title: An Adult Health Care-Based Pediatric to Adult Transition Program for Emerging Adults With Type 1 Diabetes.
abstract: Purpose The purpose of the study was to evaluate an adult health care program model for emerging adults with type 1 diabetes transitioning from pediatric to adult care. Methods Evaluation of the Pediatric to Adult Diabetes Transition Clinic at the University of Pennsylvania included a cohort of 72 emerging adults with type 1 diabetes, ages 18 to 25 years. Data were extracted from transfer summaries and the electronic medical record, including sociodemographic, clinical, and follow-up characteristics. Pre- and postprogram assessment at 6 months included mean daily blood glucose monitoring frequency (BGMF) and glycemic control (A1C). Paired t tests were used to examine change in outcomes from baseline to 6 months, and multiple linear regression was utilized to adjust outcomes for baseline A1C or BGMF, sex, diabetes duration, race, and insulin regimen. Open-ended survey responses were used to assess acceptability amongst participants. Results From baseline to 6 months, mean A1C decreased by 0.7% (8 mmol/mol), and BGMF increased by 1 check per day. Eighty-eight percent of participants attended ≥2 visits in 6 months, and the program was rated highly by participants and providers (pediatric and adult). Conclusions This study highlights the promise of an adult health care program model for pediatric to adult diabetes transition.
authors.affiliation: Rodebaugh Diabetes Center, University of Pennsylvania Health System, Philadelphia, Pennsylvania (Dr Agarwal, Dr Schutta, Dr Cardillo).|Perelman School of Medicine, University of Pennsylvania, Philadelphia, Pennsylvania (Dr Agarwal, Dr Schutta, Dr Cardillo, Dr Miller, Dr Long).
authors.forename: Shivani
authors.initials: S
authors.lastname: Agarwal
authors.affiliation: Division of Pediatric Endocrinology, Children's Hospital of Los Angeles, Los Angeles, California (Dr Raymond).
authors.forename: Jennifer K
authors.initials: JK
authors.lastname: Raymond
authors.affiliation: Rodebaugh Diabetes Center, University of Pennsylvania Health System, Philadelphia, Pennsylvania (Dr Agarwal, Dr Schutta, Dr Cardillo).|Perelman School of Medicine, University of Pennsylvania, Philadelphia, Pennsylvania (Dr Agarwal, Dr Schutta, Dr Cardillo, Dr Miller, Dr Long).
authors.forename: Mark H
authors.initials: MH
authors.lastname: Schutta
authors.affiliation: Rodebaugh Diabetes Center, University of Pennsylvania Health System, Philadelphia, Pennsylvania (Dr Agarwal, Dr Schutta, Dr Cardillo).|Perelman School of Medicine, University of Pennsylvania, Philadelphia, Pennsylvania (Dr Agarwal, Dr Schutta, Dr Cardillo, Dr Miller, Dr Long).
authors.forename: Serena
authors.initials: S
authors.lastname: Cardillo
authors.affiliation: Perelman School of Medicine, University of Pennsylvania, Philadelphia, Pennsylvania (Dr Agarwal, Dr Schutta, Dr Cardillo, Dr Miller, Dr Long).|Division of Adolescent Medicine, Children's Hospital of Philadelphia, Philadelphia, Pennsylvania (Dr Miller).
authors.forename: Victoria A
authors.initials: VA
authors.lastname: Miller
authors.affiliation: Perelman School of Medicine, University of Pennsylvania, Philadelphia, Pennsylvania (Dr Agarwal, Dr Schutta, Dr Cardillo, Dr Miller, Dr Long).|Corporal Michael J. Crescenz VA Center for Health Equity Research and Promotion. Philadelphia, Pennsylvania (Dr Long).|and Division of General Internal Medicine, University of Pennsylvania Health System, Philadelphia, Pennsylvania (Dr Long).
authors.forename: Judith A
authors.initials: JA
authors.lastname: Long
mesh_terms: D000293:Adolescent; D001786:Blood Glucose / Q000032:analysis; D003922:Diabetes Mellitus, Type 1 / Q000097:blood / Q000628:therapy*; D005260:Female; D006442:Glycated Hemoglobin / Q000032:analysis; D006801:Humans; D008297:Male; D015397:Program Evaluation; D011795:Surveys and Questionnaires; D060305:Transition to Adult Care; D055815:Young Adult
chemical_list: D001786:Blood Glucose; D006442:Glycated Hemoglobin; C517652:hemoglobin A1c protein, human