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J Pediatr Nurs. 2015 Sep-Oct;30(5):e29-35. doi: 10.1016/j.pedn.2015.06.013. Epub 2015 Aug 11.

Transitioning Adolescents and Young Adults With HIV Infection to Adult Care: Pilot Testing the "Movin' Out" Transitioning Protocol.

Author information

1
University of Miami Miller School of Medicine, Department of Pediatrics, Division of Adolescent Medicine, Miami, FL.
2
University of Miami Miller School of Medicine, Department of Medicine, Division of Infectious Diseases, Miami, FL.
3
University of Miami, School of Nursing & Health Studies, Coral Gables, FL. Electronic address: dmaturo@med.miami.edu.

Abstract

BACKGROUND:

Advances in care and treatment of adolescents/young adults with HIV infection have made survival into adulthood possible, requiring transition to adult care. Researchers have documented that the transition process is challenging for adolescents/young adults. To ensure successful transition, a formal transition protocol is needed. Despite existing research, little quantitative evaluation of the transition process has been conducted.

PURPOSE:

The purpose of the study was to pilot test the "Movin' Out" Transitioning Protocol, a formalized protocol developed to assist transition to adult care.

METHOD:

A retrospective medical/nursing record review was conducted with 38 clients enrolled in the "Movin' Out" Transitioning Protocol at a university-based adolescent medicine clinic providing care to adolescents/young adults with HIV infection.

RESULTS:

Almost half of the participants were able to successfully transition to adult care. Reasons for failure to transition included relocation, attrition, lost to follow-up, and transfer to another adult service. Failure to transition to adult care was not related to adherence issues, X(2) (1, N=38)=2.49, p=.288; substance use, X(2) (1, N=38)=1.71, p=.474; mental health issues, X(2) (1, N=38)=2.23, p=.322; or pregnancy/childrearing, X(2) (1, N=38)=0.00, p=.627).

CONCLUSIONS:

Despite the small sample size, the "Movin' Out" Transitioning Protocol appears to be useful in guiding the transition process of adolescents/young adults with HIV infection to adult care. More research is needed with a larger sample to fully evaluate the "Movin' Out" Transitioning Protocol.

KEYWORDS:

Adolescents; Clinical protocols; HIV infection; Health transition; Young adults

PMID:
26276460
DOI:
10.1016/j.pedn.2015.06.013
[Indexed for MEDLINE]

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