RecruitingNot ApplicableNCT07145671

The COCCOS Study: a Transition Program for Young Persons With Chronic Conditions

The COCCOS Study: Implementing and Evaluating a Transition Program for Young Persons With Chronic Conditions

Sponsor

Universiteit Antwerpen

Enrollment

150 participants

Start Date

Mar 13, 2025

Study Type

INTERVENTIONAL

Conditions

Obesity Asthma Type 1 Diabetes Mellitus

Summary

A study is undertaken to examine the feasibility of the newly developed transition program in adolescents with type 1 diabetes, asthma and obesity in a multicentric setting. Specific objectives for this study are: (1) examining the impact of the program in terms of patient-reported health outcomes, (2) examining patients' and healthcare providers' experiences related to the program implementation process, and (3) examining the impact of the program in terms of cost-effectiveness.

Eligibility

Min Age: 16 YearsMax Age: 21 Years

Inclusion Criteria12

For participants in the intervention group (IG):
years old;
diagnosed with type 1 diabetes, asthma and/or obesity;
who had at least one pediatric outpatient visit, prior to inclusion, in one of both hospitals within the past 12 months;
are Dutch speaking;
planned to transfer to adult care within the next 12 months.
For participants in the control group (CG):
age 17,5 and 18 years old, as the control period has a shorter duration (4 months vs. 12 months)
diagnosed with type 1 diabetes, asthma and/or obesity;
who had at least one pediatric outpatient visit, prior to inclusion, in one of both hospitals within the past 12 months;
are Dutch speaking;
planned to transfer to adult care within the next 12 months.

Exclusion Criteria2

Applicable for both CG and IG:
\- patients with severe mental, cognitive or neurological problems will be excluded

Interventions

OTHERTransition program

Transition Consultation: Pediatric HCP introduces the transition process to AYA and family. A contact person is assigned (ideally the AYA's trusted HCP), along with someone from the AYA's personal network. Key points are recorded in the Individualized Transition Plan (ITP). Independent Visit: AYA has a solo consultation (parents briefly step out). They complete the Ready Steady Go checklist. The ITP is updated, and concerns are discussed. Joint Consultation: Pediatric and adult HCPs meet with the AYA. A new adult contact is assigned, and the AYA picks a pediatric contact for feedback. Checklist is completed again. Feedback Moment: After transfer, the pediatric contact checks in. The checklist guides discussion; feedback is shared across teams, and follow-up arranged if needed.