A longitudinal, observational study of the features of transitional healthcare associated with better outcomes for young people with long-term conditions

Colver, A.; McConachie, H.; Le Couteur, A.; Dovey-Pearce, G.; Mann, K. D.; McDonagh, J. E.; Pearce, M. S.; Vale, L.; Merrick, H.; Parr, J. R.

doi:10.1186/s12916-018-1102-y

Table 3 Associations of Proposed Beneficial Features (PBFs) with outcome measures

From: A longitudinal, observational study of the features of transitional healthcare associated with better outcomes for young people with long-term conditions

	PBFs by ‘year-by-year’ visits					Consolidated PBF indicator at final visit
PBF	Period	Outcome	Coefficient or odds ratio^a	95% confidence interval	p value	Outcome	Coefficient or odds ratio^a	95% confidence interval	p value
Appropriate parent involvement	1	MTG: total	− 0.48	− 0.76 to − 0.19	0.001	MTG: total	− 0.67	− 0.97 to − 0.37	< 0.001
	1	MTG: environment	− 0.57	− 0.92 to − 0.21	0.001	MTG: environment	− 0.71	− 1.17 to − 0.26	0.006
	1	MTG: provider	− 0.52	−0.82 to − 0.22	0.001	MTG: provider	− 0.75	− 0.99 to − 0.52	< 0.001
	1	RTP: domestic	[0.14^a]	0.03 to 0.67	0.01	RTP: finances	[0.6^a]	0.92 to 0.39	0.02
	1	RTP: healthcare	[0.35^a]	0.17 to 0.72	0.004	WEMWBS	2.18	0.21 to 4.15	0.03
	1	RTP: services and aids	[0.42^a]	0.18 to 0.97	0.04
	2	MTG: total	− 0.60	− 1.00 to − 0.21	0.003
	2	MTG: environment	− 0.65	− 1.08 to − 0.21	0.004
	2	MTG: provider	− 0.48	− 0.90 to − 0.06	0.03
	2	MTG: process	− 0.82	−1.32 to − 0.31	0.002
	2	WEMWBS	4.47	1.96 to 6.97	0.001
	3	MTG: total	− 0.87	0.45 to 1.29	0.001
	3	MTG: environment	− 0.91	− 1.44 to − 0.37	< 0.001
	3	MTG: provider	− 0.95	− 1.37 to − 0.52	< 0.001
	3	MTG: process	− 0.63	− 1.18 to − 0.07	0.03
	3	WEMWBS	3.45	0.92 to 5.99	0.008
Promotion of health self-efficacy	1	MTG: total	− 0.51	− 0.87 to − 0.15	0.006	MTG: total	− 0.32	−0.62 to − 0.03	0.04
	1	MTG: environment	− 0.63	− 1.06 to − 0.18	0.005	MTG: environment	− 0.57	− 1.03 to − 0.11	0.02
	1	MTG: provider	− 0.47	− 0.85 to − 0.09	0.02	MTG: process	− 0.37	− 0.70 to − 0.04	0.03
	1	MTG: process	− 0.46	− 0.91 to − 0.01	0.04
	1	RTP: finances	[0.26^a]	0.07 to 0.93	0.04
	1	RTP: domestic	[0.04^a]	0.01 to 0.21	0.001
	2	MTG: total	− 0.51	− 0.91 to − 0.11	0.01
	2	MTG: provider	− 0.49	− 0.90 to − 0.08	0.02
	2	MTG: process	− 0.70	− 1.21 to − 0.19	0.007
	2	MTG: total	− 0.60	− 1.01 to − 0.20	0.004
	3	MTG: environment	− 0.90	− 1.40 to − 0.40	< 0.001
	3	MTG: provider	− 0.52	− 0.95 to − 0.11	0.01
Meet adult team before transfer	1	RTP: domestic	6.29^a	1.60 to 24.80	0.009	RTP: education/employment	2.33^a	1.21 to 4.55	0.01
	1	RTP: healthcare	2.71^a	1.24 to 5.90	0.01	RTP: finances	2.78^a	1.10 to 7.14	0.03
	1	RTP: services and aids	5.15^a	2.08 to 12.78	< 0.001	RTP: services and aids	2.50^a	1.06 to 5.88	0.04
	1	RTP: transport	2.01^a	1.06 to 3.79	0.03	Autonomy in appointments	1.60	0.32 to 2.87	0.02
	1	RTP: education/employment	3.24^a	1.09 to 9.65	0.04
	1	Autonomy in appointments	1.69	0.80 to 2.58	< 0.001
	2	RTP: finances	2.64^a	0.92 to 6.62	0.02
	2	RTP: transport	2.08^a	1.11 to 3.90	0.02
	2	Autonomy in appointments	1.00	0.01 to 2.0	0.05
	3	RTP: healthcare	2.11^a	1.03 to 4.34	0.004
	3	Autonomy in appointments	1.46	0.34 to 2.59	0.01
Key worker	1	RTP: leisure	[0.56^a]	0.32 to 0.96	0.04
	2	MTG: provider	− 0.66	− 1.04 to − 0.28	0.001
	2	MTG: process	− 0.69	− 1.17 to − 0.21	0.005
	3	RTP: education/employment	[0.40^a]	0.20 to 0.95	0.02
Holistic life-skills training	1	RTP: domestic	[0.19^a]	0.04 to 0.93	0.04
	1	RTP: services and aids	[0.34^a]	0.12 to 0.94	0.04
	2	MTG: provider	[0.43]	0.03 to 0.84	0.04
	3	MTG: total	− 0.46	− 0.87 to − 0.05	0.03
	3	MTG: provider	− 0.57	− 0.99 to − 0.14	0.009
	3	RTP: domestic	2.47^a	1.10 to 5.58	0.003
	3	RTP: romantic relationships	[0.52^a]	0.26 to 0.98	0.04
Written transition plan	1	RTP: romantic relationships	[0.43^a]	0.19 to 0.96	0.04
	2	MTG: total	− 0.72	− 1.39 to − 0.04	0.04
	2	MTG: process	− 1.19	− 1.39 to − 0.04	0.007
Coordinated team	1 3	RTP: domestic	[0.19^a]	0.04 to 0.93	0.04	MTG: provider	− 0.67	− 1.25 to − 0.09	0.03
	1 3	RTP: healthcare	[0.17^a]	0.04 to 0.82	0.03	RTP: education/employment	[0.31^a]	0.11 to 0.82	0.02
	3	RTP: services and aids	[0.22^a]	0.06 to 0.81	0.02	RTP: domestic	[0.41^a]	0.19 to 0.91	0.03
Transition manager for clinical team		No associations				RTP: domestic	2.63^a	1.16 to 5.88	0.02
						RTP: services and aids	[0.41^a]	0.20 to 0.86	0.02
						RTP: romantic relationships	[0.52^a]	0.31 to 0.89	0.02
Age-banded clinic	1	WEMWBS	3.08	0.18 to 5.98	0.04
	1	Autonomy in appointments	1.44	0.48 to 2.4	0.003
	2	RTP: education/employment	5.22^a	1.21 to 22.53	0.03

Note 1 Coefficients and odds ratios ‘year-by-year’ and for the consolidated PBF indicator have sub-optimal PBF delivery as the reference group
Note 2 A larger Mind the Gap score means less satisfaction with services than a smaller score
MTG Mind the Gap, RTP Rotterdam Transition Profile, WEMWBS Warwick Edinburgh Mental Wellbeing Scale
[] negative association, i.e. satisfactory PBF was associated with worse outcome
^a indicates an odds ratio
Bold indicates p ≤ 0.01

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