{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,30]],"date-time":"2026-04-30T13:19:38Z","timestamp":1777555178089,"version":"3.51.4"},"reference-count":32,"publisher":"SAGE Publications","issue":"2","license":[{"start":{"date-parts":[[2026,1,14]],"date-time":"2026-01-14T00:00:00Z","timestamp":1768348800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"funder":[{"DOI":"10.13039\/100000025","name":"National Institute of Mental Health","doi-asserted-by":"crossref","award":["R34 MH116805"],"award-info":[{"award-number":["R34 MH116805"]}],"id":[{"id":"10.13039\/100000025","id-type":"DOI","asserted-by":"crossref"}]}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["AIDS Patient Care and STDs"],"published-print":{"date-parts":[[2026,2]]},"abstract":"<jats:p>\n                    In the United States, youth are disproportionately affected by HIV and have poorer health outcomes than adults. Health care transition (HCT) from pediatric\/adolescent- to adult-oriented HIV care is associated with disruptions to youths\u2019 care retention, medication adherence, and viral suppression. However, no evidence-based interventions exist to improve HIV-related HCT outcomes. Accordingly, our team designed and implemented the\n                    <jats:italic toggle=\"yes\">iTransition<\/jats:italic>\n                    intervention to support youth and providers in navigating HIV-related HCT. We conducted a pilot trial of\n                    <jats:italic toggle=\"yes\">iTransition<\/jats:italic>\n                    in two cities in the United States with four participant groups: (1) historical control group (\n                    <jats:italic toggle=\"yes\">n<\/jats:italic>\n                    = 21), (2) youth intervention group (\n                    <jats:italic toggle=\"yes\">n<\/jats:italic>\n                    = 33), (3) provider intervention group (\n                    <jats:italic toggle=\"yes\">n<\/jats:italic>\n                    = 17), and (4) Transition Champions (i.e., staff members from each participating pediatric\/adolescent and adult clinic designated to support\n                    <jats:italic toggle=\"yes\">iTransition<\/jats:italic>\n                    implementation;\n                    <jats:italic toggle=\"yes\">n<\/jats:italic>\n                    = 7). Analyses examined acceptability, feasibility, and preliminary efficacy. Youth, providers, and Transition Champions, who completed the assessments, generally assessed the feasibility and acceptability of the\n                    <jats:italic toggle=\"yes\">iTransition<\/jats:italic>\n                    app and provider console favorably. Linkage to adult HIV care (defined as one adult HIV care appointment) was significantly higher in the youth intervention group, where 81.8% were linked compared with 47.6% in the historical control group (\u03c7\n                    <jats:sup>2<\/jats:sup>\n                    = 6.96,\n                    <jats:italic toggle=\"yes\">p<\/jats:italic>\n                    = 0.008). Rates of care linkage were not significantly different between app users and non-users (\u03c7\n                    <jats:sup>2<\/jats:sup>\n                    = 1.09,\n                    <jats:italic toggle=\"yes\">p<\/jats:italic>\n                    = 0.30). Notably, overall use of the app and the provider console was low. This study suggests that\n                    <jats:italic toggle=\"yes\">iTransition<\/jats:italic>\n                    could serve as an important tool to support HCT for youth living with HIV in the United States; however, further work is needed to optimize implementation and improve uptake.\n                  <\/jats:p>","DOI":"10.1177\/10872914251414403","type":"journal-article","created":{"date-parts":[[2026,1,14]],"date-time":"2026-01-14T12:29:15Z","timestamp":1768393755000},"page":"42-49","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Supporting Youth from Pediatric- to Adult-Oriented HIV Care Across Two Metro Sites in the United States: Results from the\n                    <i>iTransition<\/i>\n                    Pilot Trial"],"prefix":"10.1177","volume":"40","author":[{"given":"Amanda E.","family":"Tanner","sequence":"first","affiliation":[{"name":"Department of Public Health Education, University of North Carolina Greensboro, Greensboro, North Carolina, USA."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mohammed Sheikh Eldin","family":"Jibriel","sequence":"additional","affiliation":[{"name":"Department of Public Health Education, University of North Carolina Greensboro, Greensboro, North Carolina, USA."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kelly L.","family":"Rulison","sequence":"additional","affiliation":[{"name":"Prevention Strategies, LLC, Greensboro, North Carolina, USA."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sulianie","family":"Mertus","sequence":"additional","affiliation":[{"name":"Department of Public Health Education, University of North Carolina Greensboro, Greensboro, North Carolina, USA."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Rakira","family":"Urquhart","sequence":"additional","affiliation":[{"name":"Department of Public Health Education, University of North Carolina Greensboro, Greensboro, North Carolina, USA."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Keenan","family":"Phillips","sequence":"additional","affiliation":[{"name":"Department of Public Health Education, University of North Carolina Greensboro, Greensboro, North Carolina, USA."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Susan","family":"Lee","sequence":"additional","affiliation":[{"name":"Children\u2019s Hospital of Philadelphia, Philadelphia, Pennsylvania, USA."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kayla","family":"Knowles","sequence":"additional","affiliation":[{"name":"Children\u2019s Hospital of Philadelphia, Philadelphia, Pennsylvania, USA."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Nadia","family":"Dowshen","sequence":"additional","affiliation":[{"name":"Children\u2019s Hospital of Philadelphia, Philadelphia, Pennsylvania, USA."},{"name":"Perelman School of Medicine, University of Pennsylvania, Philadelphia, Pennsylvania, USA."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kamini","family":"Doraivelu","sequence":"additional","affiliation":[{"name":"Hubert Department of Global Health, Rollins School of Public Health, Emory University, Atlanta, Georgia, USA."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Srija","family":"Dutta","sequence":"additional","affiliation":[{"name":"Hubert Department of Global Health, Rollins School of Public Health, Emory University, Atlanta, Georgia, USA."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Madeleine H.","family":"Goldstein","sequence":"additional","affiliation":[{"name":"Department of Pediatrics, School of Medicine, Emory University, Atlanta, Georgia, USA."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kaja","family":"Darien","sequence":"additional","affiliation":[{"name":"Children\u2019s Hospital of Philadelphia, Philadelphia, Pennsylvania, USA."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Julia","family":"Madden","sequence":"additional","affiliation":[{"name":"Children\u2019s Hospital of Philadelphia, Philadelphia, Pennsylvania, USA."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Lisa A.","family":"Schwartz","sequence":"additional","affiliation":[{"name":"Children\u2019s Hospital of Philadelphia, Philadelphia, Pennsylvania, USA."},{"name":"Perelman School of Medicine, University of Pennsylvania, Philadelphia, Pennsylvania, USA."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Morgan M.","family":"Philbin","sequence":"additional","affiliation":[{"name":"Department of Medicine, Division of Health Equity and Society, School of Medicine, University of California San Francisco, San Francisco, California, USA."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Andres","family":"Camacho-Gonzalez","sequence":"additional","affiliation":[{"name":"Department of Pediatrics, School of Medicine, Emory University, Atlanta, Georgia, USA."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sophia A.","family":"Hussen","sequence":"additional","affiliation":[{"name":"Hubert Department of Global Health, Rollins School of Public Health, Emory University, Atlanta, Georgia, USA."},{"name":"Department of Medicine, School of Medicine, Emory University, Atlanta, Georgia, USA."}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2026,1,14]]},"reference":[{"key":"e_1_3_3_2_2","doi-asserted-by":"publisher","DOI":"10.1001\/jama.2019.1343"},{"key":"e_1_3_3_3_2","unstructured":"CDC. 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