McMaster University, Hamilton, Ontario, Canada.
McMaster Children's Hospital, Hamilton Health Sciences, Hamilton, Ontario, Canada.
PLoS One. 2024 Aug 26;19(8):e0295174. doi: 10.1371/journal.pone.0295174. eCollection 2024.
The transition from pediatric to adult care for patients with chronic disease is a vulnerable period, with risks of disengagement from care and subsequent complications of inadequately managed disease. This period comes at a time when there are many other transitions occurring in the young person's life, including changes to vocation, social supports, and to their physiology. The aim of the TRACER study is to assess the feasibility of conducting a multi-center, randomized-controlled trial of a virtual Transition Coach Intervention in youth transferring from pediatric to adult rheumatology care. Patients are being recruited at their last pediatric rheumatology visit from McMaster Children's Hospital and Children's Hospital, London Health Sciences Centre in Ontario, Canada. Participants are then randomized to standard of care or to eight transition coaching sessions, covering topics around health management, future planning, and self-advocacy. The primary outcomes of the study are to demonstrate protocol feasibility, including optimal recruitment and consent rates, ≥ 90% coaching session completion, and complete data collection with ≤ 5% missing data. Baseline demographics, transition readiness, global functional assessment, disease activity, and self-efficacy will be collected to characterize the study population. Recruitment has begun and is estimated to last 19 months. This study will inform the design of a robust, multi-centered, randomized-controlled study to investigate the impact of a virtual transition coaching program in supporting the physical, mental, and social well-being of youth with rheumatic disease transitioning into adult care. Clinical trial registration: ClinicalTrials.Gov protocol ID: 14499.
从儿科向成人护理过渡是患者患有慢性疾病的脆弱时期，存在脱离治疗以及随后因疾病管理不当而出现并发症的风险。这一时期正值年轻人生活中发生许多其他转变的时候，包括职业、社会支持和生理机能的变化。TRACER 研究的目的是评估在从儿科向成人风湿病护理过渡的青少年中开展虚拟过渡教练干预的多中心、随机对照试验的可行性。患者正在从加拿大安大略省麦克马斯特儿童医院和伦敦健康科学中心的儿童医院的最后一次儿科风湿病就诊中招募。然后，参与者被随机分配到标准护理组或接受 8 次过渡教练课程，涵盖健康管理、未来规划和自我倡导等主题。该研究的主要结果是证明方案的可行性，包括最佳招募和同意率、≥90%的教练课程完成率以及≤5%缺失数据的完整数据收集。将收集基线人口统计学、过渡准备情况、全球功能评估、疾病活动度和自我效能感，以描述研究人群。招募工作已经开始，预计将持续 19 个月。这项研究将为设计一项稳健的、多中心的、随机对照研究提供信息，以调查虚拟过渡教练计划在支持患有风湿病的青年过渡到成人护理时的身体、心理和社会健康方面的影响。临床试验注册：ClinicalTrials.Gov 协议 ID：14499。
