Clinical trial

The COCCOS Study: a Transition Program for Young Persons With Chronic Conditions

Recruiting now · Not applicable · 1 countries · Registry ID NCT07145671

Recruiting nowNot applicableInterventional

What this study is about

A study is undertaken to examine the feasibility of the newly developed transition program in adolescents with type 1 diabetes, asthma and obesity in a multicentric setting. Specific objectives for this study are: (1) examining the impact of the program in terms of patient-reported health outcomes, (2) examining patients' and healthcare providers' experiences related to the program implementation process, and (3) examining the impact of the program in terms of cost-effectiveness.

A promising-looking record is not the same as confirmed eligibility. The study team must review the full criteria and current recruitment status.

Basic eligibility

Age16 Years to 21 Years

SexAll

Healthy volunteersAccepted

ConditionType 1 Diabetes Mellitus, Obesity, Asthma

Full registry criteria

Inclusion criteria: For participants in the intervention group (IG): * 17 years old; * diagnosed with type 1 diabetes, asthma and/or obesity; * who had at least one pediatric outpatient visit, prior to inclusion, in one of both hospitals within the past 12 months; * are Dutch speaking; * planned to transfer to adult care within the next 12 months. For participants in the control group (CG): * age 17,5 and 18 years old, as the control period has a shorter duration (4 months vs. 12 months) * diagnosed with type 1 diabetes, asthma and/or obesity; * who had at least one pediatric outpatient visit, prior to inclusion, in one of both hospitals within the past 12 months; * are Dutch speaking; * planned to transfer to adult care within the next 12 months. Exclusion criteria: Applicable for both CG and IG: \- patients with severe mental, cognitive or neurological problems will be excluded

Treatments and study arms

Transition program

Other

Transition Consultation: Pediatric HCP introduces the transition process to AYA and family. A contact person is assigned (ideally the AYA's trusted HCP), along with someone from the AYA's personal network. Key points are recorded in the Individualized Transition Plan (ITP). Independent Visit: AYA has a solo consultation (parents briefly step out). They complete the Ready Steady Go checklist. The ITP is updated, and concerns are discussed. Joint Consultation: Pediatric and adult HCPs meet with the AYA. A new adult contact is assigned, and the AYA picks a pediatric contact for feedback. Checklist is completed again. Feedback Moment: After transfer, the pediatric contact checks in. The checklist guides discussion; feedback is shared across teams, and follow-up arranged if needed.

Primary outcomes

Readiness to transition - TRAQ 6.012 months

The TRAQ 6.0 (Transition Readiness Assessment Questionnaire version 6.0) is a tool designed to assess the readiness of youth with special healthcare needs to transition from pediatric to adult healthcare systems. It evaluates self-management and self-advocacy skills across key domains. The TRAQ 6.0 Dutch Version will be used. The TRAQ 6.0 has 20 items, with a theoretical range from 20 to 100. High TRAQ scores indicate a high level of transition readiness reflecting the individual demonstrates strong self-management and self-advocacy skills, such as managing medications, appointments, insurance, and understanding their own medical condition. Higher scores suggest the youth may be ready or nearly ready for transition to adult care. Low TRAQ scores indicate low transition readiness, indicating that the youth may lack knowledge or confidence in managing aspects of their healthcare, this ref…

Study locations

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Ghent University Hospital🇧🇪 Ghent, Belgium

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Natwarin JanssensContact

Email · Call 0471840273