Current Diabetes Reports

, Volume 13, Issue 6, pp 900–908 | Cite as

Transition Readiness in Adolescents and Emerging Adults with Diabetes: The Role of Patient-Provider Communication

  • Maureen Monaghan
  • Marisa Hilliard
  • Rachel Sweenie
  • Kristin Riekert
Psychosocial Aspects (KK Hood, Section Editor)


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.


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


Papers of particular interest, published recently, have been highlighted as: • Of importance •• Of major importance

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Copyright information

© Springer Science+Business Media New York 2013

Authors and Affiliations

  • Maureen Monaghan
    • 1
  • Marisa Hilliard
    • 2
  • Rachel Sweenie
    • 1
  • Kristin Riekert
    • 2
  1. 1.Center for Translational Science, Children’s National Medical CenterWashingtonUSA
  2. 2.Johns Hopkins Adherence Research Center, Johns Hopkins Medical CenterBaltimoreUSA

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