Transition from paediatric to adult care: what makes it easier for parents?

J-C Suris; J-P Larbre; M Hofer; M Hauschild; Y Barrense-Dias; A Berchtold; C Akre

doi:10.1111/cch.12405

Transition from paediatric to adult care: what makes it easier for parents?

Child Care Health Dev. 2017 Jan;43(1):152-155. doi: 10.1111/cch.12405. Epub 2016 Sep 13.

Authors

J-C Suris^{1

2}, J-P Larbre³, M Hofer⁴, M Hauschild⁵, Y Barrense-Dias¹, A Berchtold^{1

6}, C Akre¹

Affiliations

¹ Institute of Social and Preventive Medicine, Lausanne University Hospital, Lausanne, Switzerland.
² General Pediatrics, Lausanne University Hospital, Lausanne, Switzerland.
³ Adult Rheumatology, Centre hospitalier Lyon-Sud, Lyon, France.
⁴ Pediatric Rheumatology Unit of Western Switzerland, Lausanne University Hospital and Geneva University Hospital, Lausanne, Switzerland.
⁵ Pediatric Endocrinology and Diabetology Unit, Lausanne University Hospital, Lausanne, Switzerland.
⁶ Institute of Social Sciences and LIVES, University of Lausanne, Lausanne, Switzerland.

PMID: 27625071
DOI: 10.1111/cch.12405

Abstract

Objective: To assess differences between parents of adolescents with chronic illness (CI) going through a self-reported easy or difficult transfer.

Methods: Seventy-two parents of CI youths who had already transferred to adult care were divided according to whether they considered that the transfer had been easy (n = 45) or difficult (n = 27). We performed a bivariate analysis comparing both groups and variables with a significance level < .1 were included in a logistic regression. Results are presented as adjusted odds ratio (aOR).

Results: Over one third of parents (27/72) reported a difficult transfer. At the multivariate level, higher socioeconomic status (aOR: 7.74), parents feeling ready for transfer (aOR: 6.54) and a good coordination between teams (aOR: 7.66) were associated with an easy transfer.

Conclusions: An easy transfer for parents is associated with feeling ready and considering that the coordination between teams is good. Health providers should consider these requisites for a successful transfer.

Keywords: adolescence; chronic illness; parents; transition.

Publication types

Research Support, Non-U.S. Gov't

MeSH terms

Adolescent
Adolescent Health Services / organization & administration
Adolescent Health Services / standards
Attitude to Health*
Chronic Disease / therapy*
Feasibility Studies
Female
Health Services Research / methods
Humans
Male
Middle Aged
Parents / psychology*
Patient Care Team / organization & administration
Pilot Projects
Social Class
Switzerland
Transition to Adult Care / organization & administration
Transition to Adult Care / standards*