{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,22]],"date-time":"2026-10-22T10:39:17Z","timestamp":1792665557971,"version":"4.5.0"},"reference-count":29,"publisher":"Wiley","issue":"8","license":[{"start":{"date-parts":[[2026,8,14]],"date-time":"2026-08-14T00:00:00Z","timestamp":1786665600000},"content-version":"vor","delay-in-days":13,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"},{"start":{"date-parts":[[2026,8,1]],"date-time":"2026-08-01T00:00:00Z","timestamp":1785542400000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"funder":[{"DOI":"10.13039\/501100000142","name":"Arthritis Society","doi-asserted-by":"publisher","award":["SOG\u201021\u20100000000123"],"award-info":[{"award-number":["SOG\u201021\u20100000000123"]}],"id":[{"id":"10.13039\/501100000142","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["acrjournals.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["ACR Open Rheumatology"],"published-print":{"date-parts":[[2026,8]]},"abstract":"<jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>Health care transitions are a time of high needs for youth with chronic rheumatic conditions. Our study aimed to evaluate the feasibility of a multicenter randomized\u2010controlled trial implementing a virtual transition coach intervention (TCI) for youth transitioning from pediatric to adult rheumatology care.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Youth aged 17 to 18 years with pediatric\u2010onset rheumatic diseases were recruited from McMaster Children's Hospital in Hamilton, and Children's Hospital, London Health Sciences Centre in London, Canada. Participants were randomized to receive a youth transition roadmap (YTR) (standard of care), or YTR plus TCI\u2014eight virtual monthly coaching sessions covering topics from the YTR. Primary outcomes included feasibility criteria, whereas secondary outcomes focused on measures of readiness for transition (Transition\u2010Q), global functioning (PedsQL 4.0), and self\u2010efficacy (PROMIS self\u2010efficacy for managing chronic conditions) at baseline, 8 months, and 11 months. A satisfaction survey was provided to TCI participants upon study completion.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Of 65 patients approached, 31 (48%) consented. Over 95% of TCI sessions were attended, 80% of patients completed 8\u2010month follow\u2010up questionnaires, and missing data were 13%. TCI participants demonstrated slightly larger mean changes across each time point for each instrument compared to controls. TCI participants overwhelmingly endorsed the intervention, with 78% satisfied with the intervention and 89% willing to recommend the intervention to a friend.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Transition coaching is a feasible intervention to support youth transitioning from pediatric to adult rheumatology care. Results from this trial will inform a multicenter trial, investigating the efficacy of a TCI on transition readiness and self\u2010efficacy for managing chronic conditions.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/acr2.90125","type":"journal-article","created":{"date-parts":[[2026,8,14]],"date-time":"2026-08-14T07:27:28Z","timestamp":1786692448000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Transition to Adulthood Through Coaching and Empowerment in Rheumatology (TRACER): Results of a Feasibility Randomized\u2010Control Trial"],"prefix":"10.1002","volume":"8","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-5312-9014","authenticated-orcid":false,"given":"Madison","family":"Lackie","sequence":"first","affiliation":[{"name":"McMaster University  Hamilton Ontario Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Megan","family":"Clarke","sequence":"additional","affiliation":[{"name":"McMaster University  Hamilton Ontario Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Julie","family":"Herrington","sequence":"additional","affiliation":[{"name":"McMaster University  Hamilton Ontario Canada"},{"name":"McMaster Children's Hospital  Hamilton Ontario Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Pamela","family":"Jarvis","sequence":"additional","affiliation":[{"name":"McMaster University  Hamilton Ontario Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2780-0617","authenticated-orcid":false,"given":"Roberta","family":"Berard","sequence":"additional","affiliation":[{"name":"Division of Rheumatology, Department of Pediatrics University of Western Ontario  London Ontario Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6153-9243","authenticated-orcid":false,"given":"Karen","family":"Beattie","sequence":"additional","affiliation":[{"name":"Division of Rheumatology, Department of Pediatrics McMaster University  Hamilton Ontario Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6412-1029","authenticated-orcid":false,"given":"Michelle","family":"Batthish","sequence":"additional","affiliation":[{"name":"McMaster Children's Hospital  Hamilton Ontario Canada"},{"name":"Division of Rheumatology, Department of Pediatrics McMaster University  Hamilton Ontario Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,8,14]]},"reference":[{"key":"e_1_2_6_2_1","doi-asserted-by":"publisher","DOI":"10.1177\/0961203320938868"},{"key":"e_1_2_6_3_1","doi-asserted-by":"publisher","DOI":"10.1186\/1546-0096-7-13"},{"key":"e_1_2_6_4_1","doi-asserted-by":"publisher","DOI":"10.1186\/1546-0096-8-2"},{"key":"e_1_2_6_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.acap.2013.11.007"},{"key":"e_1_2_6_6_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmj-2025-085062"},{"key":"e_1_2_6_7_1","doi-asserted-by":"publisher","DOI":"10.1136\/annrheumdis-2016-210112"},{"key":"e_1_2_6_8_1","doi-asserted-by":"publisher","DOI":"10.4278\/ajhp.090313-LIT-101"},{"key":"e_1_2_6_9_1","doi-asserted-by":"publisher","DOI":"10.4278\/ajhp.130510-LIT-238"},{"key":"e_1_2_6_10_1","doi-asserted-by":"publisher","DOI":"10.7748\/ns2009.07.23.44.48.c7109"},{"key":"e_1_2_6_11_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.pec.2014.07.026"},{"key":"e_1_2_6_12_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00296-018-4037-x"},{"key":"e_1_2_6_13_1","doi-asserted-by":"publisher","DOI":"10.1515\/jtm-2021-0008"},{"key":"e_1_2_6_14_1","unstructured":"SholdiceM BeattieK BatthishM.Accessed February 3 2026.www.RoadtoAdultArthritisCare.ca"},{"issue":"4","key":"e_1_2_6_15_1","first-page":"56","article-title":"System integration and clinical utilization of the Advanced Clinician Practitioner in Arthritis Care (ACPAC) Program\u2010Trained Extended Role Practitioners in Ontario: a two\u2010year, system\u2010level evaluation","volume":"8","author":"Passalent LA","year":"2013","journal-title":"Healthc Policy"},{"key":"e_1_2_6_16_1","unstructured":"OntarioRH. 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