Evidence map›Paper›PMID 39007791›Full record

ArticleThe Journal of adolescent health : official publication of the Society for Adolescent Medicine2024

Caregivers' Perspective on Successful Health Care Transition Outcomes for Adolescents and Young Adults With Special Health Care Needs.

Mili Dave, Cecily Betz, Sarah Munce, Pierina Parraga, Susan Shanske, Rita Nathawad, Lynn F Davidson, Lut Berben, Sneha Dave, Tarun Arora and 1 more

Abstract read
In one paragraph

Article in The Journal of adolescent health : official publication of the Society for Adolescent Medicine, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing 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

5 citing papers in PubMed.

  1. Article
  2. Review
  3. Article
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  5. Article
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

11 authors.

Mili DaveDepartment of Pediatrics, University of North Carolina School of Medicine, Chapel Hill, North Carolina. Electronic address: mili_dave@med.unc.edu.
Cecily BetzDepartment of Pediatrics, Keck School of Medicine of USC, Los Angeles, California.
Sarah MunceKITE Research Institute, Toronto Rehabilitation Institute-University Health Network, Toronto, ON, Canada.
Pierina ParragaDepartment of Pediatrics, University of North Carolina School of Medicine, Chapel Hill, North Carolina.
Susan ShanskeBRIDGES Adult Transition Program, Boston Children's Hospital, Boston, Massachusetts.
Rita NathawadJacksonville Health and Transition Services (JaxHATS) & Bower Lyman Center for the Medically Complex Child, University of Florida College of Medicine, Jacksonville, Florida.
Lynn F DavidsonThe Children's Hospital at Montefiore, The Pediatric Hospital for Albert Einstein College of Medicine Family Care Center, Bronx, New York.
Lut BerbenUniversity Children's Hospital, Basel, Switzerland.
Sneha DaveDepartment of Pediatrics, University of North Carolina School of Medicine, Chapel Hill, North Carolina.
Tarun AroraSt. Jude Children's Research Hospital, University of Tennessee Health Sciences Center, Memphis, Tennessee.
Maria Díaz-González de FerrisDepartment of Pediatrics, University of North Carolina School of Medicine, Chapel Hill, North Carolina.

Funding

SHORT-TERM RESEARCH TRAININGT35DK007386 · NIDDK · UNIV OF NORTH CAROLINA CHAPEL HILL · PI Evan Samuel Dellon · 1986 to 2026
$4.1M
NIDDK NIH HHS T35 DK007386
6 · The paper itself

Abstract

purposeThere is limited caregiver-reported evidence determining health care transition (HCT) outcomes for their adolescents/young adults with special health care needs (AYA-SHCN). A subcommittee of the International and Interdisciplinary Healthcare Transition Research Consortium aimed to identify multidimensional outcomes of a successful HCT among AYA-SHCN based on parents/caregivers' perspectives.

methodsAfter literature review and expert interviews, a three-stage Delphi process identified HCT outcomes based on parents/caregivers' perspectives. Participants were parents/caregivers of patients attending the Victory Junction Therapeutic Camp and a nationally representative sample from Cint Healthcare Digital Solutions Platform. The cumulative 272 responses collected on a Health Insurance Portability and Accountability Act-compliant web-based engine (Qualtrics) rated potential HCT outcomes by level of importance on a Likert scale from 1 (not important) to 9 (very important) and narrowed in subsequent iterations.

resultsThe Delphi process included 127 (Stage 1), 82 (Stage 2), and 63 (Stage 3) parents/caregivers. The initial 25 HCT outcomes were narrowed to 13, across four major domains: coping/satisfaction, behavioral, structural, and HCT/healthcare-focused outcomes. The top outcome was "My child takes their medications as prescribed." Several traditionally considered important outcomes for HCT were eliminated. DISCUSSION: Thirteen HCT outcomes for AYA-SHCN were identified in four major domains: coping/satisfaction, behavioral, structural, and HCT/healthcare focused. Future research in larger samples would allow stratification to represent diverse patients and caregiver populations. Identifying international consensus-derived outcomes among parents/caregivers is imperative for the evaluation of HCT preparation strategies that ensure appropriate support for diverse AYA-SHCN and their families during this process and enable implementation of the most effective interventions.

Indexed as

CaregiversDelphi TechniqueTransition to Adult CareAdolescentAdultFemaleHumansMaleParentsYoung AdultAdolescentCaregiversConsensusDelphiPatient transferTransition to adult care

Identifiers

PMID39007791
PMCPMC11410537

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.