Transition readiness in adolescents and emerging adults with diabetes: The role of patient-provider communication

Maureen Monaghan, Marisa Hilliard, Rachel Sweenie, Kristin Riekert

Research output: Contribution to journalArticle


Transition from pediatric to adult care represents a high risk period for adolescents and emerging adults with diabetes. Fundamental differences between pediatric and adult care delivery models may contribute to increased risk for poor health outcomes. This review provides a brief overview of models of care in pediatric and adult settings and focuses on patient-provider communication content and quality as potential points of intervention to improve transition-related outcomes. This review also highlights disparities in transition and communication for adolescents and emerging adults from racial/ethnic minority groups and discusses recent changes in health care legislation that have significant implications for the transition process. Intervention opportunities include programs to enhance developmentally- appropriate patient-provider interactions and increased attention to promoting transition readiness skills. Improving patient-provider communication may hasten the development of vital self-advocacy skills needed in adult health care systems and, thus, help establish a lasting pattern of positive diabetes self-care.

Original languageEnglish (US)
Pages (from-to)900-908
Number of pages9
JournalCurrent Diabetes Reports
Issue number6
StatePublished - Dec 1 2013


  • Adolescents
  • Diabetes
  • Glycemic control
  • Health care delivery
  • Health insurance
  • Patient-provider communication
  • Racial/ethnic minority groups
  • Transition
  • Young adults

ASJC Scopus subject areas

  • Internal Medicine
  • Endocrinology, Diabetes and Metabolism

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