An Adult Health Care-Based Pediatric to Adult Transition Program for Emerging Adults With Type 1 Diabetes
An Adult Health Care-Based Pediatric to Adult Transition Program for Emerging Adults With Type 1 Diabetes
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DOI：
10.1177/0145721716677098
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发表时间：
2017-02-01
影响因子：
3.9
通讯作者：
Long, Judith A.
中科院分区：
文献类型：
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作者：
Agarwal, Shivani;Raymond, Jennifer K.;Long, Judith A.
PurposeThe目的的研究是评估一个成年人的健康护理计划模型为新兴的成人1型糖尿病从儿科到成人care.MethodsEvaluation的儿科到成人糖尿病过渡诊所在宾夕法尼亚大学包括一个队列的72个新兴的成人1型糖尿病，年龄在18至25岁。从转移总结和电子病历中提取数据，包括社会人口统计学、临床和随访特征。治疗前和治疗后6个月的评估包括平均每日血糖监测频率（BGMF）和血糖控制（A1 C）。使用配对t检验来检查从基线到6个月的结局变化，并使用多元线性回归来调整基线A1 C或BGMF、性别、糖尿病病程、种族和胰岛素方案的结局。开放式调查的反应被用来评估可接受性之间的participators.ResultsFrom基线至6个月，平均A1 C下降0.7%（8 mmol/mol），BGMF增加1检查每天。百分之八十八的参与者参加>= 2访问在6个月内，该计划被高度评价的参与者和供应商（儿科和成人）。
PurposeThe 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.MethodsEvaluation 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.ResultsFrom 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).ConclusionsThis study highlights the promise of an adult health care program model for pediatric to adult diabetes transition.