Transition from pediatric to adult care in sickle cell disease: perspectives on the family role

J Pediatr Nurs. 2014 Mar-Apr;29(2):158-67. doi: 10.1016/j.pedn.2013.10.002. Epub 2013 Oct 16.

Abstract

Transition from pediatric to adult care poses challenges for adolescents with sickle cell disease (SCD). This study explored the transition perspectives of adolescents with SCD, their siblings, and caregivers. Focus groups were conducted with 12 African American families. Adolescents, siblings, and caregivers demonstrated awareness of transition and need for disease management responsibility. Siblings' and caregivers' concerns included adolescent medication adherence. Family concerns included leaving the pediatric environment and adult providers' lack of knowledge. Families recommended more transition preparation opportunities. Family members' perspectives are valuable in informing transition planning. Family-focused interventions designed to prepare and support families during transition are necessary.

Keywords: Family perspective; Qualitative methods; Sickle cell disease; Transition to adult care.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adolescent
  • Adult
  • Anemia, Sickle Cell / nursing
  • Anemia, Sickle Cell / therapy*
  • Caregivers
  • Child
  • Family Health
  • Female
  • Focus Groups
  • Humans
  • Male
  • Middle Aged
  • Pediatric Nursing
  • Transition to Adult Care* / organization & administration
  • Young Adult