{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,23]],"date-time":"2026-04-23T23:34:57Z","timestamp":1776987297358,"version":"3.51.4"},"reference-count":34,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2015,11,17]],"date-time":"2015-11-17T00:00:00Z","timestamp":1447718400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"name":"Toronto Local Health Integration Network"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Child"],"published-print":{"date-parts":[[2016,3]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>To address gaps in transfer of care and transition support, a paediatric hospital and adult community health care centre partnered to implement an inter\u2010agency transition model for youth with spina bifida. Our objective was to understand the enablers and challenges experienced in the implementation of the model.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Using a descriptive, qualitative design, we conducted semi\u2010structured interviews, in\u2010person or over the phone, with 12 clinicians and nine key informants involved in implementing the spina bifida transition model. We recruited all 21 participants from an urban area of Ontario, Canada.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Clinicians and key informants experienced several enablers and challenges in implementing the spina bifida transition model. Enablers included dedicated leadership, advocacy, funding, inter\u2010agency partnerships, cross\u2010appointed staff and gaps in co\u2010ordinated care to connect youth to adult services. Challenges included gaps in the availability of adult specialty services, limited geographical catchment of adult services, limited engagement of front\u2010line staff, gaps in communication and role clarity.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Although the transition model has realized some initial successes, there are still many challenges to overcome in transferring youth with spina bifida to adult health care and transitioning to adulthood.<\/jats:p><\/jats:sec>","DOI":"10.1111\/cch.12303","type":"journal-article","created":{"date-parts":[[2015,11,17]],"date-time":"2015-11-17T07:38:47Z","timestamp":1447745927000},"page":"203-212","source":"Crossref","is-referenced-by-count":19,"title":["Implementation of an inter\u2010agency transition model for youth with spina bifida"],"prefix":"10.1111","volume":"42","author":[{"given":"S.","family":"Lindsay","sequence":"first","affiliation":[{"name":"Bloorview Research Institute Holland Bloorview Kids Rehabilitation Hospital  Toronto ON Canada"},{"name":"Department of Occupational Science &amp; Occupational Therapy University of Toronto  Toronto Ontario Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"H.","family":"Cruickshank","sequence":"additional","affiliation":[{"name":"Bloorview Research Institute Holland Bloorview Kids Rehabilitation Hospital  Toronto ON Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"A. 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