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J Pediatr Psychol ; 42(9): 970-982, 2017 10 01.
Article in English | MEDLINE | ID: mdl-28460055

ABSTRACT

Objectives: Research on the transition to adult care for young adults with type 1 diabetes (T1D) emphasizes transition readiness, with less emphasis on transition outcomes. The relatively few studies that focus on outcomes use a wide variety of measures with little reliance on stakeholder engagement for measure selection. Methods: This study engaged multiple stakeholders (i.e., young adults with T1D, parents, pediatric and adult health care providers, and experts) in qualitative interviews to identify the content domain for developing a multidimensional measure of health care transition (HCT) outcomes. Results: The following constructs were identified for a planned measure of HCT outcomes: biomedical markers of T1D control; T1D knowledge/skills; navigation of a new health care system; integration of T1D into emerging adult roles; balance of parental involvement with autonomy; and "ownership" of T1D self-management. Discussion: The results can guide creation of an initial item pool for a multidimensional profile of HCT outcomes.


Subject(s)
Delivery of Health Care/organization & administration , Diabetes Mellitus, Type 1/therapy , Transition to Adult Care/organization & administration , Adolescent , Adult , Female , Humans , Male , Middle Aged , Outcome and Process Assessment, Health Care , Parents , Qualitative Research , Self-Management , Stakeholder Participation , Young Adult
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