Introduction and Objective: The transition from pediatric to adult care is a vulnerable period for young adults with type 1 diabetes mellitus (T1DM), often associated with discontinuities in care, worsening glycemic control, and increased risk of complications. Assessing transition readiness is essential to identify skill gaps, psychosocial barriers, and targets for intervention. This quality improvement project aims to assess transition readiness among young adults with T1DM using the Endocrine Society Self-Assessment tool to identify patients who may benefit from additional support and to inform improvements to the adult transitions clinic. Methods: The Endocrine Society “Self-Assessment of Worries, Concerns, and Burdens Related to Diabetes and Preparation for Transitioning” questionnaire was administered to patients aged 18-22 with T1DM at their first visit to the adult transition clinic. Descriptive statistics were used to analyze responses from 27 respondents. Results: Respondents had a median age of 19 years; 66.7% identified as male and 33.3% as female. Most recent HbA1c ranged from 6.0% to 14.2% (mean 8.02%). Conclusion: Although patients reported minimal logistical difficulty managing diabetes care, many endorsed substantial social, emotional, and cognitive burden. These findings underscore the importance of a biopsychosocial approach to transition care that addresses psychosocial barriers alongside medical management. Disclosure A. Rosen: None. J. Bernier: None. M. Gilbert: Advisory Panel; Current; Novo Nordisk, Crinetics Pharmaceuticals, Inc. Funding Vermont Child Health Improvement Program Medicaid Administration (AWD00002192)
ROSEN et al. (Fri,) studied this question.
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