Bridging the Gap to Adult Diabetes Care
Type1diabetes
About this trial
This is an interventional health services research trial for Type1diabetes focused on measuring Transition to adult care, Glycemic control
Eligibility Criteria
Inclusion Criteria:
- All youth with a clinical diagnosis of type 1 diabetes followed at participating centres at the time of their final pediatric clinic visit between Jan 1, 2018 and Dec 31, 2020.
- Participants will be transitioning to Adult Care (ages ~16-19 yrs).
- Capacity to read and understand English (we estimate that >95% of participants will fulfill this requirement).
- Capacity to consent for themselves.
Exclusion Criteria:
- Individuals with non-type 1 diabetes.
- Individuals with type 1 diabetes who move out of Ontario within 12 months after their final pediatric visit.
- Individuals with type 1 diabetes who do not have the capacity to consent for themselves.
Sites / Locations
- McMaster Children's Hospital
- Children's Hospital, London Health Sciences Centre
- Markham Stouffville Hospital, Clinic 4
- Trillium Health Partners
- The Hospital for Sick Children
Arms of the Study
Arm 1
Arm 2
Arm 3
No Intervention
Other
Other
Pre-intervention
Early Intervention
Post-Intervention
Those whose last pediatric visit was in the year before the intervention (2018). Medical record data abstracted from patient charts at the time of the final pediatric visit.
Those whose last pediatric visit was in the year immediately after the start of the intervention (2019). The intervention will begin on Jan 1, 2019 and includes the following : Data Platform: Medical record data abstracted from patient charts at the time of the final pediatric visit. . Quality performance feedback reports: We will generate centre-level performance reports. Centres will be able to compare their performance to that of all other centres and to achievable benchmarks. Patient transition experience surveys at the final pediatric visit and 12 months later. Diabetes teams may direct patients and families to online transition resources.
Those whose last pediatric visit was in the second year after the intervention (2020). The intervention includes the following : Data Platform: Medical record data abstracted from patient charts at the time of the final pediatric visit. . Quality performance feedback reports: We will generate centre-level performance reports. Centres will be able to compare their performance to that of all other centres and to achievable benchmarks. Patient transition experience surveys at the final pediatric visit and 12 months later. Diabetes teams may direct patients and families to online transition resources.