scholarly journals Mortality in perinatally HIV-infected young people in England following transition to adult care: an HIV Young Persons Network (HYPNet) audit

HIV Medicine ◽  
2013 ◽  
Vol 15 (4) ◽  
pp. 239-244 ◽  
Author(s):  
R Fish ◽  
A Judd ◽  
E Jungmann ◽  
C O'Leary ◽  
C Foster ◽  
...  
Keyword(s):  
Young People ◽  
Transition To Adult Care ◽  
Adult Care

scholarly journals Transition to adult care: Exploring factors associated with transition readiness among adolescents and young people in adolescent ART clinics in Uganda

PLoS ONE ◽  
2021 ◽  
Vol 16 (4) ◽  
pp. e0249971
Author(s):  
Scovia Nalugo Mbalinda ◽  
Sabrina Bakeera-Kitaka ◽  
Derrick Amooti Lusota ◽  
Philippa Musoke ◽  
Mathew Nyashanu ◽  
...  
Keyword(s):  
Young People ◽  
Tertiary Education ◽  
Multivariate Logistic Regression Analysis ◽  
Hiv Treatment ◽  
Hiv Care ◽  
Transition To Adult Care ◽  
People Living With Hiv ◽  
Adult Care ◽  
Transition Readiness ◽  
Factors Associated

Background Transition readiness refers to a client who knows about his/her illness and oriented towards future goals and hopes, shows skills needed to negotiate healthcare, and can assume responsibility for his/ her treatment, and participate in decision-making that ensures uninterrupted care during and after the care transition to adult HIV care. There is a paucity of research on effective transition strategies. This study explored factors associated with adolescent readiness for the transition into adult care in Uganda. Methods A cross-sectional study was conducted among 786 adolescents, and young people living with HIV randomly selected from 9 antiretroviral therapy clinics, utilizing a structured questionnaire. The readiness level was determined using a pre-existing scale from the Ministry of Health, and adolescents were categorized as ready or not ready for the transition. Bivariate and multivariate analyses were conducted. Results A total of 786 adolescents were included in this study. The mean age of participants was 17.48 years (SD = 4). The majority of the participants, 484 (61.6%), were females. Most of the participants, 363 (46.2%), had no education. The majority of the participants, 549 (69.8%), were on first-line treatment. Multivariate logistic regression analysis found that readiness to transition into adult care remained significantly associated with having acquired a tertiary education (AOR 4.535, 95% CI 1.243–16.546, P = 0.022), trusting peer educators for HIV treatment (AOR 16.222, 95% CI 1.835–143.412, P = 0.012), having received counselling on transition to adult services (AOR 2.349, 95% CI 1.004–5.495, P = 0.049), having visited an adult clinic to prepare for transition (AOR 6.616, 95% CI 2.435–17.987, P = < 0.001) and being satisfied with the transition process in general (AOR 0.213, 95% CI 0.069–0.658, P = 0.007). Conclusion The perceived readiness to transition care among young adults was low. A series of individual, social and health system and services factors may determine successful transition readiness among adolescents in Uganda. Transition readiness may be enhanced by strengthening the implementation of age-appropriate and individualized case management transition at all sites while creating supportive family, peer, and healthcare environments.

Transition to adult care for young people with cerebral palsy

2020 ◽  
Vol 33 ◽  
pp. 16-23 ◽  
Author(s):  
Lisa L. Myers ◽  
Arany Nerminathan ◽  
Dominic A. Fitzgerald ◽  
Jimmy Chien ◽  
Anna Middleton ◽  
...  
Keyword(s):  
Cerebral Palsy ◽  
Young People ◽  
Transition To Adult Care ◽  
Adult Care

scholarly journals Transition to adult care in young people with neuromuscular disease on non-invasive ventilation

2019 ◽  
Vol 45 (1) ◽  
Author(s):  
Alessandro Onofri ◽  
Hui-Leng Tan ◽  
Claudio Cherchi ◽  
Martino Pavone ◽  
Elisabetta Verrillo ◽  
...  
Keyword(s):  
Young People ◽  
Neuromuscular Disease ◽  
Transition To Adult Care ◽  
Invasive Ventilation ◽  
Adult Care ◽  
Non Invasive ◽  
Non Invasive Ventilation

scholarly journals 323 Transition to adult care – the qualitative experience of young people with cystic fibrosis

2012 ◽  
Vol 11 ◽  
pp. S139
Author(s):  
S. Tierney ◽  
S. Kirk ◽  
C. Deaton ◽  
J. Biesty ◽  
A. Jones ◽  
...  
Keyword(s):  
Cystic Fibrosis ◽  
Young People ◽  
Transition To Adult Care ◽  
Adult Care

Comparison between NIV and IMV in young people with neuromuscular diseases in age to transition to adult care.

2018 ◽  
Author(s):  
Alessandro Onofri ◽  
Martino Pavone ◽  
Elisabetta Verrillo ◽  
Maria Beatrice Chiarini Testa ◽  
Serena Caggiano ◽  
...  
Keyword(s):  
Young People ◽  
Neuromuscular Diseases ◽  
Transition To Adult Care ◽  
Adult Care

scholarly journals A tool to facilitate transition to adult care for young people with cystic fibrosis

2009 ◽  
Vol 8 ◽  
pp. S102
Author(s):  
N.A. Renton ◽  
J.J. Cottrell ◽  
E.F. Burrows ◽  
L.J. Heaf ◽  
R. Lwin ◽  
...  
Keyword(s):  
Cystic Fibrosis ◽  
Young People ◽  
Transition To Adult Care ◽  
Adult Care

Pharmacological Considerations When Transitioning the Care of Epilepsy Patients from Pediatric to Adult Epilepsy Centers

2020 ◽  
Vol 09 (04) ◽  
pp. 177-185
Author(s):  
Natalie Guido-Estrada ◽  
Shifteh Sattar
Keyword(s):  
Medication Compliance ◽  
Lifestyle Changes ◽  
Transition To Adult Care ◽  
Pediatric Epilepsy ◽  
Transition Of Care ◽  
Adult Health ◽  
Adult Care ◽  
Adult Model ◽  
Antiepileptic Medications ◽  
The Many

AbstractThere is scarce evidence in review of the available literature to support a clear and superior model for the transition of care for epilepsy patients from pediatric to adult centers. Anecdotally, there is a common perception that families are reluctant to make this change and that the successful transition of care for epilepsy can be a challenge for patients, families, and physicians. As part of the effort to prepare the patient and family for the adult model of care, several treatment issues should be addressed. In this article, we discuss the specific challenges for physicians in transition of care for epilepsy patients from a pharmacological standpoint, which include differences in metabolism and pharmacodynamics that can impact tolerability or efficacy of antiepileptic medications, lifestyle changes affecting medication compliance and seizure control, acquired adult health conditions necessitating new medications that may result in adverse drug interactions, and adult neurologists' potential lack of familiarity with certain medications typically used in the pediatric epilepsy population. We offer this as a guide to avoid one of the many possible pitfalls when epilepsy patients transition to adult care.

scholarly journals Does inflammatory bowel disease have different characteristics according to stage of adolescence?

2021 ◽  
Vol 14 ◽  
pp. 175628482098667
Author(s):  
Kata Judit Szántó ◽  
Tamás Balázs ◽  
Dóra Mihonné Schrempf ◽  
Klaudia Farkas ◽  
Tamás Molnár
Keyword(s):  
Inflammatory Bowel Disease ◽  
Bowel Disease ◽  
Severe Disease ◽  
Transition To Adult Care ◽  
Insurance Fund ◽  
Late Adolescent ◽  
Adult Care ◽  
Adolescent Group ◽  
Adolescent Patients ◽  
Inflammatory Bowel

Background: There is a lack of data about demographic and treatment characteristics of adolescent patients with inflammatory bowel disease (IBD). The aim of this retrospective, epidemiological study was to evaluate characteristics and therapeutic features of Hungarian adolescents with IBD. Methods: We analysed the social security databases of the National Health Insurance Fund. Adolescent patients with IBD for whom data from 2009 to 2016 were observable in the database were enrolled. Patients aged 14 to 17 years and 18 to 21 years were defined as middle and late adolescent patients. Results: The incidences of IBD were 20.12 per 100,000 middle adolescent patients and 29.72 per 100,000 late adolescent patients. Admission to gastroenterology department was higher in both groups compared with admissions to surgery department. Mesalazine was used by a high proportion of Crohn’s disease and ulcerative colitis patients. Rates of corticosteroid use were similar in both groups, with a tendency to decrease over time. The need for biologic agents was higher in the middle adolescent patients. The proportion of patients in the middle adolescent group who received anti-TNF therapy showed an increasing tendency. Conclusion: Our data suggest differences in the treatment strategies of gastroenterologists for these age groups. The greater need of anti-TNF therapy among the middle adolescent group indicates that adolescent patients before the transition to adult care may have a more severe disease phenotype. We expect that a strategy of early, effective treatment will significantly ameliorate the subsequent disease course, which is manifested in adult care.

Sign in / Sign up

Export Citation Format

Share Document