Title of Research
The Transition of Juvenile Rheumatoid Arthritis Patients from Pediatric to Adult Services
Start Date
17-8-2018 10:00 AM
End Date
17-8-2018 11:30 AM
Abstract
Background: The transition from pediatric to adult care in the JIA population is currently in need of refinement so that adolescents undergoing the transition may be more successful in their adult care programs. JIA has a large group of patients crossing over from pediatrics to adult care, and thus needs to have a more structured and appropriate approach to providing care in this transition.
Objectives: To understand how transition from pediatric to adult services in the JIA population is defined, and identify elements that may be implemented to facilitate better transitional programs.
Method: An integrative literature review was conducted using key words, “JIA, transition, management, pediatric to adult care”using peer reviewed articles from 2008-2018 from databases including CINHAL, PubMed, and PsychInfo.
Results: Five reoccurring themes emerged from the data as indicators for successful transitional programs: 1) gradual phasing of transition, 2) flexibility, 3) role certainty, 4) joint care, and 5) education to establish self-management skills. Five elements also identified from the data for implementation including web based interventions, communication skill development, education for future skill and self-management, and provider support of autonomy.
Conclusion: This study found that successful transition programs provided patients with a holistic approach to their care, including starting preparation for transition early and using collaboration as a bridge for care. Further suggestions for better transitional programs may be made based on the results to help future transitional programs to have the best outcomes.
Key words: JIA, pediatrics, transitional care, holistic, autonomy, education.
Included in
The Transition of Juvenile Rheumatoid Arthritis Patients from Pediatric to Adult Services
Background: The transition from pediatric to adult care in the JIA population is currently in need of refinement so that adolescents undergoing the transition may be more successful in their adult care programs. JIA has a large group of patients crossing over from pediatrics to adult care, and thus needs to have a more structured and appropriate approach to providing care in this transition.
Objectives: To understand how transition from pediatric to adult services in the JIA population is defined, and identify elements that may be implemented to facilitate better transitional programs.
Method: An integrative literature review was conducted using key words, “JIA, transition, management, pediatric to adult care”using peer reviewed articles from 2008-2018 from databases including CINHAL, PubMed, and PsychInfo.
Results: Five reoccurring themes emerged from the data as indicators for successful transitional programs: 1) gradual phasing of transition, 2) flexibility, 3) role certainty, 4) joint care, and 5) education to establish self-management skills. Five elements also identified from the data for implementation including web based interventions, communication skill development, education for future skill and self-management, and provider support of autonomy.
Conclusion: This study found that successful transition programs provided patients with a holistic approach to their care, including starting preparation for transition early and using collaboration as a bridge for care. Further suggestions for better transitional programs may be made based on the results to help future transitional programs to have the best outcomes.
Key words: JIA, pediatrics, transitional care, holistic, autonomy, education.