Transitioning adolescents with HIV to adult care: Lessons learned from twelve adolescent medicine clinics
Purpose To maximize positive health outcomes for youth with HIV as they transition from youth to adult care, clinical staff need strategies and protocols to help youth maintain clinic engagement and medication adherence. Accordingly, this paper describe transition processes across twelve clinics within the Adolescent Medicine Trials Network for HIV/AIDS Interventions (ATN) to provide lessons learned and inform the development of transition protocols to improve health outcomes as youth shift from adolescent to adult HIV care. Design and Methods During a large multi method Care Initiative program evaluation, three annual visits were completed at each site from 2010 2012 and conducted 174 semi structured interviews with clinical and program staff (Baseline n=64, Year 1 n=56, Year 2=54) Results The results underscore the value of adhering to recent American Academy of Pediatrics (AAP) transition recommendations, including: developing formal transition protocols, preparing youth for transition, facilitating youth's connection to the adult clinic, and identifying necessary strategies for transition evaluation. Conclusions Transitioning youth with HIV involves targeting individual provider and system level factors. Acknowledging and addressing key barriers is essential for developing streamlined, comprehensive, and context specific transition protocols. Corresponding author: Amanda E. Tanner, PhD, MPH, University of North Carolina Greensboro, Department of Public Health Education, PO Box 26170, Greensboro, NC 27402 6170, Phone: 336.334.5389 Fax: 336.256.1158 aetanner@uncg.edu. HHS Public Access Author manuscript J Pediatr Nurs. Author manuscript; available in PMC 2016 September 17. Published in final edited form as: J Pediatr Nurs. 2016 31(5) 537 543. doi:10.1016/j.pedn.2016.04.002. A uhor M anscript