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Completed

NCT Number: NCT03188224

Apply the (MyTransition) App In Transition

Moving from child care to adult care is a hard time for patients and their families. Parents of children with chronic conditions say they need more support around the time of changing care. Care providers say they do not have the tools to provide smooth transitions or help their patients manage their own health. This study is to see if a smart-phone-based app (named MyTransition) can improve healthcare transition experiences and health outcomes for youth, compared to usual care.

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Key information

Age range

14 year–18 year

Sex eligibility

All sexes

Study type

Interventional

Phase

Not applicable

Primary location

McMaster Children's Hospital

Hamilton, Ontario, L8N 3Z5, Canada

About this study

Transition to adult care is an unavoidable and challenging period for patients and their families, and comes with adverse outcomes in experience of care, population health, and costs. Parents of children with chronic conditions report a greater need for support around the time of healthcare transition. Providers report neither having the tools nor appropriate resources to foster smooth transitions for patients and their families. We hypothesize that an app-based transition toolkit (named MyTransition) designed to support youth moving from child to adult care can improve their experiences and lead to better health. The main objective of this study is to collect information to design a large multi-centre randomized control trial to assess implementation of the MyTransition app including recruitment, completion of follow-up, and scale-ability of the intervention. The secondary objective is to assess the feasibility and potential effect of the MyTransition app-based transition toolkit for improving health of youth (quality of life), healthcare transition experience, and achievement of health and life goals.

Who can participate

Healthy volunteers accepted: No

Only the study team can determine whether someone qualifies for participation.

Inclusion criteria

  • Attending participating clinic at McMaster Children's Hospital
  • Diagnosed with chronic health condition
  • Must be able to utilize the intervention tool
  • Must be able to read and understand English

Exclusion criteria

  • Dependence on caregivers in areas of daily functioning, self-care and/or communication
  • Inability to lead or provide own care
  • Enrolled in a potentially confounding trial

Treatment and study plan

MyTransition app

Other

MyTransition app is designed to support youth moving from pediatric to adult healthcare.

Primary outcomes

  1. Completion of Data Collection

    Time frame: 6-Month Follow-Up

    Completion rate of 90% for all outcomes.

Secondary outcomes

  1. Change in Short Form Six-Dimension (SF-6D)

    Time frame: Baseline, 3-month follow-up, 6-month follow-up

    Instrument for describing and valuing individual's health. Will be used to evaluate quality of life.

Other outcomes

  1. Change in Client Satisfaction Questionnaire (CSQ-8)

    Time frame: Baseline, 3-month follow-up, 6-month follow-up

    Designed to measure satisfaction with health and human services received by individuals and families. Will be used to assess healthcare transition experience.

  2. Change in Transition-Q

    Time frame: Baseline, 3-month follow-up, 6-month follow-up

    Measures transition readiness/self-management ability. Will be used to evaluate readiness for transition.

  3. Change in Transition Readiness Assessment Questionnaire (TRAQ)

    Time frame: Baseline, 3-month follow-up, 6-month follow-up

    Patient-centered questionnaire that providers and families use to assess youths' ability to make appointments, to understand their medications, and to develop other skills needed for transition to adult care. Will be used to evaluate readiness for transition.

  4. Change in Canadian Occupational Performance Measure (COPM)

    Time frame: Baseline, 3-month follow-up, 6-month follow-up

    Designed to measure satisfaction with health and human services received by individuals and families. Will be used to determine achievement of health and life goals.

Sponsors and collaborators

Lead sponsor

McMaster University

Other

Collaborators

  • Hamilton Academic Health Sciences Organization

Registry information

Official study title

An App-based Transition Toolkit Targeting Youth With Chronic Health Conditions: A Randomized Trial as a Foundation to Improve Healthcare Transition and Outcomes

Acronym: ApplyIT

Important dates

Study start
2018
Primary completion
2018
Study completion
2018
First posted
Jun 15, 2017
Registry last updated
Sep 26, 2019

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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