Why transition is important: Adolescence is a time when youmg peple are at their most vaunarable due physical, steamy and psychosocial inflences as part of evolution.these young people are unprotected to dropping out of the health cre system ( Remorino and Taylor 2006)
The Critique of studies will be guided by Coughlan et al 2007s timbre by step guide to critiquing research.
The search reveled 19 studies solely 9 were excluded as they did not clear evaluate a transitional medel.
Study design
The studies varied in terms of the overall study design, in the number and age operate of participants and the duration of intervetions and or follow up. Studies attempted comparioson amid the intervention concourse and the control group. Only cases was a hackneyed intervention verses control the other( Ghlap N et al 2006) studies the methods utilize were retro analysis of outcomes from centres with differing arrangmentss for transition, with the centres were adolescents were transferred directly to routine adult care as the control group( kipps 2002 and et al Nakhla et al 2009).
Gholap 2006 uses data from a modern multicentre study as a control in their reprt, making the conclusions drawn less robust.
Two studies did not use all comparison groups but measured outcomes of a single group of patients pre and post transfer ( Holmes walker and Vidal)
Outcome measures or variables
The bulk of studies measured disease specific biochemical makers such as HbA1c or creatinine.
Health service use such as percentage of missed follow up appointments was also used and hospital admissions for diabetic ketoacidosis.
Statistics
. Studies all involving diabetes mellitus showed a statistically probatory difference...If you want to get a full essay, order it on our website: Ordercustompaper.com
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