Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Study into the use of a diabetes specialist transition nurse in the care of young people aged 16-20 years, with type 1 diabetes; undergoing transition from the paediatric to the adult diabetes services at the Northampton General Hospital
Does the use of a structured diabetes transition program in the care of young people transitioning from the paediatric to the adult diabetes services at Northampton General Hospital improve the study group mean HbA1C, reduce the number of diabetes related hospital episodes and increase attendance at the adult diabetes clinic following transition to the adult service?
Not provided
Not provided
Not provided
Not provided
Not provided
| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Transition intervention group | Active Comparator | Intervention group -will be working with the specialist diabetes transition nurse. The nurse will follow a specific protocol involving visits, clinic support, community support and appointment rearranging. She will also maintain communication with the Hospital based adult and paediatric diabetes teams and the participants General Practitioner and relevant community health care professionals. |
|
| Post Transition group | Placebo Comparator | The previous fifty eligible young people who have transitioned to adult service, will be compared with the active comparator group. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Transition intervention group | Other | Support and on-going treatment intervention; monitoring the uptake of routine annual diabetes tests and encouraging to access where default observed General specialist diabetes support and provision of education and referral to other specialist healthcare agencies as individual requires |
| Measure | Description | Time Frame |
|---|---|---|
| The rates of diabetes related hospital episodes, including Diabetic Ketoacidosis, between the 2 study groups before and after transition | Rates of admission | 3 years |
| Measure | Description | Time Frame |
|---|---|---|
| The mean Hba1C between the 2 study groups before and after transition | Hba1C measurement | 3 years |
| The frequency of testing according to National Institute for Health and Care Excellence between the 2 study groups |
Not provided
Inclusion Criteria:
Exclusion Criteria:
Not provided
Not provided
Not provided
Not provided
Not provided
| Name | Affiliation | Role |
|---|---|---|
| Anne L Smith, MBChB | Northampton General Hospital | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Northampton general Hospital NHS Trust | Northampton | NN1 5BD | United Kingdom |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 21388969 | Result | Crowley R, Wolfe I, Lock K, McKee M. Improving the transition between paediatric and adult healthcare: a systematic review. Arch Dis Child. 2011 Jun;96(6):548-53. doi: 10.1136/adc.2010.202473. Epub 2011 Mar 8. | |
| 24106787 | Result | Spaic T, Mahon JL, Hramiak I, Byers N, Evans K, Robinson T, Lawson ML, Malcolm J, Goldbloom EB, Clarson CL; JDRF Canadian Clinical Trial CCTN1102 Study Group. Multicentre randomized controlled trial of structured transition on diabetes care management compared to standard diabetes care in adolescents and young adults with type 1 diabetes (Transition Trial). BMC Pediatr. 2013 Oct 9;13:163. doi: 10.1186/1471-2431-13-163. |
| Label | URL |
|---|---|
| National Institute for Health and Care Excellence guidance adults | View source |
Not provided
There is no plan to share individual participant data, with other researchers
Not provided
Not provided
Not provided
Not provided
Not provided
| ID | Term |
|---|---|
| D003922 | Diabetes Mellitus, Type 1 |
| ID | Term |
|---|---|
| D003920 | Diabetes Mellitus |
| D044882 | Glucose Metabolism Disorders |
| D008659 | Metabolic Diseases |
| D009750 | Nutritional and Metabolic Diseases |
Not provided
Not provided
Next 50 eligible young people entering transition
Not provided
Not provided
Not provided
Not provided
|
| Post transition group | Other | The previous fifty eligible young people who have transitioned to adult service, will be compared with the active comparator group. |
|
Annual diabetes routine checks
| 3 years |
| Emotional health of the 2 study groups | HADS Questionnaire | 3 years |
| Emotional health of the 2 study groups | PAID Questionnaire | 3 years |
| To compare the proportion of young people in the study groups who fail to attend at least one out-patient adult diabetes appointment during the first year after transition | Compare attendance rates | 3 years |
| National Institute for Health and Care Excellence guidance for children and young people | View source |
| Problem Areas in Diabetes Questionaire | View source |
| D004700 | Endocrine System Diseases |
| D001327 | Autoimmune Diseases |
| D007154 | Immune System Diseases |