J Am Assoc Nurse Pract. 2022 Jun 1;34(6):850-858. doi: 10.1097/JXX.0000000000000700.
There are unique challenges presented during the transition from pediatric to adult health care for adolescents with chronic medical conditions, and many do not transition smoothly. Although there is little research on how mobile applications can influence the transition process specifically, research shows technology, in general, can be advantageous to the transition process for adolescents. Ample literature exists on how adolescents are avid users of technology.
The Children's Medical Services program in a large urban county in the southern United States lacked an efficient system for transitioning the care of children with special needs to the adult health care setting.
Qualitative semistructured interviews and pre-post tests were conducted with 23 adolescent participants with chronic medical conditions. Multiple choice questions elicited information from four categories: knowledge of medical condition, organization/health care system navigation, identified adult health care provider, and awareness of available resources.
A novel website and smartphone application designed to aid adolescents and young adults during transition were developed.
Gain scores from pre-post tests showed an increase in all 4 sections of the survey: knowledge of medical condition-21% increase, organization/health care system navigation-15.3% increase, identified health care provider-32% increase, and awareness of available resources-19.3% increase. All 23 adolescent participants reported that the application would be useful for managing their health information.
Smartphone applications can be helpful for adolescents in their transition into adult health care. Such applications also have potential to increase confidence and independence in managing health care needs.
对于患有慢性疾病的青少年来说，从儿科医疗保健过渡到成人医疗保健存在独特的挑战，许多人过渡不顺利。尽管关于移动应用程序如何具体影响过渡过程的研究很少，但研究表明，技术总体上可以有利于青少年的过渡过程。有大量文献探讨了青少年如何热衷于使用技术。
美国南部一个大城市县的儿童医疗服务计划缺乏一种有效的系统，无法将有特殊需要的儿童的护理过渡到成人医疗保健环境。
对 23 名患有慢性疾病的青少年参与者进行了定性半结构式访谈和前后测试。多项选择题从四个类别中获取信息：对疾病的了解、组织/医疗保健系统导航、确定的成人医疗保健提供者和可用资源的意识。
开发了一个新颖的网站和智能手机应用程序，旨在帮助青少年在过渡期间。
前后测试的得分显示，调查的所有 4 个部分都有所增加：对疾病的了解增加了 21%，组织/医疗保健系统导航增加了 15.3%，确定的医疗保健提供者增加了 32%，可用资源的意识增加了 19.3%。所有 23 名青少年参与者都表示该应用程序对管理他们的健康信息将非常有用。
智能手机应用程序对青少年过渡到成人医疗保健很有帮助。此类应用程序还有可能增加他们管理医疗保健需求的信心和独立性。
