Actively Recruiting
Promoting Intensive Transitions for Children and Youth With Medical Complexity From Pediatric to Adult Care
Led by The Hospital for Sick Children · Updated on 2025-05-15
150
Participants Needed
1
Research Sites
144 weeks
Total Duration
On this page
Sponsors
T
The Hospital for Sick Children
Lead Sponsor
C
Canadian Institutes of Health Research (CIHR)
Collaborating Sponsor
AI-Summary
What this Trial Is About
Medical advances have allowed many more children and youth with medical complexity (CMC) to survive well into adulthood. However, this has not been matched with increases in knowledge of complex conditions or the availability of supports as they transition into the adult care system. The goal of this randomized control trial is to compare intensive transition support from a transition team, led by an advance practice nurse, during transition to adult care for 2 years, with usual care in CMC. Participants assigned to the intervention group will be offered support in care planning, receiving funding, and connecting with a primary care provider and adult subspecialists. The main questions it aims to answer are: 1. Does intensive transition support improve the patient's continuity of care over 2 years compared with usual care? 2. Will there be differences between intervention and control groups with respect to other outcomes related to the youth/family's satisfaction with care, care coordination, self-care, health service utilization, cost-effectiveness, and quality of life? 3. What are the experiences of youth, parents, the transition team, and other clinicians involved in the intensive transition support process?
CONDITIONS
Official Title
Promoting Intensive Transitions for Children and Youth With Medical Complexity From Pediatric to Adult Care
Who Can Participate
Eligibility Criteria
You may qualify if you...
- Patients aged between 17 years 6 months and 17 years 9 months old
- Meet Ontario's definition of children and youth with medical complexity including technology dependence and/or use of high-intensity care
- Have a severe and/or life-threatening condition expected to last at least 6 months
- Involve five or more healthcare practitioners or teams
- Receive healthcare services in three or more locations such as home, school, or hospital
You will not qualify if you...
- Expected to die within 2 years of recruitment, including those receiving active end-of-life care
- Do not have a stable primary caregiver, for example, those living in residential or long-term care facilities or in foster care
AI-Screening
AI-Powered Screening
Complete this quick 3-step screening to check your eligibility
Trial Site Locations
Total: 1 location
1
The Hospital for Sick Children
Toronto, Ontario, Canada
Actively Recruiting
Research Team
S
Sara Santos
CONTACT
How is the study designed?
Study Type
INTERVENTIONAL
Masking
SINGLE
Allocation
RANDOMIZED
Model
PARALLEL
Primary Purpose
HEALTH_SERVICES_RESEARCH
Number of Arms
2
Not the Right Trial for You?
Explore thousands of other clinical trials that might be a better match.
Sign up to get personalized trial recommendations delivered to your inbox.
Already have an account? Log in here