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Diabetes Care Publish Ahead of Print published online ahead of print May 5, 2008
DOI: 10.2337/dc07-2247
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Original Research

Evaluation of a Systems Navigator Model for Transition from Pediatric to Adult Care for Young Adults with Type 1 Diabetes

Norma Van Walleghem, MSc, RD, CDE1, Catherine A. MacDonald, BFA, Project Coordinator2 and Heather J. Dean, MD, FRCPC, Professor3

1Diabetes Education Resource for Children and Adolescents FE307-685 William Avenue, Winnipeg, Manitoba, Canada, R3E 0Z2
2Building Connections: The Maestro Project Project Coordinator Winnipeg Regional Health Authority Winnipeg, Manitoba, Canada
3Department of Pediatrics Section of Endocrinology & Metabolism University of Manitoba, Winnipeg, Manitoba, Canada

nvanwalleghem{at}exchange.hsc.mb.ca

ABSTRACT

Objectives: To determine if a systems navigator service, called the Maestro Project, could increase medical surveillance for young adults with type 1 diabetes who transfer from pediatric to adult care.

Methods: There were two cohorts of participants: 1) a younger group (age 18) who had the assistance of the navigator as they graduated from pediatric care (n=84) and 2) an older group (age 19–25 years) who were transferred to adult care without this initial support, but later enrolled in the program.

Results: 40% of the older group (who did not have initial access to the navigator) dropped out of adult medical care, compared to a drop-out rate of 11% of the younger group, who had access to the navigator at the time of transfer from pediatric care.

Conclusions: The systems navigator helped improve medical surveillance for both groups although there was no evidence of improved short term medical outcomes.


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