Evidence map›Paper›PMID 40716952›Full record

ArticleBMJ open diabetes research & care2025

Transition and transfer experiences and their correlates in emerging adults with type 1 diabetes.

Mikaela Vallmark, Anna Lena Brorsson, Mariela Acuña Mora, Ewa-Lena Bratt, Philip Moons, Markus Saarijärvi, Simona Chisalita, Carina Sparud-Lundin

Abstract read
In one paragraph

Article in BMJ open diabetes research & care, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

8 authors.

Mikaela VallmarkUniversity of Gothenburg Institute of Health and Care Sciences, Gothenburg, Västra Götaland County, Sweden mikaela.hallstrom@gu.se.ORCID http://orcid.org/0000-0003-2450-8354
Anna Lena BrorssonDepartment of Women's and Children's Health, Karolinska Institute, Stockholm, Stockholm County, Sweden.ORCID http://orcid.org/0000-0002-8136-6340
Mariela Acuña MoraUniversity College of Boras Faculty of Caring Science Work Life and Social Welfare, Borås, Västra Götaland County, Sweden.
Ewa-Lena BrattUniversity of Gothenburg Institute of Health and Care Sciences, Gothenburg, Västra Götaland County, Sweden.
Philip MoonsUniversity of Gothenburg Institute of Health and Care Sciences, Gothenburg, Västra Götaland County, Sweden.
Markus SaarijärviDepartment of Cardiology, Danderyd University Hospital, Stockholm, Stockholm County, Sweden.
Simona ChisalitaLinkoping University Department of Health Medicine and Caring Sciences, Linköping, Östergötland County, Sweden.
Carina Sparud-LundinUniversity of Gothenburg Institute of Health and Care Sciences, Gothenburg, Västra Götaland County, Sweden.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionEmerging adults with chronic conditions, such as type 1 diabetes (T1D), face vulnerability during transition to adulthood and transfer to adult care. Facilitating transition preparation, disease-related knowledge acquisition, self-management, and follow-up has proved to improve transition readiness and experiences. Few studies exist on conditions related to emerging adults' transition and transfer, and how these associate with other relevant variables. The purpose of this study was to describe experiences of emerging adults with T1D regarding transitional care before transfer, and to explore potential correlates of these experiences. RESEARCH DESIGN AND

methodsA cross-sectional study including 162 emerging adults with T1D was performed at eight Swedish adult diabetes clinics. The primary outcome was transition and transfer experiences measured by TEXP-Q (Transitional care EXPeriences Questionnaire)-a novel PREM (patient-reported experience measure). Correlations between TEXP-Q and sex, glycated hemoglobin, time to follow-up, empowerment, the healthcare climate in adult care, and diabetes self-efficacy were investigated.

resultsThe mean average score of TEXP-Q (range 1-5) was 3.6±0.7 for the total scale, and for subscales: Healthcare-provider communication 4.5±0.7, autonomy and participation 3.5±0.9, and transition and transfer preparation 3.0±1.1. Sex proved to be significant only for transition and transfer preparation (p=0.004), demonstrating better perceived preparation among men compared with women. Positive experiences from transition and transfer were associated with higher level of empowerment (rho 0.34, p<0.001), diabetes self-efficacy (rho 0.32, p<0.001) and satisfaction with the healthcare climate in adult care (rho 0.36, p<0.001).

conclusionIn this study we used a novel measure, TEXP-Q, to explore experiences of transitional care preparation among emerging adults with T1D. While most participants reported high satisfaction with the healthcare-provider communication, fewer reported feeling sufficiently prepared for the transition and transfer processes. The potential correlates investigated could not with conviction be regarded as important for the transition and transfer experiences. Using TEXP-Q in clinical practice may provide vital information when evaluating existing healthcare practices for emerging adults with T1D, and when planning for improvement of care offered to emerging adults in preparation for transition and transfer.

Indexed as

Diabetes Mellitus, Type 1Transition to Adult CareAdolescentAdultCross-Sectional StudiesFemaleFollow-Up StudiesHumansMalePrognosisSelf CareSelf EfficacySelf-ManagementSurveys and QuestionnairesSwedenYoung AdultDiabetes Mellitus, Type 1Patient-Centered CarePatient Reported Outcome MeasuresYoung Adult

Identifiers

PMID40716952
PMCPMC12306359

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

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.