The Effect of Health Care Transition Based Education Given to Adolescents With Asthma
Condition: Asthma in Children
MeSH terms: Asthma
Study type: Interventional

Summary: 
      Aim: The purpose of this study was to examine the effect of health care transition-based
      education on transition readiness and self-efficacy in adolescents (14-18 years) with asthma
      through a randomized controlled experimental study that integrated the literature, model, and
      research on the transition from pediatrics to adult care.

      The research hypotheses are as follows:

      H0: There is no significant difference between the intervention and control groups' mean
      "Transition Readiness Assessment Questionnaire", "Self Efficacy Scale for Children and
      Adolescents with Asthma" and "Mind the Gap Scale" scores before and after the education they
      received on health care transition.

      H1: The mean "Transition Readiness Assessment Questionnaire", "Self Efficacy Scale for
      Children and Adolescents with Asthma" and "Mind the Gap Scale" score of the treatment group
      is significantly higher than the control group after the education they received on health
      care transition.
    

Detailed description: 
      Asthma is one of the most prevalent chronic inflammatory diseases in children, negatively
      impacting more than 7.5% of those under the age of 18. Data indicate that more than half of
      children with asthma have asthma management failures, resulting in increased healthcare use.
      Because childhood asthma is a risk factor for the development of chronic obstructive
      pulmonary disease later in life, it is critical to keep adolescents on track even if their
      asthma is mild. Furthermore, despite adolescent remission, asthma can resurface in adulthood.
      As a result, it is critical to identify the factors influencing the transition from pediatric
      to adult services and to plan for an appropriate transition. Adolescents are expected to be
      capable of self-management in their own lives and to be willing to accept responsibility for
      their own health. However, the disparities in care and approach difference between pediatric
      and adult services increase adolescent resistance to adult care. Following the transition,
      many difficulties can arise, including changing the adult doctor, failing to attend regular
      check-ups, discontinuing medication, increasing the use of emergency rooms, and increasing
      the cost of care. Furthermore, parents become concerned that their children will be unable to
      care for themselves during the transition to adult service. Health care transition is the
      deliberate and planned transfer of chronically diagnosed adolescents and young adults'
      physical and medical conditions from pediatrics-centered care to the adult health care
      system. Comprehensive planning and information are essential for reducing their anxiety and
      uncertainty about the transition. The purpose of this study was to examine the effect of
      health care transition-based education on transition readiness and self-efficacy in
      adolescents (14-18 years) with asthma through a randomized controlled experimental study that
      integrated the literature, model, and research on the transition from pediatrics to adult
      care. The number of children in the groups will be analyzed based on another study in which
      one of the scales to be used in the study. According to the calculations made in the G-Power
      3.1 Demo package program, when the effect size is accepted as 0.75, it was seen that at least
      23 cases in each group would be sufficient for 90% power. Because of the possibility of data
      loss among the participants, it was planned to recruit a total of 60 adolescents. Following
      the study, power analysis was carried out using the GPOWER 3.1.7 statistical analysis
      software. The intervention group: Adolescents with asthma will receive one-on-one training on
      transitioning from the pediatric to adult care, as well as on asthma self-management skills.
      After retrieving the written consent from the parents and the adolescents, the trainings will
      be held every two weeks for a total of six sessions over Zoom for three months. Following
      each training session, four face-to-face individual interviews will be held in a hospital
      quiet room. Individual interviews at the hospital have been scheduled to last 30 to 40
      minutes, with one-on-one training sessions lasting an average of 40 minutes. The adolescent
      and parent will receive reminder messages the day before the training sessions and the
      face-to-face meeting. Not all control group participants will receive health care
      transition-based training. The control group will receive standard outpatient clinic asthma
      treatment during this process. Following the completion of the study, a training booklet will
      be distributed to the children in the control group in a way that does not affect the study
      data.
    

Intervention name(s): Healthcare Transition-Based Education
Intervention type(s): Behavioral
Intervention description(s): The goal is for asthmatic adolescents to take responsibility for their own disease, be prepared for transition to adult pulmonology services, increase their self-efficacy, and gain management skills as a result of health care transition education.
Allocation: Randomized
Intervention model: Parallel Assignment
Masking: None (Open Label)
Primary purpose: Supportive Care
Keywords: Adolescents; Transfer to adult care; Transitional care; Asthma