readyornot[tm] brain-based disabilities trial

Conditions: Autism Spectrum Disorder; Cerebral Palsy; Epilepsy; Fetal Alcohol Spectrum Disorders; Spina Bifida

Summary: the purpose of this study is to find out if there is a benefit to using the myready transition\[tm\] bbd app for brain-based disabilities, compared to not using it. to do this, some of the participants in this study will use the myready transition\[tm\] bbd app and others will not use the app. everyone will continue to get the same care they have been getting (their usual care). the study team wants to see how youth will use the myready transition\[tm\] bbd app as they are getting ready to leave the children's hospital or children's treatment centre. and, they want to see if it will help youth to be knowledgeable about their own health. the study team hopes to see youth taking steps to develop the skills so they become better managers of their health. for example, this would include knowing about their medication or knowing when to ask for help from parents/caregivers and health care providers.

youth with brain-based disabilities (bbd) see a variety of pediatric doctors and health care providers during their childhood years. pediatric doctors and care teams are trained to manage the health of children, including physical, behavioural, and mental health issues. typically by their eighteenth birthday, youth in canada will need to leave their pediatric doctors and health care providers and go to adult providers instead. generally, there are more expectations for youth to take charge of their own care when they see an adult care provider. yet, if youth are not ready for this responsibility, or it is not clear where youth should go for care as adults, their health can sometimes be affected (for example when appointments or medications are missed). we also know that this change can be especially difficult and stressful for youth with bbd and for their families. in the first part of this project, researchers, healthcare professionals, technology designers, youth and families have worked together to co-create an e-health application called myready transition\[tm\] bbd app. in this next part of the project, pediatric health care providers will be asked to share it with their patients who are between 15 and 17 years of age, and who have one of the following conditions: autism spectrum disorder, cerebral palsy, epilepsy, spina bifida, or fetal alcohol spectrum disorder. the myready transition\[tm\] bbd app is designed to help youth with health care transition planning, in preparation for their transfer out of the child health system and into the adult health system. the study team wants to see how youth will use the myready transition\[tm\] bbd app as they are getting ready to go from pediatric to adult health care services. and, the study team wants to see if it will help them to be more prepared and knowledgeable to manage their own health. the study team hopes to see youth taking steps to be better managers of their health. for example, this would include knowing about their condition or knowing when to ask for help from parents/caregivers and health care providers. after the completion of the study, the researchers will explore the potential to make the app more widely available.

Eligibility criteria:
inclusion criteria: * youth with chronological age between 15 and 17 years of age (i.e. before 18th birthday), in one of the four canadian study regions (alberta, ontario, quebec, maritimes), followed in pediatric care and for whom a discharge from pediatric care is planned but not for at least 6 months. * a diagnosis of one of the following neurological brain-based disabilities: autism spectrum disorder, cerebral palsy, epilepsy, spina bifida, or fetal alcohol spectrum disorder. * cognitive ability to provide informed consent and the ability to read and understand english or french. * access to internet and a smartphone, ipad/tablet or desktop computer. * transition-q score \>40 (as a screen to define a minimum threshold for transition readiness based on earlier work). exclusion criteria: * youth is in "acute crisis" with unstable physical or mental health that would interfere with the ability to participate in the study. * sensory impairments, such as uncorrected vision or hearing loss, which interfere with use of the app intervention. * enrolled in a potentially confounding trial (e.g., a different transition intervention study).

Keywords: health care transition brain-based disabilities child-bright e-health application randomized controlled trial