Supportive use of digital technologies during transition to adult healthcare for young people with long-term conditions, focusing on Type 1 diabetes mellitus: A scoping review.
Joy Orpin, Alison Rodriguez, Deborah Harrop and 10 others
PMID 37387448WHAT IT FOUND
Transition supports for young people with long-term conditions, including type 1 diabetes, included websites, apps, texts and video.
They wanted tailored support, peer connection and easy contact with clinicians.
Key findings
01Only three included studies reported digital technology specifically supporting transition for young people with type 1 diabetes, and none of those type 1 diabetes studies met the review's chatbot criteria.
02Young people wanted transition support tailored to their diabetes and to college, work, living away from home and relationships.
03Reported barriers included delays of over 6 months before transition, feeling unprepared, limited medical advice and limited support for psychosocial needs.
STILL TO COME
How it was doneWhat they foundWhat it means for RNs
Read the rest of this summary
You get three full summaries a month, free, and we do not ask for a card. Search, the TL;DRs and your library stay unlimited either way.
What it does not show
The review did not appraise study quality, so the included studies may be weak or inconsistent. Only three included studies were specific to type 1 diabetes, so evidence for that condition is thin. All included studies were from high-income countries, so they may not apply elsewhere. Only outpatient participants were included, so it says little about young people transitioning from hospital or inpatient care. Grey literature was not searched, so unpublished or service reports may be missing. The review excluded studies published before 2015, which may miss earlier transition programmes. Only six studies involved young people, families or healthcare professionals as advisors.
Declared interests
The authors declared no conflicts of interest. The project was funded by the NIHR Invention for Innovation programme, with support from Sheffield Children's NHS Foundation Trust and the National Institute of Health Research (NIHR) Children and Young People MedTech Co-operative.
The easy way to misread this
Do not read the reported improvements as proof that a digital tool works. This was a scoping review without quality appraisal, only three included studies were specific to type 1 diabetes, and none met the review's chatbot criteria.