Improving patient-provider communication during hospital consultations is advocated to enhance selfmanagement
planning and transition readiness of adolescents with chronic conditions. This longitudinal
mixed methods study evaluates the implementation and the outcomes of independent split-visit consultations
and individual transition plans by 22 hospital teams participating in the Dutch Action Program ‘On Your
Own Feet Ahead!’. The interventions raised awareness in adolescents and professionals, improved
adolescents’ display of independent behaviors and led to more discussions about non-medical issues.
Successful implementation required a team-based approach and clear explanation to parents and adolescents.
Pediatric nurses played a pivotal role in improving transitional care.