My Choice–My Way! Results From a Swedish Quasi-Experimental Pilot Study

Purpose Experience of out-of-home care (OHC) is associated with long-term adverse outcomes, partly due to insufficient preparation for independent living. This study examined the preliminary effectiveness of My Choice–My Way! (MCMW), a transition support service. Methods A 2 × 2 mixed design with natural allocation compared MCMW ( n = 55) to service as usual (SAU; n = 77). Youth ( n = 132), aged 15 + and currently in or recently leaving OHC, were recruited from 21 sites. Outcomes were assessed at baseline and posttest (∼8 months). Results Perceived competence improved over time in both groups. Social support increased significantly in MCMW compared to SAU. No group differences were found for preparedness or intervention satisfaction. Five moderating effects were identified, and provider attitudes were associated with outcomes. Discussion MCMW shows promise in enhancing perceived social support, though broader effects were limited. Findings highlight the importance of implementation context.