Journal
DIABETES CARE
Volume 31, Issue 8, Pages 1529-1530Publisher
AMER DIABETES ASSOC
DOI: 10.2337/dc07-2247
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Funding
- American Diabetes Association
- the National Institutes of Health [DK28288]
- LifeScan, Inc
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OBJECTIVES - To determine whether a systems navigator service, The Maestro Project, could increase medical surveillance for young adults with type 1 diabetes who transfer from pediatric to adult care. RESEARCH DESIGN AND METHODS - There were two cohorts of participants: 1) a younger group (aged 18 years, n = 82) who had the assistance of the navigator as they graduated front pediatric care and 2) an older group (aged 19-25 years) who were transferred to adult Care without this initial support but later enrolled in the program. RESULTS - Of the older group (who did not have initial access to the navigator), 40% dropped out of adult medical care, compared with a dropout rate of 11% for the younger group, who had access to the navigator at the nine of transfer front 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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