TY - JOUR
T1 - An Adult Health Care–Based Pediatric to Adult Transition Program for Emerging Adults With Type 1 Diabetes
AU - Agarwal, Shivani
AU - Raymond, Jennifer K.
AU - Schutta, Mark H.
AU - Cardillo, Serena
AU - Miller, Victoria A.
AU - Long, Judith A.
N1 - Publisher Copyright:
© 2016, © 2016 The Author(s).
PY - 2017/2
Y1 - 2017/2
N2 - Purpose: The purpose of the study was to evaluate an adult health care program model for emerging adults with type 1 diabetes transitioning from pediatric to adult care. Methods: Evaluation of the Pediatric to Adult Diabetes Transition Clinic at the University of Pennsylvania included a cohort of 72 emerging adults with type 1 diabetes, ages 18 to 25 years. Data were extracted from transfer summaries and the electronic medical record, including sociodemographic, clinical, and follow-up characteristics. Pre- and postprogram assessment at 6 months included mean daily blood glucose monitoring frequency (BGMF) and glycemic control (A1C). Paired t tests were used to examine change in outcomes from baseline to 6 months, and multiple linear regression was utilized to adjust outcomes for baseline A1C or BGMF, sex, diabetes duration, race, and insulin regimen. Open-ended survey responses were used to assess acceptability amongst participants. Results: From baseline to 6 months, mean A1C decreased by 0.7% (8 mmol/mol), and BGMF increased by 1 check per day. Eighty-eight percent of participants attended ≥2 visits in 6 months, and the program was rated highly by participants and providers (pediatric and adult). Conclusions: This study highlights the promise of an adult health care program model for pediatric to adult diabetes transition.
AB - Purpose: The purpose of the study was to evaluate an adult health care program model for emerging adults with type 1 diabetes transitioning from pediatric to adult care. Methods: Evaluation of the Pediatric to Adult Diabetes Transition Clinic at the University of Pennsylvania included a cohort of 72 emerging adults with type 1 diabetes, ages 18 to 25 years. Data were extracted from transfer summaries and the electronic medical record, including sociodemographic, clinical, and follow-up characteristics. Pre- and postprogram assessment at 6 months included mean daily blood glucose monitoring frequency (BGMF) and glycemic control (A1C). Paired t tests were used to examine change in outcomes from baseline to 6 months, and multiple linear regression was utilized to adjust outcomes for baseline A1C or BGMF, sex, diabetes duration, race, and insulin regimen. Open-ended survey responses were used to assess acceptability amongst participants. Results: From baseline to 6 months, mean A1C decreased by 0.7% (8 mmol/mol), and BGMF increased by 1 check per day. Eighty-eight percent of participants attended ≥2 visits in 6 months, and the program was rated highly by participants and providers (pediatric and adult). Conclusions: This study highlights the promise of an adult health care program model for pediatric to adult diabetes transition.
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U2 - 10.1177/0145721716677098
DO - 10.1177/0145721716677098
M3 - Article
C2 - 28118128
AN - SCOPUS:85011691156
SN - 0145-7217
VL - 43
SP - 87
EP - 96
JO - Diabetes Educator
JF - Diabetes Educator
IS - 1
ER -