Authors
Linda Aurpibul, Pope Kosalaraksa, Pradthana Ounchanum, Kulkanya Chokephaibulkit, Wipaporn Natalie Songtaweesin, Ratchaneekorn Khampan, Nichkamol Lertamornkitti, Thanyawee Puthanakit, Thai PAPAYA Study Team
Published in
The Journal of the Association of Nurses in AIDS Care : JANAC. Aug 04, 2026. Epub Aug 04, 2026.
Abstract
The aim of our study was to develop consensus from experts and advocates on the health care transition for young people living with HIV from pediatrics to adult care in Thailand using a modified Delphi method. Participants included physicians (58%), nurses (20%), clinic coordinators (11%), and outreach workers (11%). Survey items were distributed to gather responses. Consensus was achieved after two rounds of surveys (response rates: 86% and 94.5%, respectively). Key priorities identified included (1) pediatric clinics: early transition planning, individualized readiness assessment, and focusing on youth with an increased risk of poor treatment outcomes; (2) transition process: strong pediatric-adult clinic collaboration; (3) health care coverage scheme and system: making sure that youth are familiar with their resources and options; (4) adult clinics: providing communication skills training for providers aimed at offering youth-friendly, nonstigmatizing services; and (5) post-transition follow-up: communication to ensure a warm handoff. Effective transition care for young people living with HIV requires early preparation, sustained interclinic communication, and continuity-supportive care models.
PMID:
42549813
Bibliographic data and abstract were imported from PubMed on 04 Aug 2026.
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