Jeannie S. Huang|Laura Terrones|Trevor Tompane|Lindsay Dillon|Mark Pian|Michael Gottschalk|Gregory J. Norman|L. Kay Bartholomew
Preparing Adolescents With Chronic Disease for Transition to Adult Care: A Technology Program
University Gastroenterology|Rady Children's Hospital-San Diego|University of California, San Diego|Pulmonary Associates|Rady Children's Hospital-San Diego|Pediatrics and Genetics|Rady Children's Hospital-San Diego|University of California, San Diego|The University of Texas Health Science Center at Houston
background adolescents chronic disease acd must develop independent disease selfmanagement learn communicate effectively health care team transition pediatric adultoriented health care systems diseasespecific interventions implemented aid specific acd groups transition generic approach might effective costsaving methods eightyone acd aged 12 20 years recruited randomized clinical trial evaluating 8month transition intervention md2me md2me recipients received 2month intensive webbased textdelivered disease management skillbased intervention followed 6month review period md2me recipients also access texting algorithm disease assessment health care team contact intervention applicable adolescents diverse chronic illnesses controls received mailed materials general health topics disease management healthrelated selfefficacy health assessments performed baseline 2 8 months frequency patientinitiated communications recorded study period outcomes analyzed according assigned treatment group time results md2me recipients demonstrated significant improvements performance disease management tasks healthrelated selfefficacy patientinitiated communications compared controls conclusions outcomes acd improved significantly among recipients generic technologybased intervention technology deliver transition interventions adolescents diverse chronic illnesses generic approach offers costeffective means positively influencing transition outcomes research needed determine whether improved shortterm outcomes translate improved transition acd