Transition Navigator Trial (TNT)


Transition to adult care is a challenging and complex time for adolescents and young adults with chronic health conditions and their families. Many struggle to adapt to adult health care settings and report difficulties accessing needed services to manage their health conditions into adulthood. Limited studies to date evaluate the effectiveness of interventions to improve transition care across multiple health care settings. We propose to evaluate the impact of a patient navigator service to coordinate transition to adult care in Alberta. The patient navigator is a trained social worker who will support the patient for up to 2 years after they transfer to adult care by preparing them for transfer, addressing barriers to health care and coaching self-management skills.


Currently recruiting participants: Yes

Eligible gender: Male, Female, Transgender, Other

Eligible ages: 16 to 21

Inclusion criteria:

1 - individuals aged 16-21 with chronic health conditions
2 - expecting to transfer to specialty adult services within 12 months
3 - planning to remain in Alberta through the following 24 months

Exclusion criteria:

1 - already enrolled in another study with a patient navigator service
2 - transfer to adult care will not happen within the period of the trial
3 - participant, parent or guardian cannot consent in English
4 - participant does not live in Alberta


Fill out the following form if you want to participate in this research

Method of contact

Additional information

Contact information

Clinical Referral or Laurel Ryan/Gurkeet Lalli 403-955-7160

Principal investigator:

Susan Samuel

Clinical trial: