Systematic Review of the Impact of Transition Interventions for Adolescents With Chronic Illness on Transfer From Pediatric to Adult Healthcare

Chu, Peng-Cheng; Maslow, Gary; Isenburg, Megan von; Chung, RS

doi:10.1016/j.pedn.2015.05.022

Cited by 112 publications

(76 citation statements)

References 41 publications

(69 reference statements)

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“…A previous studies has showed approximately 80% of American population aged 65 and above suffered from at least one chronic disease. In rural China, most elderly people did not know what the normal blood pressure rate was, and let alone how to prevent hypertension [54]. In addition, the mean score of health behavior in the item regarding the “frequency of disseminating health knowledge to others” in Henan was higher than in Chongqing.…”

Section: Discussionmentioning

confidence: 99%

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Factors Influencing Health Knowledge and Behaviors among the Elderly in Rural China

Cheng

Shao

et al. 2016

IJERPH

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Objectives: Health knowledge and behaviors are the key elements that ensure high quality of health for the elderly. This study explored and determined the conditions and factors of health knowledge and behaviors that affect the elderly in rural China. Methods: A cross-sectional research approach and random stratified sampling method were used in 12 towns and 48 villages in the Chongqing Municipality, Henan, and Zhejiang Provinces in China from June to September 2013. The collected data included: (1) socio-demographic characteristics of 1593 elderly people; (2) accuracy rate on health knowledge of the elderly, which was analyzed and compared among the three sample areas by using Chi-square test; and (3) mean scores on the health behaviors of the elderly, which were analyzed and compared by using analysis of variance (ANOVA). The multiple-linear regression method was used to analyze the factors affecting the health knowledge and behaviors of the elderly. Results: Significant differences were observed among the nine items in the health knowledge questionnaire (p = 0.000 < 0.001). The average accuracy rate of the nine items was 57.43%. Significant differences were observed among the eleven items on the health behaviors of the elderly in the sample rural areas (p = 0.000 < 0.001). Age, economic level, degree of education, distance from home to medical institutions and disposable personal income (DPI) can affect the scores of the health knowledge and behaviors of the elderly (p = 0.000 < 0.001). Conclusions: Lack of health knowledge and poor health behaviors are common among the elderly in the sample areas of rural China. This deficiency poses a serious threat on the promotion of health conditions and the improvement of the level of health quality among the elderly. Different types of access to sources of health knowledge should be used to increase health knowledge scores of the elderly. Various potential intervening measures should also be adopted to improve their health behaviors of elderly people.

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Section: Discussionmentioning

confidence: 99%

“…This finding indicated that people had easier access to health information in Eastern and Central China than in Western China. The reason may be attributed to the more convenient traffic conditions and flat terrain in Eastern and Central China [54,55,56]. …”

Section: Discussionmentioning

confidence: 99%

Factors Influencing Health Knowledge and Behaviors among the Elderly in Rural China

Cheng

Shao

et al. 2016

IJERPH

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“…Adult providers play an essential role in caring for emerging adults with diabetes by receiving them from pediatric care and maintaining health throughout the lifespan. Adult receivership practices are poised to facilitate ongoing education, clinical support, and promotion of self‐management initiated in pediatric care …”

Section: Transition To Adult Carementioning

confidence: 99%

ISPAD Clinical Practice Consensus Guidelines 2018: The delivery of ambulatory diabetes care to children and adolescents with diabetes

et al. 2018

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“…2 5 7 8 To support young people in their transition to adulthood and transfer to adult care, a number of interventions have been developed and implemented. [9][10][11] One particularly…”

Section: Introductionmentioning

confidence: 99%

Evaluating outpatient transition clinics: a mixed-methods study protocol

et al. 2016

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IntroductionTo support young people in their transition to adulthood and transfer to adult care, a number of interventions have been developed. One particularly important intervention is the transition clinic (TC), where paediatric and adult providers collaborate. TCs are often advocated as best practices in transition care for young people with chronic conditions, but little is known about TC models and effects. The proposed study aims to gain insight into the added value of a TC compared with usual care (without a TC).Methods and analysisWe propose a mixed-methods study with a retrospective controlled design consisting of semistructured interviews among healthcare professionals, observations of consultations with young people, chart reviews of young people transferred 2–4 years prior to data collection and questionnaires among the young people included in the chart reviews. Qualitative data will be analysed through thematic analysis and results will provide insights into structures and daily routines of TCs, and experienced barriers and facilitators in transitional care. Quantitatively, within-group differences on clinical outcomes and healthcare use will be studied over the four measurement moments. Subsequently, comparisons will be made between intervention and control groups on all outcomes at all measurement moments. Primary outcomes are ‘no-show after transfer’ (process outcome) and ‘experiences and satisfaction with the transfer’ (patient-reported outcome). Secondary outcomes consider clinical outcomes, healthcare usage, self-management outcomes and perceived quality of care.EthicsThe Medical Ethical Committee of the Erasmus Medical Centre approved the study protocol (MEC-2014-246).DisseminationStudy results will be disseminated through peer-reviewed journals and conferences. The study started in September 2014 and will continue until December 2016. The same study design will be used in a national study in 20 diabetes settings (2016–2018).

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Systematic Review of the Impact of Transition Interventions for Adolescents With Chronic Illness on Transfer From Pediatric to Adult Healthcare

Cited by 112 publications

References 41 publications

Factors Influencing Health Knowledge and Behaviors among the Elderly in Rural China

Factors Influencing Health Knowledge and Behaviors among the Elderly in Rural China

ISPAD Clinical Practice Consensus Guidelines 2018: The delivery of ambulatory diabetes care to children and adolescents with diabetes

Evaluating outpatient transition clinics: a mixed-methods study protocol

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