Transition to Adult Care in Type 1 Diabetes
| Status: | Recruiting |
|---|---|
| Conditions: | Diabetes, Diabetes |
| Therapuetic Areas: | Endocrinology |
| Healthy: | No |
| Age Range: | 18 - Any |
| Updated: | 3/24/2019 |
| Start Date: | September 7, 2018 |
| End Date: | August 30, 2019 |
| Contact: | Harsimran Singh, PhD |
| Email: | harsimran.singh@hoag.org |
| Phone: | (949)764-7357 |
Transition to Adult Care in Type 1 Diabetes - Understanding Needs, Expectations, and Experiences of Emerging Adults, Parents, and Healthcare Professionals
Successful transition to an adult diabetes clinic is an essential part of both clinical and
psychosocial care for emerging adults with type 1 diabetes (T1D). Pediatric patients are
generally very well supported by their parents, significant others, and multidisciplinary
clinical care teams, however, these support networks tend to change once patients reach
adulthood and are required to transition to a more independent clinical care model with their
adult care providers. This change can often be an overwhelming adjustment with a potential
impact on patient's clinical and psychosocial outcomes. As part of the proposed mixed methods
study, in Phase 1, the investigators will develop online questionnaires for primary
stakeholders in the transition process to improve understanding of their needs, expectations,
and experiences around transition. Based on findings from Phase 1, up to 30 individuals from
each of the six groups will be interviewed to discuss their responses and better understand
their needs around the transition process (Phase 2). Subsequently, findings from the
qualitative analyses of the semi-structured interviews will inform the preparation of
recommendations that may help facilitate a successful transition for the various stakeholder
groups (Phase 3).
psychosocial care for emerging adults with type 1 diabetes (T1D). Pediatric patients are
generally very well supported by their parents, significant others, and multidisciplinary
clinical care teams, however, these support networks tend to change once patients reach
adulthood and are required to transition to a more independent clinical care model with their
adult care providers. This change can often be an overwhelming adjustment with a potential
impact on patient's clinical and psychosocial outcomes. As part of the proposed mixed methods
study, in Phase 1, the investigators will develop online questionnaires for primary
stakeholders in the transition process to improve understanding of their needs, expectations,
and experiences around transition. Based on findings from Phase 1, up to 30 individuals from
each of the six groups will be interviewed to discuss their responses and better understand
their needs around the transition process (Phase 2). Subsequently, findings from the
qualitative analyses of the semi-structured interviews will inform the preparation of
recommendations that may help facilitate a successful transition for the various stakeholder
groups (Phase 3).
The proposed study has been designed to understand needs, expectations, and experiences of
emerging adults, parents, and healthcare providers who have or currently are involved in the
transition process in T1D. Although, a few previous studies have focused on exploring these
aspects of the transition process, these have mostly been at a regional level focusing on a
few clinics instead of an attempt to capture responses at a national level. Additionally, as
part of this study, each responding stakeholder participant will be requested to invite other
other stakeholder group members who they might know to complete the questionnaire (e.g. a T1D
patient sharing study information with their parents and their endocrinologist). This would
allow the investigators to get a comprehensive picture of the transition process. The study
consists of three phases including an online questionnaire (specific to each stakeholder
group) (Phase 1), semi-structured phone interviews with a few participants from each
stakeholder participant group (Phase 2), and subsequently, developing recommendations for a
transition process that aligns the needs and expectations of the various stakeholder groups
(Phase 3).
This project has the potential to highlight T1D patients', their families, and providers'
concerns and expectations regarding the transition process from a national sample which,
could help develop recommendations to implement a patient-centered, successful transition
process for emerging adults with T1D.
Specific aims:
Phase 1: To explore needs, expectations, and experiences of emerging adults with T1D, their
parents, and healthcare providers around the transition process.
Phase 2: To conduct semi-structured interviews with participants from three stakeholder
groups for in-depth understanding of the issues related to the transition process
Phase 3: To develop recommendations for a patient-centered transition process for emerging
adults with T1D
emerging adults, parents, and healthcare providers who have or currently are involved in the
transition process in T1D. Although, a few previous studies have focused on exploring these
aspects of the transition process, these have mostly been at a regional level focusing on a
few clinics instead of an attempt to capture responses at a national level. Additionally, as
part of this study, each responding stakeholder participant will be requested to invite other
other stakeholder group members who they might know to complete the questionnaire (e.g. a T1D
patient sharing study information with their parents and their endocrinologist). This would
allow the investigators to get a comprehensive picture of the transition process. The study
consists of three phases including an online questionnaire (specific to each stakeholder
group) (Phase 1), semi-structured phone interviews with a few participants from each
stakeholder participant group (Phase 2), and subsequently, developing recommendations for a
transition process that aligns the needs and expectations of the various stakeholder groups
(Phase 3).
This project has the potential to highlight T1D patients', their families, and providers'
concerns and expectations regarding the transition process from a national sample which,
could help develop recommendations to implement a patient-centered, successful transition
process for emerging adults with T1D.
Specific aims:
Phase 1: To explore needs, expectations, and experiences of emerging adults with T1D, their
parents, and healthcare providers around the transition process.
Phase 2: To conduct semi-structured interviews with participants from three stakeholder
groups for in-depth understanding of the issues related to the transition process
Phase 3: To develop recommendations for a patient-centered transition process for emerging
adults with T1D
Inclusion Criteria:
- US residents
- Adults with T1D
- Parents of adults with T1D
- Healthcare providers caring for patients with T1D (in a pediatric or an adult care
setting)
- Fluent in the English Language
Exclusion Criteria:
- Adults with T2D
We found this trial at
1
site
Newport Beach, California 92663
Principal Investigator: Harsimran Singh, PhD
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