Let’s Empower and Prepare (LEAP): Evaluation of a Structured Transition Program for Young Adults With Type 1 Diabetes

• DOI: 10.2337/dc14-2577
• Publication Date: 2015-04-24T02:22:19Z
• Authors: Paola A. Sequeira; Elizabeth A. Pyatak; Marc J. Weigensberg; Cheryl P. Vigen; Jamie R. Wood; Valerie Ruelas; Lucy Montoya; Marisa Cohen; Heather Speer; Susan Clark; Anne L. Peters
• Keywords: Adult care

OBJECTIVE To evaluate the efficacy of a structured transition program compared with usual care in improving routine follow-up, clinical, and psychosocial outcomes among young adults type 1 diabetes. RESEARCH DESIGN AND METHODS Eighty-one their last year pediatric were recruited from three clinics. Intervention group (IG) participants (n = 51) received incorporating tailored diabetes education, case management, education classes, access to newly developed adult clinic website. Control (CG) 30) care. The primary outcome was number visits. Secondary included glycemic control, hypoglycemia, health use, well-being. Assessments conducted at baseline, 6 12 months. RESULTS Limitations CG follow-up prevented direct comparisons visits; however, 12-month IG discharged 32), 78% had one or more Among participants, total visits did not differ between those who transitioned remained (3.0 ± 1.24 vs. 3.11 0.94, P 0.74). improved control (−0.40 1.16% 0.42 1.51% [4.4 12.7 mmol/mol 4.6 16.5 mmol/mol], 0.01), incidence severe hypoglycemia (0.0% 16%, 0.02), global well-being (P 0.02) CONCLUSIONS A successful facilitating without decrease clinical follow-up. Compared care, facilitated improvements