Transition of care for adolescents from paediatric services to adult health services

Fiona Campbell, Katie Biggs, Susie K Aldiss, Philip M O'Neill, Mark Clowes, Janet Mcdonagh, Alison While, Faith Gibson

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    Abstract

    Background
    There is evidence that the process of transition from paediatric (child) to adult health services is often associated with deterioration in
    the health of adolescents with chronic conditions.Transitional care is the term used to describe services that seek to bridge this care
    gap. It has been defined as ‘the purposeful, planned movement of adolescents and young adults with chronic physical and medical
    conditions from child-centred to adult-oriented health care systems’. In order to develop appropriate services for adolescents, evidence
    of what works and what factors act as barriers and facilitators of effective interventions is needed.
    Objectives
    To evaluate the effectiveness of interventions designed to improve the transition of care for adolescents from paediatric to adult health
    services.
    Search methods
    We searched The Cochrane Central Register of Controlled Trials 2015, Issue 1, (including the Cochrane Effective Practice and
    Organisation of Care Group Specialised Register), MEDLINE, EMBASE, PsycINFO, and Web of Knowledge to 19 June 2015. We
    also searched reference lists of included studies and relevant reviews, and contacted experts and study authors for additional studies.
    Selection criteria
    We considered randomised controlled trials (RCTs), controlled before- and after-studies (CBAs), and interrupted time-series studies
    (ITSs) that evaluated the effectiveness of any intervention (care model or clinical pathway), that aimed to improve the transition
    of care for adolescents from paediatric to adult health services. We considered adolescents with any chronic condition that required
    ongoing clinical care, who were leaving paediatric services and going on to receive services in adult healthcare units, and their families.
    Participating providers included all health professionals responsible for the care of young people.
    Original languageEnglish
    Article numberCD009794
    JournalCochrane Database of Systematic Reviews
    Volume0
    Issue number4
    Early online date29 Apr 2016
    DOIs
    Publication statusPublished - 29 Apr 2016

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