Primary Care Transition Study

Children's Hospital of Philadelphia (CHOP)

Status: Completed

Conditions: Chronic Health Condition; Cognitive Disability

Treatments: Behavioral: Transition Consult; Other: Study Materials; Behavioral: REACH for Independence

Study type: Interventional

Funder types: Other

Identifiers

NCT01750892

Peter_12-009117

Details and patient eligibility

About

This study is looking at ways to help young people with chronic health conditions take better care of their health and find an adult doctor.

Full description

The purpose of this study is to determine whether providing targeted transition-related skills through interventions with varying degrees of intensity (from the low intensity Basic intervention group, to the mild intensity Group Intervention group, to the high intensity Full Intervention group) results in improved transition readiness and self-care skills and improved successful transition to adult-based services for young adults with chronic health conditions. Secondary objectives include determining if the transition interventions enhance transition-related satisfaction among participants, their caregivers and the involved pediatric and adult providers.

Enrollment: 43 patients

Sex: All

Ages: 19+ years old

Volunteers: No Healthy Volunteers

Inclusion and exclusion criteria

Young Adult Inclusion Criteria:

• Males or females age 19 years of age or older
• Presence of at least 1 Chronic Condition and/or Cognitive Disability
• Last visit with pediatric primary care provider occurring on or after January 1, 2011
• Currently active in one of four identified pediatric practices (Cobbs Creek, Chestnut Hill, Market Street, West Chester)
• Current primary care provider approval for participation
• English speaking

Young Adult Exclusion Criteria:

• Male or female age < 19 years
• No presence of a chronic condition or cognitive disability
• Last visit with pediatric PCP occurring prior to January 1, 2011
• Not currently active in one of four identified pediatric practices (Cobbs Creek, Chestnut Hill, Market Street, West Chester)
• Current PCP disapproves participation
• Non-English speaking

Caregiver Inclusion Criteria:

• Has a child enrolled in the study
• Child has consented/assented to allow them to participate
• English speaking

Caregiver Exclusion Criteria:

• Child did not consent/assent to allow them to participate
• Non-English speaking

Trial design

Primary purpose: Supportive Care

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: None (Open label)

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43 participants in 4 patient groups

Group 1: Control

Active Comparator group

Description:

Group 1 will be the control group. They will complete questionnaires but will otherwise receive usual care from their Primary Care Provider (PCP). At the end of the study period they will be given the Study Materials for participating.

Treatment:

Other: Study Materials

Group 3: Group Intervention

Experimental group

Description:

Group 3 (Group Intervention) will receive the Study Materials at the beginning of the study and will also be invited to attend two REACH for Independence group sessions.

Treatment:

Other: Study Materials

Behavioral: REACH for Independence

Group 4: Full Intervention

Experimental group

Description:

Group 4 (Full Intervention) will receive the Study Materials at the beginning of the study, will be invited to attend the REACH for Independence group sessions, and will be invited to a Transition Consult with an MD and social worker.

Treatment:

Other: Study Materials

Behavioral: REACH for Independence

Behavioral: Transition Consult

Group 2: Basic Intervention

Experimental group

Description:

Group 2 (Basic Intervention) will receive the Study Materials at the beginning of the study but will otherwise continue with their usual PCP care.

Treatment:

Other: Study Materials