Let's Empower and Prepare (LEAP): Evaluation of a Structured Transition Program for Young Adults With Type 1 XXXX .

@entity1 @entity6 @entity4053
OBJECTIVE: To evaluate the efficacy of a structured transition program compared with usual care in improving routine follow-up, clinical, and psychosocial outcomes among young adults with type 1 @entity6 . RESEARCH DESIGN AND METHODS: Eighty-one young adults in their last year of pediatric care were recruited from three clinics. Intervention group (IG) @entity1 (n = 51) received a structured transition program incorporating tailored @entity6 education, case management, group education classes, and access to a newly developed young adult @entity6 clinic and transition website. Control group (CG) @entity1 (n = 30) received usual care. The primary outcome was the number of routine clinic visits. Secondary outcomes included glycemic control, @entity4053 , health-care use, and psychosocial well-being. Assessments were conducted at baseline, and 6 and 12 months. RESULTS: Limitations in CG follow-up prevented direct comparisons of adult care visits; however, at the 12-month follow-up among IG @entity1 discharged from pediatric care (n = 32), 78% had one or more adult visits. Among IG @entity1 , the total number of clinic visits did not differ between those who transitioned and those who remained in pediatric care (3.0    1.24 vs. 3.11    0.94, P = 0.74). IG compared with CG @entity1 had improved glycemic control (-0.40    1.16% vs. 0.42    1.51% [4.4    12.7 mmol/mol vs. 4.6    16.5 mmol/mol], P = 0.01), incidence of severe @entity4053 (0.0% vs. 16%, P = 0.02), and global well-being (P = 0.02) at 12 months. CONCLUSIONS: A structured transition program was successful in facilitating transition to adult care without a decrease in clinical follow-up. Compared with usual care, the transition program facilitated improvements in glycemic control, @entity4053 , and psychosocial well-being.
