Poster can be found in location 118.

Background and aim: Transition programs for adolescents with long-term conditions have been evaluated through randomized controlled trials and proven effective in improving patient-reported outcomes as well as clinical and administrative outcomes. However, implementation in healthcare remains scarce. The aim of this study was to (1) evaluate the prerequisites for implementation of an evidence-based transition program for adolescents with long-term conditions in a Swedish context, and (2) identify strategies to promote uptake and maintenance of the program. Methods: A qualitative design, using the Consolidated Framework for Implementation Research (CFIR) was used to identify determinants of implementation. Semi-structured interviews (n=21) were carried out with healthcare providers working at outpatient clinics at six university hospitals providing care for adolescents with long-term conditions (specifically heart disease), managers, and representatives from patient organizations. Data were analyzed deductively with content analysis in Nvivo v.15 using the CFIR as coding framework. Results: Most determinants for implementation (i.e., barriers and facilitators) pertained to the CFIR domains Individuals involved and Inner setting. The innovation (i.e. transition program) was perceived as credible but in some settings similar to current practices, although more comprehensive than usual care. Strategies to promote the uptake and maintenance of the innovation were categorized according to each domain of the CFIR network and are presented in Figure 1. Conclusion: Implementation of person-centered care for adolescents with long-term conditions is according to these findings dependent on the individuals involved and local context. An innovation that is tailored to the populations needs is crucial in ensuring credibility to implementers. Based on these determinants, strategies to facilitate the uptake and maintenance of the innovation has been identified. The use of CFIR in this study proved effective and can inform future studies aiming to implement person-centered care for people with long-term conditions. Figure 1. Strategies identified pertaining to each domain of the CFIR framework.