{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,7,30]],"date-time":"2025-07-30T12:30:04Z","timestamp":1753878604653,"version":"3.41.2"},"reference-count":28,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2024,10,29]],"date-time":"2024-10-29T00:00:00Z","timestamp":1730160000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100000024","name":"Canadian Institutes of Health Research","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100000024","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Diabet Med"],"published-print":{"date-parts":[[2025,1]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Aim<\/jats:title><jats:p>To test whether an audit and feedback\u2010based intervention improved HbA1c 12\u2009months after transfer to type 1 diabetes adult care.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Multi\u2010centre, quasi\u2010experimental pre\u2010post study of an AF\u2010based intervention targeting paediatric diabetes teams, which encouraged the implementation of an evidence\u2010informed structured transition process at five paediatric diabetes centres in Ontario, Canada. Participants entered the study at their final paediatric visit. A parallel control cohort was ascertained using population\u2010based administrative datasets. The primary outcome was HbA1c 12\u2009months after transfer. The main exposure was the study period: pre\u2010implementation (June 2018\u2013May 2019); early\u2010implementation (June 2019\u2013September 2020); and late\u2010implementation (October 2020\u2013September 2021). Multivariable linear regression models were fit separately in each cohort.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>There were 449 and 2844 individuals in the intervention and control cohorts, respectively. Twelve months after transfer, participants in the late\u2010implementation intervention cohort had an HbA1c that was, on average, 0.41% lower than participants in the pre\u2010implementation period (<jats:italic>p<\/jats:italic>\u2009=\u20090.016). Among the control cohort, there was no significant difference in the HbA1c 12\u2009months after transfer between study periods.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>We found an effect of the intervention on glycaemic management one year following transfer to adult care. Future work will focus on refining and testing the effectiveness of the intervention in an expanded number of study sites and in collaboration with adult diabetes care providers.<\/jats:p><\/jats:sec>","DOI":"10.1111\/dme.15444","type":"journal-article","created":{"date-parts":[[2024,10,30]],"date-time":"2024-10-30T05:46:02Z","timestamp":1730267162000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["An audit and feedback\u2010based intervention to improve diabetes management in the year after transfer to adult type 1 diabetes care: A multi\u2010center quasi\u2010experimental study"],"prefix":"10.1111","volume":"42","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-9943-1529","authenticated-orcid":false,"given":"Rayzel","family":"Shulman","sequence":"first","affiliation":[{"name":"Division of Endocrinology The Hospital for Sick Children  Toronto Ontario Canada"},{"name":"Department of Pediatrics University of 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Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jennifer","family":"Harrington","sequence":"additional","affiliation":[{"name":"Division of Endocrinology, Women's and Children's Health Network University of Adelaide  Adelaide South Australia Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Geetha","family":"Mukerji","sequence":"additional","affiliation":[{"name":"Division of Endocrinology Women's College Hospital  Toronto Ontario Canada"},{"name":"Institute of Health Systems Solutions and Virtual care Women's College Hospital  Toronto Ontario Canada"},{"name":"Department of Medicine University of Toronto  Toronto Ontario Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mark R.","family":"Palmert","sequence":"additional","affiliation":[{"name":"Division of Endocrinology The Hospital for Sick Children  Toronto Ontario Canada"},{"name":"Department of Pediatrics and Physiology University of Toronto  Toronto Ontario 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