NPM 12: Adolescents aged 12-17 years must meet three components:
1) doctor spoke with child privately without an adult in the room during last preventive check-up;
2) if a discussion about transitioning to adult care was needed it must have happened; and
3) doctors actively worked with child to gain skills and understand changes in health care.
If an adolescent had at least one valid positive response to any of these components and the remainder of the components were missing or legitimately skipped, these adolescents were categorized as receiving adequate transition to adult healthcare.