Understanding Whether and How a Digital Health Intervention Improves Transition Care for Emerging Adults Living With Type 1 Diabetes: Protocol for a Mixed Methods Realist Evaluation

Ruoxi Wang   ¹ , PhD ;   Geneviève Rouleau   ^{2, 3, 4} , RN, PhD ;   Gillian Lynn Booth   ^{5, 6, 7} , MSc, MD ;   Anne-Sophie Brazeau   ⁸ , RD, PhD ;   Noor El-Dassouki   ⁹ , MSc ;   Madison Taylor   ⁹ , MSc ;   Joseph A Cafazzo   ^{7, 9, 10, 11} , PEng, PhD ;   Marley Greenberg   ^{12, 13} , BA ;   Meranda Nakhla   ^{14, 15} , MSc, MD ;   Rayzel Shulman   ^{7, 16, 17, 18 *} , MD, PhD ;   Laura Desveaux   ^{1, 7 *} , PT, PhD

¹ Institute for Better Health, Trillium Health Partners, Mississauga, ON, Canada

² Institute for Health System Solutions and Virtual Care, Women’s College Hospital, Toronto, ON, Canada

³ Département des Sciences Infirmières, Université du Québec en Outaouais, St-Jérôme, QC, Canada

⁴ Faculté des sciences infirmières, l'Université de Montréal, Montreal, QC, Canada

⁵ MAP Centre for Urban Health Solutions, Unity Health Toronto, Toronto, ON, Canada

⁶ Department of Medicine, University of Toronto, Toronto, ON, Canada

⁷ Institute of Health Policy, Management and Evaluation, University of Toronto, Toronto, ON, Canada

⁸ School of Human Nutrition, McGill University, Montréal, QC, Canada

⁹ Centre for Digital Therapeutics, Toronto General Hospital, University Health Network, Toronto, ON, Canada

¹⁰ Institute of Biomedical Engineering, University of Toronto, Toronto, ON, Canada

¹¹ Department of Computer Science, University of Toronto, Toronto, ON, Canada

¹² Department of Philosophy, Joint Centre for Bioethics, University of Toronto, Toronto, ON, Canada

¹³ Diabetes Action Canada, Toronto, ON, Canada

¹⁴ Division of Endocrinology, Montreal Children’s Hospital, McGill University, Montréal, QC, Canada

¹⁵ Research Institute of the McGill University Health Centre, Montréal, QC, Canada

¹⁶ Child Health Evaluative Sciences, SickKids Research Institute, Toronto, ON, Canada

¹⁷ Division of Endocrinology, The Hospital for Sick Children, Toronto, ON, Canada

¹⁸ Department of Pediatrics, University of Toronto, Toronto, ON, Canada

*these authors contributed equally