International and Interdisciplinary Identification of Health Care Transition Outcomes
(2016) In JAMA Pediatrics 170(3). p.11-205- Abstract
IMPORTANCE: There is a lack of agreement on what constitutes successful outcomes for the process of health care transition (HCT) among adolescent and young adults with special health care needs.
OBJECTIVE: To present HCT outcomes identified by a Delphi process with an interdisciplinary group of participants.
DESIGN, SETTING, AND PARTICIPANTS: A Delphi method involving 3 stages was deployed to refine a list of HCT outcomes. This 18-month study (from January 5, 2013, of stage 1 to July 3, 2014, of stage 3) included an initial literature search, expert interviews, and then 2 waves of a web-based survey. On this survey, 93 participants from outpatient, community-based, and primary care clinics rated the importance of the top HCT... (More)
IMPORTANCE: There is a lack of agreement on what constitutes successful outcomes for the process of health care transition (HCT) among adolescent and young adults with special health care needs.
OBJECTIVE: To present HCT outcomes identified by a Delphi process with an interdisciplinary group of participants.
DESIGN, SETTING, AND PARTICIPANTS: A Delphi method involving 3 stages was deployed to refine a list of HCT outcomes. This 18-month study (from January 5, 2013, of stage 1 to July 3, 2014, of stage 3) included an initial literature search, expert interviews, and then 2 waves of a web-based survey. On this survey, 93 participants from outpatient, community-based, and primary care clinics rated the importance of the top HCT outcomes identified by the Delphi process. Analyses were performed from July 5, 2014, to December 5, 2014.
EXPOSURES: Health care transition outcomes of adolescents and young adults with special health care needs.
MAIN OUTCOMES AND MEASURES: Importance ratings of identified HCT outcomes rated on a Likert scale from 1 (not important) to 9 (very important).
RESULTS: The 2 waves of surveys included 117 and 93 participants as the list of outcomes was refined. Transition outcomes were refined by the 3 waves of the Delphi process, with quality of life being the highest-rated outcome with broad agreement. The 10 final outcomes identified included individual outcomes (quality of life, understanding the characteristics of conditions and complications, knowledge of medication, self-management, adherence to medication, and understanding health insurance), health services outcomes (attending medical appointments, having a medical home, and avoidance of unnecessary hospitalization), and a social outcome (having a social network). Participants indicated that different outcomes were likely needed for individuals with cognitive disabilities.
CONCLUSIONS AND RELEVANCE: Quality of life is an important construct relevant to HCT. Future research should identify valid measures associated with each outcome and further explore the role that quality of life plays in the HCT process. Achieving consensus is a critical step toward the development of reliable and objective comparisons of HCT outcomes across clinical conditions and care delivery locations.
(Less)
- author
- contributor
- Alriksson-Schmidt, Ann LU
- author collaboration
- organization
- publishing date
- 2016-03
- type
- Contribution to journal
- publication status
- published
- subject
- keywords
- Adolescent, Canada, Delphi Technique, Europe, Female, Humans, Interdisciplinary Communication, International Cooperation, Male, Outcome Assessment, Health Care/methods, Quality of Life, Surveys and Questionnaires, Transition to Adult Care/organization & administration, United States, Young Adult
- in
- JAMA Pediatrics
- volume
- 170
- issue
- 3
- pages
- 11 - 205
- publisher
- American Medical Association
- external identifiers
-
- scopus:84962349423
- pmid:26619178
- ISSN
- 2168-6211
- DOI
- 10.1001/jamapediatrics.2015.3168
- language
- English
- LU publication?
- yes
- id
- e3d9c5a3-58d9-4a41-818f-ea92331924a8
- date added to LUP
- 2021-10-29 19:28:15
- date last changed
- 2024-04-20 15:47:43
@article{e3d9c5a3-58d9-4a41-818f-ea92331924a8,
abstract = {{<p>IMPORTANCE: There is a lack of agreement on what constitutes successful outcomes for the process of health care transition (HCT) among adolescent and young adults with special health care needs.</p><p>OBJECTIVE: To present HCT outcomes identified by a Delphi process with an interdisciplinary group of participants.</p><p>DESIGN, SETTING, AND PARTICIPANTS: A Delphi method involving 3 stages was deployed to refine a list of HCT outcomes. This 18-month study (from January 5, 2013, of stage 1 to July 3, 2014, of stage 3) included an initial literature search, expert interviews, and then 2 waves of a web-based survey. On this survey, 93 participants from outpatient, community-based, and primary care clinics rated the importance of the top HCT outcomes identified by the Delphi process. Analyses were performed from July 5, 2014, to December 5, 2014.</p><p>EXPOSURES: Health care transition outcomes of adolescents and young adults with special health care needs.</p><p>MAIN OUTCOMES AND MEASURES: Importance ratings of identified HCT outcomes rated on a Likert scale from 1 (not important) to 9 (very important).</p><p>RESULTS: The 2 waves of surveys included 117 and 93 participants as the list of outcomes was refined. Transition outcomes were refined by the 3 waves of the Delphi process, with quality of life being the highest-rated outcome with broad agreement. The 10 final outcomes identified included individual outcomes (quality of life, understanding the characteristics of conditions and complications, knowledge of medication, self-management, adherence to medication, and understanding health insurance), health services outcomes (attending medical appointments, having a medical home, and avoidance of unnecessary hospitalization), and a social outcome (having a social network). Participants indicated that different outcomes were likely needed for individuals with cognitive disabilities.</p><p>CONCLUSIONS AND RELEVANCE: Quality of life is an important construct relevant to HCT. Future research should identify valid measures associated with each outcome and further explore the role that quality of life plays in the HCT process. Achieving consensus is a critical step toward the development of reliable and objective comparisons of HCT outcomes across clinical conditions and care delivery locations.</p>}},
author = {{Fair, Cynthia and Cuttance, Jessica and Sharma, Niraj and Maslow, Gary and Wiener, Lori and Betz, Cecily and Porter, Jerlym and McLaughlin, Suzanne and Gilleland-Marchak, Jordan and Renwick, Amy and Naranjo, Diana and Jan, Sophia and Javalkar, Karina and Ferris, Maria}},
issn = {{2168-6211}},
keywords = {{Adolescent; Canada; Delphi Technique; Europe; Female; Humans; Interdisciplinary Communication; International Cooperation; Male; Outcome Assessment, Health Care/methods; Quality of Life; Surveys and Questionnaires; Transition to Adult Care/organization & administration; United States; Young Adult}},
language = {{eng}},
number = {{3}},
pages = {{11--205}},
publisher = {{American Medical Association}},
series = {{JAMA Pediatrics}},
title = {{International and Interdisciplinary Identification of Health Care Transition Outcomes}},
url = {{http://dx.doi.org/10.1001/jamapediatrics.2015.3168}},
doi = {{10.1001/jamapediatrics.2015.3168}},
volume = {{170}},
year = {{2016}},
}