The experiences and impact of transition from child to adult healthcare services for young people with Type 1 diabetes: a systematic review

@article{Sheehan2015TheEA,
  title={The experiences and impact of transition from child to adult healthcare services for young people with Type 1 diabetes: a systematic review},
  author={Aisling M Sheehan and Alison E. While and Imelda Coyne},
  journal={Diabetic Medicine},
  year={2015},
  volume={32},
  pages={440 - 458}
}
Despite the transition between child and adult services for young people with Type 1 diabetes mellitus being a high‐risk period, little is known about the impact of healthcare transition upon young people. 
A systematic review of interventions to improve outcomes for young adults with Type 1 diabetes
TLDR
The aim of this systematic review was to synthesize the evidence regarding the effectiveness of interventions aimed at improving clinical, behavioural or psychosocial outcomes for young adults with Type 1 diabetes.
A longitudinal, observational study examining the relationships of patient satisfaction with services and mental well‐being to their clinical course in young people with Type 1 diabetes mellitus during transition from child to adult health services
We hypothesized that participant well‐being and satisfaction with services would be positively associated with a satisfactory clinical course during transition from child to adult health care.
The process of transition from pediatric to adult diabetes care: recommendations for US healthcare systems
TLDR
Recommendations include ensuring that transition conversations happen earlier in care, that care is appropriately tailored to the developmental level and unique needs of emerging adult patients, and that increased financial and instrumental support is provided to adequately evaluate and provide effective transition services.
Transition to adult diabetes care in Germany—High risk for acute complications and declining metabolic control during the transition phase
TLDR
Comparing metabolic control, acute complications and microvascular complications in adolescents and young adults before and after transfer to an adult treatment center with respect to the time between first visit in the adult center and last visit in pediatric treatment is compared.
Clinical, behavioural and social indicators for poor glycaemic control around the time of transfer to adult care: a longitudinal study of 126 young people with diabetes
To describe and compare changes in glycaemic control in young people with Type 1 diabetes over time between the last 2 years in paediatric care and the first 2 years in adult care and to identify
Emerging adulthood and Type 1 diabetes: insights from the DAWN2 Study
TLDR
To compare clinical, psychological, education and social variables in emerging adults with Type 1 diabetes with their adult counterparts aged >30 years, a large sample of emerging adults aged 18–30 years is surveyed.
Implementation of effective transition from pediatric to adult diabetes care: epidemiological and clinical characteristics—a pioneering experience in North Africa
TLDR
This program was beneficial for 75% of patients who demonstrated an improvement in their metabolic control the year following transition to adult care service, and to the first one in North Africa to report on the outcome of a structured transition program from pediatric to adult diabetes care.
A Systematic Review of Transitional Care for Emerging Adults with Diabetes.
Best Practice for Healthcare Transition: Development and Use of the Benchmarks for Transition
TLDR
The Benchmarks for Transition described in this chapter were developed in collaboration with young people, parents and health professionals, using a grant from the Burdett Trust for Nursing.
Socioeconomic factors affecting the health of people with diabetes
TLDR
Practice nurses explain how practice nurses can implement health promotion in their practice and how economic factors can affect the health of people with diabetes.
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References

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To examine challenges contributing to disruptions in care during the transition from paediatric to adult care among young adults with Type 1 diabetes who are primarily in ethnic minority groups and
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TLDR
Transitions of young people with chronic diseases have been poorly investigated and the outcomes of different types of transitions are poorly investigated.
A transition care programme which improves diabetes control and reduces hospital admission rates in young adults with Type 1 diabetes aged 15–25 years
Aims  To determine if a transition support programme for young adults with diabetes could maintain attendance at a specialist clinic, improve diabetes control and reduce acute hospital admissions
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TLDR
The experience of the Newcastle Diabetes Service in trying to smooth the transition from paediatric to adult diabetes services through the provision of a joint transition clinic, followed by a young adult clinic is discussed.
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    Diabetic medicine : a journal of the British Diabetic Association
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Aims To determine the efficacy and patient perception of various transfer procedures from paediatric to adult diabetes services.
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TLDR
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TLDR
The role of community nurses in the transition of young people with type 1 diabetes to adult services is examined and the emphasis needs to be on joint multi-disciplinary working across all health sectors, including primary and secondary care.
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TLDR
Several key elements of adolescent/transition healthcare services have been proposed, one of which is training for professionals delivering the service, and this study suggests that communication skills form a vital component of such training.
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Aims To assess the process of clinical care and outcomes of young patients with diabetes attending clinics at a large district general hospital.
Transition to Adult Care for Youths With Diabetes Mellitus: Findings From a Universal Health Care System
TLDR
During the transition to adult health care, there is increased risk of diabetes mellitus-related hospitalizations, although this may be attenuated in youths for whom there is physician continuity.
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