Patient-Provider Relationships Across the Transition From Pediatric to Adult Diabetes Care

Ritholz, Marilyn D.; Wolpert, Howard; Beste, Meg; Atakov-Castillo, Astrid; Luff, Donna; Garvey, Katharine C.

doi:10.1177/0145721713513177

Cited by 49 publications

(94 citation statements)

References 40 publications

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“…Non-adherence to treatment by patients with chronic diseases has been widely reported in the literature (23)(24)(25)(26)(27). In this study there was a considerably high rate of abandonment, more than half of the patients (61.26%) did not return for reassessment …”

Section: Resultsmentioning

confidence: 57%

“…In addition, other studies point to issues related to the nature of chronic diseases such as the absence of symptoms in the early stages, the lack of severity and chronicity and an unsatisfactory doctor-patient relationship and inadequate multidisciplinary approach (23,25,27,31). Still, Massing and Portela (2015), in a descriptive exploratory study in 3978 hypertensive patients found that the evaluated did not associate the pressure control diet, but only the use of the drug (32).…”

Section: (1607%) Reason 4 -Individual and Behavioral Characteristicsmentioning

confidence: 99%

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Abandonment to therapeutic diet on patients at risk cardiovascular in a health care clinic

Galdino¹,

Lima²,

Souza³

et al. 2016

Nutr Hosp

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Pizzato Galdino T, Oliveira de Lima VC, Matias de Souza I, Fayh AP. Abandonment to therapeutic diet on patients at risk cardiovascular in a health care clinic. ResumenIntroducción: las enfermedades cardiovasculares son la causa principal de muerte entre los adultos y las medidas para revertir esta situación se aplican a través de cambios en el estilo de vida, entre ellos, adoptar una alimentación saludable a través de orientación profesional. Para hacer esto, necesitamos mantener al paciente comprometido con el tratamiento, ya que el abandono de dicho tratamiento es un factor de riesgo importante en esta población. Objetivos: evaluar el abandono al tratamiento con dieta de pacientes con riesgo cardiovascular tratados de manera ambulatoria e identifi car las razones del abandono del tratamiento. Métodos: los participantes eran pacientes entre 18 y 70 años de edad, de ambos sexos, que recibieron su primera consulta nutricional y poseían dos o más factores de riesgo cardiovascular. Un contacto telefónico se realizó aplicando un cuestionario al abandono sobre las razones para el tratamiento, y aconsejándolos que regresaran al servicio de salud comprobando si efectivamente regresaban a los tres meses del contacto telefónico. Resultados: de los 142 pacientes con riesgo cardiovascular, 61,26% no regresó al servicio posterior a la primera visita, un porcentaje similar al encontrado en otros estudios, y fueron contactados por teléfono 64,37% de ellos. En relación a la razón principal para el retiro o abandono, difi cultades siguiendo la dieta y características individuales/de comportamiento del paciente fueron los aspectos que contribuyeron al abandono (57,14%), corroborando los hallazgos que muestran la infl uencia de factores culturales y socioeconómicos en la adherencia al tratamiento. Aunque el 92,86% de los pacientes mostraron estar satisfechos con el servicio y 75% han reportado interés en retomar el tratamiento, solo 5.36% de los pacientes regresaron al servicio posterior al contacto telefónico. Conclusión: hubo un alto abandono del tratamiento nutricional, principalmente debido a la difi cultad de organización requerida para seguir la dieta. La intervención motivacional no fue sufi ciente para motivar un regreso al tratamiento. AbstractBackground: Cardiovascular diseases are the leading cause of death among adults and measures to reverse this situation go through changes in lifestyle, among them adopt healthy eating through professional counseling. To do this we need to keep the patient engaged in treatment, and the abandonment of treatment is an important risk factor in this population.Objectives: To assess abandonment to dietary treatment of patients with cardiovascular risk treated on an outpatient basis, and identify the reasons for the abandonment of treatment.Methods: Participants were patients between 18 and 70 years, of both sexes, who held their fi rst nutritional consultation and had two or more cardiovascular risk factors. A telephone contact was made by applying a questionnaire on the withdrawal of r...

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Section: Resultsmentioning

confidence: 57%

Section: (1607%) Reason 4 -Individual and Behavioral Characteristicsmentioning

confidence: 99%

Abandonment to therapeutic diet on patients at risk cardiovascular in a health care clinic

Galdino¹,

Lima²,

Souza³

et al. 2016

Nutr Hosp

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“…Some of the concepts that emerging adults with T1DM consider to be potentially beneficial include; early preparation for the transfer event [34]; provision of transition specific information to encourage active participation in the decision making process [16, 35,36]; continuity of provider during the process [37]; the opportunity to meet the adult provider during the paediatric period [34,38]; and an organised transition process [16, 35,39]. There is also an expectation that the adult clinics should be at accessible times which extend beyond the normal working day [37], are flexible in nature [39,40] and have short waiting times [16,36].…”

Section: What Do Young People Want From Their Transition Experience?mentioning

confidence: 99%

Transition to adult endocrine services: What is achievable? The diabetes perspective

White¹,

O’Connell²,

Cameron³

2015

Best Practice & Research Clinical Endocrinology & Metab

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“…This may be a result of both care providers' and parents' lack of confidence in young people's ability to act independently [78,79]. However, young people have expressed a preference to see their physician alone and dissatisfaction regarding opportunities to make their own decisions [79,80]. Nonetheless, many young people desire the ongoing support of a parent, especially in the phase immediately following their transfer [80,81].…”

Section: Parent Levelmentioning

confidence: 99%

“…However, young people have expressed a preference to see their physician alone and dissatisfaction regarding opportunities to make their own decisions [79,80]. Nonetheless, many young people desire the ongoing support of a parent, especially in the phase immediately following their transfer [80,81]. It is important for adult care providers to acknowledge that some young people may still require a great deal of parental help and involvement, particularly when there is cognitive impairment and/or delayed development.…”

Section: Parent Levelmentioning

confidence: 99%

Improving the Transition to Adult Care for Young People with Chronic Kidney Disease

Foster

Bell

2015

Curr Pediatr Rep

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The transition from pediatric-to adult-oriented care typically occurs during emerging adulthood, a developmental stage during which the risks of poor treatment adherence and adverse outcomes are elevated. Inadequate support during this change in care environment may augment the risks. With a focus on chronic kidney disease, we will briefly review the evidence linking transition from pediatric-to adult-oriented care to adverse medical, social, and quality of life outcomes, and outline potential reasons for the associations between transition and adverse outcomes. Then we will summarize the recent literature on potential interventions to improve the transition from pediatric-to adult-oriented care. We will examine strategies to improve (1) preparation for transition (including positive youth development, peer mentoring, education, and self-care skill development), (2) the transition process itself (including different models of transition care), and (3) the care structures/systems available for emerging adults within the adult-oriented care environment (including expectations of young people and parents, adaptation of adult care to the emerging adult, and improved education of adult care providers in issues of importance to emerging adults). The perspectives of patients, parents, and healthcare providers will be considered throughout.

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Patient-Provider Relationships Across the Transition From Pediatric to Adult Diabetes Care

Cited by 49 publications

References 40 publications

Abandonment to therapeutic diet on patients at risk cardiovascular in a health care clinic

Abandonment to therapeutic diet on patients at risk cardiovascular in a health care clinic

Transition to adult endocrine services: What is achievable? The diabetes perspective

Improving the Transition to Adult Care for Young People with Chronic Kidney Disease

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