Digital Delivery of Person-centered Transitional Care
Trial statusRecruiting
Trial phaseNot applicable
Trial typeInterventional
Biological sexAll
Age15-20
SponsorGöteborg University
About this trial
Advances in medical care have extended the life expectancy of individuals with congenital and pediatric-onset diseases, leading to an increased need for effective transition programs as these individuals move from pediatric to adult healthcare. The STEPSTONES project in Sweden is designed to evaluate the effectiveness of a person-centered transition program to support teenagers with chronic conditions during this transition. The project's innovative digital adaptation, Digi-STEPSTONES, seeks to address challenges related to accessibility and continuity of care by delivering the program remotely. This study will assess the non-inferiority of the digital program compared to traditional, in-person care, focusing on outcomes such as patient empowerment, transition readiness, and quality of life. Additionally, the project will explore the implementation and scalability of the digital transition model across various chronic conditions. Preliminary studies have highlighted the importance of structured, person-centered care in improving empowerment and other outcomes in adolescents with chronic illnesses. The Digi-STEPSTONES project aims to provide crucial evidence for the digital delivery of transition programs, potentially enhancing the accessibility and effectiveness of care for young people with chronic conditions in Sweden.
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
None
Disqualifiers
None
Trial design
Design model
Parallel
Treatments tested in this trial
Stepstones transition program
BehavioralThe STEPSTONES transition program is an 8-component intervention designed to support adolescents with chronic conditions transitioning to adult care. It includes: a transition coordinator (TC), education about the condition, phone support, guidance on transitioning to adult care, parental guidance, peer meetings, a personalized transition plan, and the actual transfer to adult care. The intervention is implemented in five steps, starting with outpatient visits and culminating in the transfer to adult care. Delivered via the "Mitt vårdmöte" digital platform, the program includes the HEADDDSS adolescent health interview and is conducted by trained specialized nurses.
Treatment groups
100 Participants
are divided into 2 treatment groupsGroup A: Arm AExperimental treatment 1 intervention
Group B: Arm BOther 1 intervention
Trial outcomes
Primary outcomes
1
Patient empowerment
Gothenburg Young Persons Empowerment Scale (GYPES)
Time frame
At baseline T0 when the participant is 16 years with follow up at T1 when the participants are 18.5 yearsSecondary outcomes
1
Satisfaction with transition
Transitional care EXPeriences Questionnaire
Time frame
18.5 year2
Transition readiness
Readiness for Transition Questionnaire (RTQ)- adolescent version
Time frame
At baseline T0 when the participant is 16 years with follow up at T1 when the participants are 18.5 yearsOther outcomes
1
Transition readiness
Readiness for Transition Questionnaire (RTQ)-parent version PROXY
Time frame
Parents fills out the questionnaire at baseline T0 when their adolescent (participant) is 16 years with follow up at T1 when the participant are 18.5 yearsSponsors and contacts
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Source ClinicalTrials.gov