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HIV Health Care Transition Readiness

Embracing the Opportunity and Challenge

Jones, Sandra C. DNP, APN, CPNP*; Ng, Yeow Chye PhD, CRNP, AAHIVE; Ost, Shelley R. MD, AAHIVS

Journal of the Association of Nurses in AIDS Care: September-October 2019 - Volume 30 - Issue 5 - p 521–530
doi: 10.1097/01.JNC.0000552939.89108.22
Research Article
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Because of effective treatment and prolonged survival, thousands of young adult people living with HIV will need to transfer their health care to adult care providers. However, many lack basic essential skills and are not prepared for this transition. Many providers do not assess transition readiness on a regular basis. Validated transition readiness assessment tools can help providers guide interventions based on identified skill and knowledge deficits. Our purpose was to describe the impact of incorporating a validated Transition Readiness Assessment Questionnaire (TRAQ) into clinical practice. A retrospective chart review of 48 patients with HIV, ages 22–24 years, showed that the use of the TRAQ significantly affected provider interventions in the area of medication management (odds ratio: 0.02). Overall, the use of the TRAQ did not increase clinical interventions; however, it enabled providers to identify knowledge or skill deficits not previously addressed and to plan future clinical interventions to meet individual patient needs.

Sandra C. Jones, DNP, APN, CPNP, is a Nurse Practitioner, St. Jude Children's Research Hospital, Memphis, Tennessee, USA. Yeow Chye Ng, PhD, CRNP, AAHIVE, is an Assistant Professor, College of Nursing, University of Alabama in Huntsville, Huntsville, Alabama, USA. Shelley R. Ost, MD, AAHIVS, is an Assistant Professor, Department of General Internal Medicine, University of Tennessee Health Science Center College of Medicine, and Consulting Physician, Department of Infectious Disease, St. Jude Children's Research Hospital, Memphis, Tennessee, USA.

Corresponding author: Sandra C. Jones, e-mail: sandra.jones2@stjude.org

Sponsorships or competing interests that may be relevant to content are disclosed at the end of this article.

© 2019 Association of Nurses in AIDS Care
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