title: [Does talking about it make a difference? Opinions of chronically ill young adults after being transferred to adult care].
abstract: BACKGROUND
  The goal of transition in healthcare for young people with chronic illnesses is to maximize their functioning and potential. The purpose of this pilot study was to assess whether young adults with chronic illnesses found that the transition to adult care was easier when the transition was discussed in advance with their pediatric specialist.
  
  
  METHODS
  Two groups were created according to whether patients had discussed (n=70) or not (n=22) the transition with their pediatric specialist and compared regarding demographic and health-related variables. All the significant variables at the bivariate level were included in a backward stepwise logistic regression.
  
  
  RESULTS
  Youth who had discussed the transition were significantly more likely to feel ready for the transfer (72.9% vs 45.5%) and accompanied (58.6% vs 27. %) during transfer, to have consulted their specialist for adults (60.0% vs 31.8%), and seen their doctor without the presence of their parents (70.0% vs 40.9%). At the multivariate level, only feeling accompanied during transfer (adjusted odds ratio (aOR): 3.56) and having consulted their specialist for adults (aOR: 4.14) remained significant.
  
  
  CONCLUSIONS
  Preparing chronically ill youths for transfer to adult care appears to be beneficial for them. However, transfer is only a small part of the much broader transition that is preparation for adult life. A well-planned transition should allow these young people to reach their full potential.
authors: Groupe de recherche sur la santé des adolescents, institut de médecine sociale et préventive, centre hospitalier universitaire Vaudois, route de la Corniche 10 (Biopôle 2), 1010 Lausanne, Suisse. Electronic address: joan-carles.suris@chuv.ch.
authors: J-C
authors: JC
authors: Suris
authors: Adolescent medicine unit, university children's hospital, Zurich, Suisse.
authors: C
authors: C
authors: Rutishauser
authors: Groupe de recherche sur la santé des adolescents, institut de médecine sociale et préventive, centre hospitalier universitaire Vaudois, route de la Corniche 10 (Biopôle 2), 1010 Lausanne, Suisse.
authors: C
authors: C
authors: Akré
mesh_terms: D000293:Adolescent; D002908:Chronic Disease; D003430:Cross-Sectional Studies; D005260:Female; D006801:Humans; D008297:Male; D010353:Patient Education as Topic; D010865:Pilot Projects; D060305:Transition to Adult Care; D055815:Young Adult