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Transitioning adolescent and young adults with chronic disease and/or disabilities from paediatric to adult care services – an integrative review

Author

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  • Huaqiong Zhou
  • Pamela Roberts
  • Satvinder Dhaliwal
  • Phillip Della

Abstract

Aims and objectives This paper aims to provide an updated comprehensive review of the research‐based evidence related to the transitions of care process for adolescents and young adults with chronic illness/disabilities since 2010. Background Transitioning adolescent and young adults with chronic disease and/or disabilities to adult care services is a complex process, which requires coordination and continuity of health care. The quality of the transition process not only impacts on special health care needs of the patients, but also their psychosocial development. Inconsistent evidence was found regarding the process of transitioning adolescent and young adults. Design An integrative review was conducted using a five‐stage process: problem identification, literature search, data evaluation, data analysis and presentation. Methods A search was carried out using the EBSCOhost, Embase, MEDLINE, PsycINFO, and AustHealth, from 2010 to 31 October 2014. The key search terms were (adolescent or young adult) AND (chronic disease or long‐term illness/conditions or disability) AND (transition to adult care or continuity of patient care or transfer or transition). Results A total of 5719 records were initially identified. After applying the inclusion criteria a final 61 studies were included. Six main categories derived from the data synthesis process are Timing of transition; Perceptions of the transition; Preparation for the transition; Patients’ outcomes post‐transition; Barriers to the transition; and Facilitating factors to the transition. A further 15 subcategories also surfaced. Conclusions In the last five years, there has been improvement in health outcomes of adolescent and young adults post‐transition by applying a structured multidisciplinary transition programme, especially for patients with cystic fibrosis and diabetes. However, overall patients’ outcomes after being transited to adult health care services, if recorded, have remained poor both physically and psychosocially. An accurate tracking mechanism needs to be established by stakeholders as a formal channel to monitor patients’ outcomes post‐ transition.

Suggested Citation

  • Huaqiong Zhou & Pamela Roberts & Satvinder Dhaliwal & Phillip Della, 2016. "Transitioning adolescent and young adults with chronic disease and/or disabilities from paediatric to adult care services – an integrative review," Journal of Clinical Nursing, John Wiley & Sons, vol. 25(21-22), pages 3113-3130, November.
    • Handle: RePEc:wly:jocnur:v:25:y:2016:i:21-22:p:3113-3130
    DOI: 10.1111/jocn.13326
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    References listed on IDEAS

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    1. Croke, Erin E. & Thompson, Ashleigh B., 2011. "Person centered planning in a transition program for Bronx youth with disabilities," Children and Youth Services Review, Elsevier, vol. 33(6), pages 810-819, June.
    2. P Rapley & PM Davidson, 2010. "Enough of the problem: a review of time for health care transition solutions for young adults with a chronic illness," Journal of Clinical Nursing, John Wiley & Sons, vol. 19(3‐4), pages 313-323, February.
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    Cited by:

    1. Michelle C. Kondo & Kehinde O. Oyekanmi & Allison Gibson & Eugenia C. South & Jason Bocarro & J. Aaron Hipp, 2020. "Nature Prescriptions for Health: A Review of Evidence and Research Opportunities," IJERPH, MDPI, vol. 17(12), pages 1-16, June.
    2. van Schalkwyk, May CI & Bourek, Aleš & Kringos, Dionne Sofia & Siciliani, Luigi & Barry, Margaret M. & De Maeseneer, Jan & McKee, Martin, 2020. "The best person (or machine) for the job: Rethinking task shifting in healthcare," Health Policy, Elsevier, vol. 124(12), pages 1379-1386.
    3. Bert, Fabrizio & Camussi, Elisa & Gili, Renata & Corsi, Daniela & Rossello, Paola & Scarmozzino, Antonio & Siliquini, Roberta, 2020. "Transitional care: A new model of care from young age to adulthood," Health Policy, Elsevier, vol. 124(10), pages 1121-1128.
    4. Marani, Husayn & Fujioka, Jamie & Tabatabavakili, Sahar & Bollegala, Natasha, 2020. "Systematic narrative review of pediatric-to-adult care transition models for youth with pediatric-onset chronic conditions," Children and Youth Services Review, Elsevier, vol. 118(C).
    5. Henriette Markwart & Franziska Bomba & Ingo Menrath & Katja Brenk-Franz & Gundula Ernst & Ute Thyen & Andrea Hildebrandt & Silke Schmidt, 2020. "Assessing empowerment as multidimensional outcome of a patient education program for adolescents with chronic conditions: A latent difference score model," PLOS ONE, Public Library of Science, vol. 15(4), pages 1-14, April.
    6. Mary Bourke & Catherine Houghton, 2018. "Exploring the need for Transition Readiness Scales within cystic fibrosis services: A qualitative descriptive study," Journal of Clinical Nursing, John Wiley & Sons, vol. 27(13-14), pages 2814-2824, July.

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