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Trial registered on ANZCTR
Registration number
ACTRN12615001179527
Ethics application status
Approved
Date submitted
14/10/2015
Date registered
3/11/2015
Date last updated
6/10/2016
Type of registration
Retrospectively registered
Titles & IDs
Public title
Exploring the role of an individualised healthcare transition document for young people with disabilities transitioning from Paediatric services to Primary Care.
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Scientific title
In young people with disabilities transitioning from paediatrics services, does a structured healthcare document and process improve readiness to transition.
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Secondary ID [1]
287658
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None
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Universal Trial Number (UTN)
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Trial acronym
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
Physical and intellectual disability
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Condition category
Condition code
Public Health
296747
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0
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Health promotion/education
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
Formal healthcare transition document (written form) created for general practitioners and families.
Information recorded=medical background, medications, allergies, list of all issues with current management and future management requirements. Information for families and GP's providing contact details of resources.
Completed by the pediatrician caring for that patient (in discussion with patient and their family)
Completed at any time during the transition process which takes place from 14-18 years and will act as a document both during this time and also once they have transitioned. It may need to be updated over time until they are finally passed onto the General Practitioner. (who will manage their medical care after pediatrics)
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Intervention code [1]
293053
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Other interventions
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Comparator / control treatment
No control group
Pre and post intervention outcome analysis
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Control group
Uncontrolled
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Outcomes
Primary outcome [1]
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Scores on pre validated clinical tool assessing transition readiness such as a modified UNC TR(x)ANSITION Scale developed and validated in 2012 by the University of North Carolina before and after the intervention and at the same time points for the control group.
The wording has been modified so it suits developmental/intellectual disability.
Ferris ME, Harward DH, Bickford K, Layton JB, Ferris MT, Hogan SL, Gipson DS, McCoy LP, Hooper SR (2012), A clinical tool to measure the components of health-care transition from paediatric care to adult care: the UNC TR(x)ANSITION scale, Renal Failure, 34(6), 744-53.
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Assessment method [1]
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Timepoint [1]
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1 month following administration of health care transition document.
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Secondary outcome [1]
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Number of and reason for GP visits - from GP records (as per ethics approval)
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Assessment method [1]
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Timepoint [1]
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6 months from the time of health care transition document administration
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Secondary outcome [2]
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Composite secondary outcome:
feedback questionnaire for the GP, physician and family. This Questionnaire has been designed for this study and uses a mix of three option answers to obtain quantitative information and open questions.
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Assessment method [2]
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Timepoint [2]
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1 month from the time of transition document administration
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Secondary outcome [3]
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Number of a reason for emergency department presentation - from hospital records as per ethics approval.
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Assessment method [3]
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Timepoint [3]
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6 months from the time of transition document administration
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Eligibility
Key inclusion criteria
Young people and their families age 14 -18 years who have physical/intellectual/developmental disabiliites and are at or near transition time from paediatrics to general practice.
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Minimum age
14
Years
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Maximum age
18
Years
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Sex
Both males and females
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Can healthy volunteers participate?
No
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Key exclusion criteria
Isolated Autism Specturm Disorder without Intellectual disability.
Isolated ADHD without Intellectual Disability
Intepreter needed due to language barrier
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Study design
Purpose of the study
Educational / counselling / training
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Allocation to intervention
Non-randomised trial
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Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
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Masking / blinding
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Who is / are masked / blinded?
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Intervention assignment
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Other design features
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Phase
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Type of endpoint/s
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Statistical methods / analysis
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Recruitment
Recruitment status
Completed
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Date of first participant enrolment
Anticipated
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Actual
23/10/2015
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Date of last participant enrolment
Anticipated
31/12/2015
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Actual
24/12/2015
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Date of last data collection
Anticipated
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Actual
29/07/2016
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Sample size
Target
15
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Accrual to date
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Final
12
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Recruitment outside Australia
Country [1]
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New Zealand
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State/province [1]
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South Auckland
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Funding & Sponsors
Funding source category [1]
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Self funded/Unfunded
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Name [1]
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No funding
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Address [1]
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No funding
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Country [1]
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Primary sponsor type
Individual
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Name
Emma Cluett
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Address
14 Hemi Street
Devonport
Auckland
0622
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Country
New Zealand
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Secondary sponsor category [1]
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None
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Name [1]
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Address [1]
290892
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Country [1]
290892
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Ethics approval
Ethics application status
Approved
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Ethics committee name [1]
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Northern B Health and Disability Ethics Committee
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Ethics committee address [1]
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Ministry of Health Freyberg Building 20 Aitken Street PO Box 5013 Wellington 6011
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Ethics committee country [1]
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New Zealand
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Date submitted for ethics approval [1]
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18/08/2015
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Approval date [1]
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06/10/2015
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Ethics approval number [1]
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15/NTB/151
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Summary
Brief summary
The transition of medical care from paediatric care to Primary Care can be a time of vulnerability for young people with developmental and intellectual disability. There is a strong research base detailing the poor health outcomes and the barriers to successful transition for young people with disabilities. Whilst the deficiencies in transition care are well known there is minimal research examining optimal models of care and successful tools for improving outcomes for patients with developmental disability. This project is a single-arm trial aiming to test the effectiveness and acceptability of a local individualised healthcare communication transition document. The population will be children and young people and their families with a physical or intellectual disability aged 14-18 who are ready to enter the transition process. The primary outcome will be transition readiness scores using a pre validated UNC TR(x)ANSITION scale compared to pre-intervention and the modulator or secondary outcomes would be number of GP visits in conjunction with the number of emergency care presentations. Feedback would be collected by questionnaire and analysed quantitatively and qualitatively. This would occur over a six month period.
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Trial website
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Trial related presentations / publications
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Public notes
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Contacts
Principal investigator
Name
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Dr Emma Cluett
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Address
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Private Postal Address
14 hemi St
Devonport
Auckland 0622
Work organisation address
Middlemore Hospital
Private Bag 93 311
Otahuhu
Auckland 1640
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Country
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New Zealand
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Phone
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0064211075065
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Fax
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Email
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[email protected]
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Contact person for public queries
Name
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Emma Cluett
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Address
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Private postal
14 hemi St
Devonport
Auckland 0622
Work organisation address
Middlemore Hospital
Private Bag 93 311
Otahuhu
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Country
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New Zealand
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Phone
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0064211075065
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Fax
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Email
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[email protected]
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Contact person for scientific queries
Name
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Emma Cluett
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Address
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Private postal
14 hemi St
Devonport
Auckland 0622
Work organisation address
Middlemore Hospital
Private Bag 93 311
Otahuhu
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Country
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New Zealand
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Phone
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0064211075065
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Fax
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Email
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[email protected]
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No information has been provided regarding IPD availability
What supporting documents are/will be available?
No Supporting Document Provided
Results publications and other study-related documents
Documents added manually
No documents have been uploaded by study researchers.
Documents added automatically
No additional documents have been identified.
Download to PDF