A safety net for the toughest transition: can a care team bridge the gap to adult medicine?
NCT ID NCT06093386
First seen Aug 10, 2026 · Last updated Aug 11, 2026 · Updated 1 time
Summary
This trial tests whether a dedicated transition team—including a nurse practitioner, a registered nurse, and a social worker—can improve the move from pediatric to adult care for youth with medical complexity. Participants receive two years of intensive support with care planning, funding, and connections to adult providers, compared with usual care. The study asks if this support improves continuity of care, satisfaction, and quality of life.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- Intensive transition support from a team of nurses and a social worker
- What this could lead to
- If successful, this could establish a model for smoother, more supportive transitions to adult care, potentially improving health outcomes and quality of life for youth with complex medical needs.
- What could go wrong
- The trial is relatively small and focuses on a specific population in Ontario, so results may not apply broadly. The support is intensive and may not be feasible in all settings.
This is an AI summary of the original study and may miss details. Read our disclaimer.
Study facts
What this study's own registry entry says, in plain language.
- Phase
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Not a phased trial
Phase numbers describe drug development. The registry uses this when they do not apply, as it does for trials of devices, procedures or behaviour changes, and for observational studies.
- Participants
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144 people
The number who actually took part.
- Started
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Nov 2023
- Finished
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Apr 2026
- Lead sponsor
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Other sponsor
The registry's catch-all category, for sponsors it does not file as a company, a government agency, or a research network.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
- Ages
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210 to 213 months
- Sex
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Anyone
- Healthy volunteers
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Not accepted
This study is not open to healthy volunteers. The entry requirements below say who it is open to.
Show the full entry requirements Hide the full entry requirements
Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Inclusion Criteria: * Patients 17 years 6 months- 17 years 9 months old (inclusive) who meet Ontario's CMC definition: 1. technology dependence and/or users of high-intensity care, 2. fragility (severe and/or life-threatening condition, 3. chronicity (expected to last at least 6 months), 4. complexity (involvement of ≥5 healthcare practitioners/teams and healthcare services in ≥ 3 locations such as home, school, hospital, etc.). Exclusion Criteria: * are expected to die within 2 years of recruitment (e.g., those receiving active end-of-life care) * do not have a stable primary caregiver (e.g., those who reside in residential or long-term care facilities, and those in foster care as the intervention is focused on a patient-caregiver dyad)
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Genom att skicka in godkänner du våra Användarvillkor
As listed by the trial registrant
The condition terms exactly as the trial's registrant entered them.
Contacts and locations
Locations
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The Hospital for Sick Children
Toronto, Ontario, Canada