649-P: Preliminary Outcomes of a Transition Intervention with Adolescents and Young Adults (AYAs) with Type 1 Diabetes (T1D)

Abstract

Introduction: The transition from pediatric to adult diabetes care is particularly risky for AYAs with T1D. We evaluate preliminary outcomes of a behavioral intervention targeting AYA health communication, T1D self-care, and transition readiness. Methods: 52 AYAs (48.1% male; 48.1% non-Hispanic White; M age=20.63±1.10 yrs) enrolled in Planning, Reflecting, and Engaging with Providers for Diabetes Care (PREP-DC) and were randomized to intervention (Int; n=26) or standard care (SC; n=26) groups. AYAs reported on communication, T1D self-care, and transition readiness at baseline and 4 mos (1 mo post-intervention); A1c was taken from medical records. AYAs rated satisfaction with PREP-DC participation (1-5; 5=extremely satisfied). T-tests examined change from baseline to follow-up and by group. Results: At follow-up, 51 AYAs (98%) completed questionnaires and 37 (71%) had A1c data. AYAs reported improvements in communication, T1D self-care, and transition readiness (Table 1), with few group differences. Both groups reported high satisfaction with participation (Int M=4.41±.59; SC M=4.45±.60). Discussion: AYAs were engaged in a behavioral trial promoting health communication; the Int group did not demonstrate significant improvements as compared to SC. Future analyses will evaluate final follow-up outcomes (8 mos post-intervention), including transfer to adult care. Disclosure M.Monaghan: Employee; National Institute of Diabetes and Digestive and Kidney Diseases, Research Support; American Diabetes Association. B.L.Bryant: None. C.H.Wang: None. J.E.Bost: None. R.Streisand: None. Funding American Diabetes Association (1-18-ACE-27 to M.M.)