Transitioning Adolescents and Young Adults With HIV Infection to Adult Care: Pilot Testing the "Movin' Out" Transitioning Protocol

Donna Maturo, Alexis Powell, Hannah Major-Wilson, Kenia Sanchez, Joseph De Santis, Lawrence B Friedman

Research output: Contribution to journalArticle

20 Scopus citations

Abstract

Advances in care and treatment of adolescents/young adults with HIV infection have made survival into adulthood possible, requiring transition to adult care. Researchers have documented that the transition process is challenging for adolescents/young adults. To ensure successful transition, a formal transition protocol is needed. Despite existing research, little quantitative evaluation of the transition process has been conducted. Purpose: The purpose of the study was to pilot test the "Movin' Out" Transitioning Protocol, a formalized protocol developed to assist transition to adult care. Method: A retrospective medical/nursing record review was conducted with 38 clients enrolled in the "Movin' Out" Transitioning Protocol at a university-based adolescent medicine clinic providing care to adolescents/young adults with HIV infection. Results: Almost half of the participants were able to successfully transition to adult care. Reasons for failure to transition included relocation, attrition, lost to follow-up, and transfer to another adult service. Failure to transition to adult care was not related to adherence issues, X<sup>2</sup> (1, N= 38)= 2.49, p= .288; substance use, X<sup>2</sup> (1, N= 38)= 1.71, p= .474; mental health issues, X<sup>2</sup> (1, N= 38)= 2.23, p= .322; or pregnancy/childrearing, X<sup>2</sup> (1, N= 38)= 0.00, p= .627). Conclusions: Despite the small sample size, the "Movin' Out" Transitioning Protocol appears to be useful in guiding the transition process of adolescents/young adults with HIV infection to adult care. More research is needed with a larger sample to fully evaluate the "Movin' Out" Transitioning Protocol.

Original languageEnglish (US)
Pages (from-to)e29-e35
JournalJournal of Pediatric Nursing
Volume30
Issue number5
DOIs
StatePublished - Sep 1 2015

Keywords

  • Adolescents
  • Clinical protocols
  • Health transition
  • HIV infection
  • Young adults

ASJC Scopus subject areas

  • Pediatrics

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