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Publication Profiles

An Intervention for the Transition From Pediatric or Adolescent to Adult-Oriented HIV Care: Protocol for the Development and Pilot Implementation of iTransition

Citation

Tanner AE, Dowshen N, Philbin MM, et al. An Intervention for the Transition From Pediatric or Adolescent to Adult-Oriented HIV Care: Protocol for the Development and Pilot Implementation of iTransition. JMIR Res Protoc. 2021;10(4):e24565. doi:10.2196/24565

Implementation stage:

Pre-Implementation

Implementation outcomes reported:

Acceptability, Feasibility

Continuum target addressed:

Linkage to HIV care, Engagement in treatment (including retention and re-engagement), Viral suppression

Geography:

Fulton County-GA, Philadelphia County-PA

Study Participant Classification:

Recipients of care, Providers

Plain Language Objectives

The researchers planned to develop a mobile tool with young people and providers to support the move from adolescent to adult HIV care. They would then test whether the approach was practical, acceptable, and promising.

Plain Language Abstract

Moving from pediatric or adolescent HIV services to adult care can disrupt appointments, medication use, and control of HIV. This protocol describes two phases for iTransition, a mobile health intervention designed with youth living with HIV and health care providers. In phase 1, a design team would help develop and test the intervention’s content, appearance, and use. In phase 2, researchers planned to recruit 100 transition-eligible youth at clinics in Atlanta and Philadelphia: 50 historical controls who would provide data only and 50 intervention participants. They also planned to recruit 28 providers. Medical records, surveys, and interviews would assess feasibility, acceptability, use, linkage to adult care, retention, and viral suppression. At publication, development had begun, but pilot data collection and final results were not yet complete. Therefore, the paper reports a study plan, not evidence that iTransition improves outcomes. The authors expected the pilot to provide preliminary information about whether a mobile intervention can support health care transitions for youth with HIV.

Key Takeaways

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