Experiences with and Outcomes of Two Interventions to Maximize Engagement of Chronically Ill Adolescents During Hospital Consultations: A Mixed Methods Study

J Pediatr Nurs. 2015 Sep-Oct;30(5):757-75. doi: 10.1016/j.pedn.2015.05.028. Epub 2015 Jul 18.


Improving patient-provider communication during hospital consultations is advocated to enhance self-management planning and transition readiness of adolescents with chronic conditions. This longitudinal mixed methods study evaluates the implementation and the outcomes of independent split-visit consultations and individual transition plans by 22 hospital teams participating in the Dutch Action Program 'On Your Own Feet Ahead!'. The interventions raised awareness in adolescents and professionals, improved adolescents' display of independent behaviors and led to more discussions about non-medical issues. Successful implementation required a team-based approach and clear explanation to parents and adolescents. Pediatric nurses played a pivotal role in improving transitional care.

Keywords: Individual Transition Plans; Quality Improvement program; adolescent transition; confidentiality; independent consultations; self-management.

Publication types

  • Multicenter Study
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adolescent
  • Chronic Disease / therapy*
  • Female
  • Hospitals / statistics & numerical data
  • Humans
  • Longitudinal Studies
  • Male
  • Netherlands
  • Nurse's Role
  • Pediatric Nursing / organization & administration
  • Program Evaluation
  • Qualitative Research
  • Referral and Consultation / organization & administration*
  • Self Care / methods
  • Transition to Adult Care / organization & administration*
  • Transitional Care / organization & administration