Evaluating Innovations in Transition From Pediatric to Adult Care - The Transition Navigator Trial

Summary

The Transition Navigator Trial (TNT) is a pragmatic randomized controlled trial evaluating the effectiveness of usual care plus a patient navigator service versus usual care plus newsletters and other educational materials, to improve transition outcomes among adolescents aged 16-21 who have chronic health conditions requiring transfer to adult specialty care.

The study will provide urgently needed data to guide health care providers and policy makers regarding the provision of coordinated transition care. These results have the potential to:

1. Change care delivery
2. Improve health outcomes
3. Improve the experiences of young adult transition to adult care

Conditions

• Diabetes
• Endocrine System Diseases
• Gastro-Intestinal Disorder
• Neuro-Degenerative Disease
• Epilepsy
• Autoimmune Diseases
• Renal Disease
• Cardiac Disease
• Metabolic Disease
• Genetic Diseases, Inborn
• Respiratory Disease
• Hematologic Diseases
• Autism Spectrum Disorder
• Fetal Alcohol Spectrum Disorders
• Traumatic Brain Injury
• Stroke

Interventions

OTHER

Patient Navigator

Social worker/Patient Navigator will be assigned to follow youth in adult care for up to 24 months to assist youth adapt and attach to adult delivered healthcare

OTHER

Usual Care

Whatever processes are in place in a variety of clinics to support transfer from pediatric to adult care in the pediatric clinics

Sponsors & Collaborators

• Alberta Health services

  collaborator OTHER

• University of Alberta

  collaborator OTHER

• University of Calgary

  lead OTHER

Principal Investigators

• Susan Samuel, MD, MSc · University of Calgary

• Gina Dimitropoulos, PhD · University of Calgary

• Andrew Mackie, MD · University of Alberta

Study Design

Allocation

RANDOMIZED

Purpose

HEALTH_SERVICES_RESEARCH

Masking

NONE

Model

PARALLEL

Eligibility

Min Age

16 Years

Max Age

21 Years

Sex

ALL

Healthy Volunteers

No

Timeline & Regulatory

Start

2018-02-06

Primary Completion

2021-08-31

Completion

2021-09-07

Countries

• Canada

Study Locations