Transitioning Adolescents to Adult HIV Care in the United States: Implementation Lessons from the <i>iTransition</i> Intervention Pilot Trial
Although every youth in pediatric/adolescent HIV care will need to transition to adult-oriented care, there are no existing evidence-based interventions to optimize health through this process. Healthcare transition poses a persistent challenge to the health of youth living with HIV, which may resul...
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| Format: | Article |
| Language: | English |
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MDPI AG
2024-12-01
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| Series: | Tropical Medicine and Infectious Disease |
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| Online Access: | https://www.mdpi.com/2414-6366/9/12/297 |
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| author | Amanda E. Tanner Sulianie Mertus Mohammed Sheikh Eldin Jibriel Rakira Urquhart Keenan Phillips Nadia Dowshen Srija Dutta Madeleine H. Goldstein Susan Lee Kayla Knowles Kaja Darien Kelly L. Rulison Julia Madden Sophia A. Hussen |
| author_facet | Amanda E. Tanner Sulianie Mertus Mohammed Sheikh Eldin Jibriel Rakira Urquhart Keenan Phillips Nadia Dowshen Srija Dutta Madeleine H. Goldstein Susan Lee Kayla Knowles Kaja Darien Kelly L. Rulison Julia Madden Sophia A. Hussen |
| author_sort | Amanda E. Tanner |
| collection | DOAJ |
| description | Although every youth in pediatric/adolescent HIV care will need to transition to adult-oriented care, there are no existing evidence-based interventions to optimize health through this process. Healthcare transition poses a persistent challenge to the health of youth living with HIV, which may result in gaps in care engagement, medication adherence, and viral suppression. Our process evaluation of <i>iTransition</i>, a multilevel mobile health (mHealth) intervention, included iterative interviews with youth, providers, and Transition Champions. These data, along with team meeting notes, highlight the important role the intervention plays in addressing healthcare transition-related challenges, positioning it to fill a critical gap for both youth and providers. It also highlights important individual (e.g., competing priorities of youth and providers), clinical (e.g., electronic health record integration), and contextual (e.g., clinical policies during COVID-19 pandemic) challenges to intervention reach and implementation. More work is needed to refine interventions to support care continuity for youth living with HIV as they transition to adult-oriented care. |
| format | Article |
| id | doaj-art-6da17a6eb3564d04a1e59d83c2521e7b |
| institution | Kabale University |
| issn | 2414-6366 |
| language | English |
| publishDate | 2024-12-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Tropical Medicine and Infectious Disease |
| spelling | doaj-art-6da17a6eb3564d04a1e59d83c2521e7b2024-12-27T14:57:10ZengMDPI AGTropical Medicine and Infectious Disease2414-63662024-12-0191229710.3390/tropicalmed9120297Transitioning Adolescents to Adult HIV Care in the United States: Implementation Lessons from the <i>iTransition</i> Intervention Pilot TrialAmanda E. Tanner0Sulianie Mertus1Mohammed Sheikh Eldin Jibriel2Rakira Urquhart3Keenan Phillips4Nadia Dowshen5Srija Dutta6Madeleine H. Goldstein7Susan Lee8Kayla Knowles9Kaja Darien10Kelly L. Rulison11Julia Madden12Sophia A. Hussen13Department of Public Health Education, University of North Carolina Greensboro, 437 Coleman, Greensboro, NC 27402, USADepartment of Public Health Education, University of North Carolina Greensboro, 437 Coleman, Greensboro, NC 27402, USADepartment of Public Health Education, University of North Carolina Greensboro, 437 Coleman, Greensboro, NC 27402, USADepartment of Public Health Education, University of North Carolina Greensboro, 437 Coleman, Greensboro, NC 27402, USADepartment of Public Health Education, University of North Carolina Greensboro, 437 Coleman, Greensboro, NC 27402, USAChildren’s Hospital of Philadelphia, 2716 South Street, Philadelphia, PA 19146, USAHubert Department of Global Health, Rollins School of Public Health, Emory University, 1518 Clifton Road, Atlanta, GA 30322, USADepartment of Pediatrics, School of Medicine, Emory University, 100 Woodruff Circle, Atlanta, GA 30322, USAChildren’s Hospital of Philadelphia, 2716 South Street, Philadelphia, PA 19146, USAChildren’s Hospital of Philadelphia, 2716 South Street, Philadelphia, PA 19146, USAChildren’s Hospital of Philadelphia, 2716 South Street, Philadelphia, PA 19146, USAPrevention Strategies, LLC, 9 Provence Ct, Greensboro, NC 27410, USAChildren’s Hospital of Philadelphia, 2716 South Street, Philadelphia, PA 19146, USAHubert Department of Global Health, Rollins School of Public Health, Emory University, 1518 Clifton Road, Atlanta, GA 30322, USAAlthough every youth in pediatric/adolescent HIV care will need to transition to adult-oriented care, there are no existing evidence-based interventions to optimize health through this process. Healthcare transition poses a persistent challenge to the health of youth living with HIV, which may result in gaps in care engagement, medication adherence, and viral suppression. Our process evaluation of <i>iTransition</i>, a multilevel mobile health (mHealth) intervention, included iterative interviews with youth, providers, and Transition Champions. These data, along with team meeting notes, highlight the important role the intervention plays in addressing healthcare transition-related challenges, positioning it to fill a critical gap for both youth and providers. It also highlights important individual (e.g., competing priorities of youth and providers), clinical (e.g., electronic health record integration), and contextual (e.g., clinical policies during COVID-19 pandemic) challenges to intervention reach and implementation. More work is needed to refine interventions to support care continuity for youth living with HIV as they transition to adult-oriented care.https://www.mdpi.com/2414-6366/9/12/297healthcare transitionHIVinterventionmHealthyouth and young adults |
| spellingShingle | Amanda E. Tanner Sulianie Mertus Mohammed Sheikh Eldin Jibriel Rakira Urquhart Keenan Phillips Nadia Dowshen Srija Dutta Madeleine H. Goldstein Susan Lee Kayla Knowles Kaja Darien Kelly L. Rulison Julia Madden Sophia A. Hussen Transitioning Adolescents to Adult HIV Care in the United States: Implementation Lessons from the <i>iTransition</i> Intervention Pilot Trial Tropical Medicine and Infectious Disease healthcare transition HIV intervention mHealth youth and young adults |
| title | Transitioning Adolescents to Adult HIV Care in the United States: Implementation Lessons from the <i>iTransition</i> Intervention Pilot Trial |
| title_full | Transitioning Adolescents to Adult HIV Care in the United States: Implementation Lessons from the <i>iTransition</i> Intervention Pilot Trial |
| title_fullStr | Transitioning Adolescents to Adult HIV Care in the United States: Implementation Lessons from the <i>iTransition</i> Intervention Pilot Trial |
| title_full_unstemmed | Transitioning Adolescents to Adult HIV Care in the United States: Implementation Lessons from the <i>iTransition</i> Intervention Pilot Trial |
| title_short | Transitioning Adolescents to Adult HIV Care in the United States: Implementation Lessons from the <i>iTransition</i> Intervention Pilot Trial |
| title_sort | transitioning adolescents to adult hiv care in the united states implementation lessons from the i itransition i intervention pilot trial |
| topic | healthcare transition HIV intervention mHealth youth and young adults |
| url | https://www.mdpi.com/2414-6366/9/12/297 |
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