mobile application technology.

trial registrationRegistered retrospectively as of 30/1/2020 with Australian New Zealand Clinical Trials Registry: ACTRN12620000074998 .

Indexed as

Chronic DiseaseMobile ApplicationsTransition to Adult CareAdolescentAustraliaCohort StudiesHumansMulticenter Studies as TopicPragmatic Clinical Trials as TopicSelf-ManagementAdolescentChronic illnessMobile applicationPragmatic trialSelf-managementTransition

Identifiers

PMID36447255
PMCPMC9706969

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Registered trials

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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.