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Using a Social-ecological Framework to Guide Transition

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Transitioning Care from Pediatric to Adult Pulmonology

Part of the book series: Respiratory Medicine ((RM))

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Abstract

Transition is a multi-dimensional process, involving patients, caregivers, providers, and the medical system as a whole. Variables within each stakeholder can affect the success of an individual’s transition. A social-ecological framework allows for a comprehensive approach to address the different components and complex intricacies that occur in transition of care from pediatric to adult health systems. In this chapter, we introduce the Social-ecological Model of Adolescent and Young Adult (AYA) Readiness to Transition (SMART) as a model that utilizes this theoretical framework. We describe its components and validation and apply its applicability to various respiratory conditions. Currently, the SMART model has not been validated with or systematically applied to pulmonary patient populations. Future research is needed to study the use of SMART in chronic respiratory diseases in order to improve transition of care in the field of pulmonary medicine.

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Author information

Author notes

  1. Pi Chun Cheng and Michael M. Rey contributed equally with all other contributors.

Authors and Affiliations

  1. Division of Pulmonary Medicine, Children’s Hospital of Philadelphia, Philadelphia, PA, USA

    Pi Chun Cheng

  2. Division of Pulmonary, Allergy, & Critical Care Medicine, University of Pennsylvania and University of Pennsylvania Perelman School of Medicine, Philadelphia, PA, USA

    Michael M. Rey

  3. Division of Pulmonary and Critical Care Medicine, Corporal Michael J. Crescenz VA Medical Center, Philadelphia, PA, USA

    Michael M. Rey

  4. Division of Oncology, Children’s Hospital of Philadelphia and University of Pennsylvania Perelman School of Medicine, Philadelphia, PA, USA

    Dava Szalda & Lisa A. Schwartz

Authors
  1. Pi Chun Cheng
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  2. Michael M. Rey
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  3. Dava Szalda
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  4. Lisa A. Schwartz
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Corresponding author

Correspondence to Michael M. Rey .

Editor information

Editors and Affiliations

  1. Division of Pulmonary, Critical Care,Occupational, and Sleep Medicine, Indiana University School of Medicine, Indianapolis, IN, USA

    Cynthia D. Brown

  2. Department of Pulmonary, Critical Care, and Sleep Medicine, Wyoming Medical Center, Casper, WY, USA

    Erin Crowley

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Cheng, P.C., Rey, M.M., Szalda, D., Schwartz, L.A. (2021). Using a Social-ecological Framework to Guide Transition. In: Brown, C.D., Crowley, E. (eds) Transitioning Care from Pediatric to Adult Pulmonology. Respiratory Medicine. Humana, Cham. https://doi.org/10.1007/978-3-030-68688-8_6

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  • DOI: https://doi.org/10.1007/978-3-030-68688-8_6

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  • Publisher Name: Humana, Cham

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  • Online ISBN: 978-3-030-68688-8

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