Evidence map›Paper›PMID 40762399›Full record

ReviewJournal of advanced nursing2026

The Trust-Link Relational Transition Model: A Unitary Caring Framework for Youth With HIV Transitioning to Adult Healthcare.

Emily Anne Barr, Sara Horton-Deutsch

Abstract readReview
In one paragraph

Review in Journal of advanced nursing, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. Review
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

2 authors.

Emily Anne BarrCizik School of Nursing at University of Texas Health Science Center at Houston, Houston, Texas, USA.ORCID https://orcid.org/0000-0002-3578-3389
Sara Horton-DeutschSchool of Nursing and Health Professions, University of San Francisco, San Francisco, California, USA.ORCID https://orcid.org/0000-0001-9485-3546

Funding

Sumner Roy Kates Charitable Trust
6 · The paper itself

Abstract

aimsTo develop a conceptual model integrating Robinson's Theory of Trust and Watson's Caritas Processes to guide trust-building approaches and caring practices that support adolescents and young adults with HIV during the healthcare transition from paediatric to adult care.

designThis is a discursive, theory synthesis paper that integrates theoretical frameworks and conceptually relevant literature to inform model development. The paper emphasises the importance of trust and caring science in the context of long-term engagement in care.

methodsAn inductive theory-building approach was used to identify key themes related to trust, stigma and the patient-provider relationship. Using Pound and Campbell's guidelines for theory synthesis, we developed a conceptual model reflecting the intersection of trust theory and caring science. The synthesis was further grounded in Robinson's concept of theoretical coalescence, supporting the development of a relational framework to guide future research and practice. DATA SOURCES: A structured literature review was conducted across PubMed, CINAHL, EBSCOhost and Google Scholar. Peer-reviewed articles published between 1987 and 2022 were included to capture the historical and contemporary perspectives on paediatric HIV care and healthcare transition. A snowballing method was also used to identify additional conceptually relevant sources.

resultsThe Trust-Link Relational Transition Model highlights trust as a protective factor during transition for adolescents and young adults with HIV and its close links to medication adherence, care engagement and viral suppression. Fostering trust through caring science practices, such as Watson's 10 Caritas Processes, enhances patient-provider relationships, promotes reciprocal trust and empowers patients while addressing stigma, fear of new providers and loss of familiar teams, while promoting autonomy.

conclusionThe Trust-Link Model, integrating trust theory and caring science, provides a framework for improving healthcare transition. By emphasising trust-building and caring interventions, this model aims to promote autonomy, support adherence and improve health outcomes for youth with HIV transitioning to adult care.

Indexed as

HIV InfectionsTransition to Adult CareTrustAdolescentAdultFemaleHumansMaleYoung Adultadolescent healthconceptual models of nursinghealth promotionHIV/AIDSholistic careinterpersonal communicationnurse ‐ patient relationshipsnursing theoryvulnerable populations

Identifiers

PMID40762399
PMCPMC13069258

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LicenceCC BY-NC-ND
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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.